Nurses promote cultural safety in everyday activities which aims to provide effective and responsible care and support in the healthcare systems. In literal terms, it can be definedas an emotionally, mentally, and spiritually safe environment for everyone irrespective of their gender, caste, age. This reflects there should be no discrimination, assault, or denial of their identity, experiences, and existence ( Cox,2017). Effective cultural safety demands to understand and respect the culture, beliefs, and values of everyone including the Aboriginal people (Yeung, 2016). Cultural safety should be maintained at an individual and institutional level as well in healthcare settings.Promoting culture safety needs timely evaluations, awareness of oneself, and others moreover, it aims to neutralize the existing orthodox behavior of the systems. Although, cultural identity and welfare of patients majorly belonging to Aboriginal communities can be promoted by applying cultural safety approach. In healthcare systems, nurses can providerespect and effective care to patientswhich designs a strong therapeutic relationship for the effective patient outcome (Yeung, 2016).Effective communication in healthcare systems creates a comforting path for patients where they can share their thoughts and needs, encouraging effective care and safetywhile nurses can promote cultural safety by sharing knowledge and experienceon evidence-based practices (Curtis et al., 2019). The concept of being judged is neutralized in the healthcare systems when nurses aim to justify the concept of equal care in everyday practice. Recognizing the impact of one's action on other's safety and health is a key concept in promoting cultural safety and equality. The concept of cultural equality should beadopted by every healthcare practioner as part of their profession
Power is an important key that exists form intergeneration in the systems and has both positive and negative impacts on human wellbeing. The significant approach of power is associated with social communicationand decision making capacities with dissimilar cultures.The bio-ethics of autonomy support the individual to make their own healthcare decisionsand nurses should adopt the practice of involving competent patents in advanced care planning programs (So,2019).Health care workers along with nurses and senior doctors should respecttheir decisionsfavored by their ethical rights.Furthermore, nursing practitionersshould involve competent patients in advanced care planning by keeping the final treatment call on them.
The empathic behavior in the healthcare systems during the therapeutic process is also supported by the family members. Nurses and another medical workers altogether stand for providing equal care and justice to patients, although nurses explain all the credible policies to the patients which supports them during their arranged care planning (So,2019). The bio-ethics of autonomy should always be respected even with the existing power of the nurses in the healthcare systems.The adoption of cultural safety is an individual process and should always work for patient safety and wellness.Individual and interpersonal power and under the scale of social determinants is always positioned at the top (Sturm & Antonakis,2015).By understanding the ethical and social background of an individual, different patterns of interpersonal cab be applied (So,2019). Senior nurses should deliver interpersonal powers for creating healthier socio-economic dimensions for effective care and improved patient outcome.
Equity in social systemscan be defined asinequalities that can impact the socially disadvantaged group. Disparities in healthcare services are the calculated approach for measuring health equities which isalso measured as an essential social healthcaredeterminant. Equity can bridge the inequality gaps by providing education and guidance to the children belonging to Aboriginal and Torres Straits communities (WHO,2020). Lack of education and poor socio-economic background in the Indigenous communities pushes them towards crime and unsafe acts ( Cox,2017). Politicians can promote health equity by focusing on cultural safety among people belonging to the Indigenous community and can provide housing and education which act as a ladder to bridge the equality gap ( Cox,2017). In the current era, it is the right of every citizen to gain equal knowledge and education without being judged based on their cultural background. Nurses can encourage equity in hospital settings through effective communication to develop a strong therapeutic relationship. Teamwork in healthcare systems promotes the knowledge of equal care for improved care outcomes (WHO,2020).They can participate in advanced care planning programs by considering and respecting patient needs. The social equity process supports delivering critical decisions that are patient-centered and work for effective care. The Nursing and Midwifery Act has standardized guidelines within an ethical framework based on evidence-based evidence that works for patient benefit and to be followed by every nursing practitioner ( NMBA,2020). Social equity aims to create a strong and effective socio-economic bond which needs to be shared with every patient (So,2019).
The ethical and rational behavior is anatomical and physiological independent and varies in from person to person. Researchers have developed models to evaluate the cultural parameters and were found completely separated from the biological parameters (Creanza et al., 2017). This means race no longer contributes to the valid scientific distinction of moral behavior and the concepts of behavior and ideas are transferred by sharing knowledge. The race is only a social construct designed by historical events and has no biologic certainty. However, social and cultural backgrounds altogether create an impact on individuals at different levels(Portin,2015). The upbringing and the living standards of an individual will shape their cultural behavior in the later stages. Cultural diversity encourages communication between unequal approaches without judging their socio-economic outlines ( Cox,2017). The cultural approach of individual changes with the time on the other sidegenetic traits remainsthe same throughout life with stationaryfeatures.Every individual has a different approach for cultural behavior and depends ontheir inherited qualities which bring out an individual with a new set of traits with no links from the past (Portin,2015). However, the cultural diversity is not biologically favored, to a certain extent maintained by social aspects where varying parameters like society, relatives, non-kin participatedifferently. Researchers have studied have calculated that cultural diversity is not linked with biological traits in the social systems (Creanza et al., 2017). Genetic background and humans co-evolve and are essential for creating up future variations in the modern environment.(Irina,2017).
Cox, L. (2017). Do politicians need cultural safety training. Retrieved from https://www.youtube.com/watch?v=-bA-UANKSmc
Creanza, N., Kolodny, O., & Feldman, M. W. (2017). Cultural evolutionary theory: How culture evolves and why it matters. Proceedings of the National Academy of Sciences, 114(30), 7782–7789.
Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S.-J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition. International Journal for Equity in Health, 18(1).1-17.
Irina,M. (2017). The effect of cultural diversity on teamwork.International Journal of Academic Research in Business and Social Sciences.7(7).208-218.
NMBA.(2020). Guidelines. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspx
Portin, P. (2015). A comparison of biological and cultural evolution.Journal of Genetics, 94(1), 155–168.
So, H.M. (2019).The World of Critical Care Nursing.Nursing and Midwifery Board, 13(2), 102-106.
Sturm, R. E., &Antonakis, J. (2015).Interpersonal Power.Journal of Management, 41(1), 136–163.
WHO.(2020). Equity. Retrieved from https://www.who.int/healthsystems/topics/equity/en/
Yeung, S. (2016).Conceptualizing cultural safety: Definitions and applications of safety in health care for Indigenous mothers in Canada.Journal for Social Thought, 1(1), 1-13.
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