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Table of Contents
Cultural Safety and Training.
Meaning of cultural safety.
Meaning of interpersonal power and its impact on health.
Lack of equity in social systems and its effect on health.
Reasons behind the lack of biological basis in culture.
In the context of the video, as being recently covered by Dr. Leonie Cox (anthropologist as well as mental health nurse) from QUT, cultural safety training is defined as one of the transformation aspects for both the individuals and the organizations. She stressed the fact that cultural safety, the term is different from other concepts like cultural awareness as well as cultural competences (Cox, 2017). Cultural safety and cultural training are two different concepts where the health practitioners might sometimes challenge their own cultures for the benefit of the others which is linked in the achievement of health equity (Fleming, 2019).
The concept of cultural safety is being met through certain actions which can be able to recognize, respect as well as nurture uniqueness in the cultural identity of a patient. It means the proper wellbeing of a person irrespective of race, caste, and creed. In the broader sense, cultural safety reduces the inequalities within healthcare. As per Leonie, cultural safety can be defined as one of the entire theorized models which focuses on issues like institutional racism rather than focusing on the diverse cultural groups (Fleming, 2019).
On the other hand, according to her, the cultural safety training helps in realizing that the health cannot be made effective through better health services, but through the equitable social systems and programs to understand factors like systemic racism, harassment by the police on Indigenous people, etc. The primary message that can be reflected through this task is that cultural respect for example among the Indigenous Aboriginals in Australia can only be achieved when the environment is safe and healthy (Sweet, 2017). Cultural safety gets reflected through structures, programs, and policies. As per the 2017-18 Online Services Report, around 95 percent of the Indigenous primary health care providers deliver formal commitment by providing a culturally safe health area. Again as per National Health workforce data from 2013-2017, the Aboriginal and Torres Strait Islanders medical practitioners employed in Australia have been increased from 234 to 363 which is a good observation (Fleming, 2019).
As per the discussion with Leonie Cox undertaking the cultural safety training by the politicians will make huge differences and it will assist them in realizing that health cannot be brought into effectiveness through more or better health services, but through the equitable social systems, employment, and housing to understand certain factors like systemic racism, etc (Sean Yaphe, 2019).
Interpersonal power in this context can be defined as an individual power over another person to attain some future goals which can bring a positive outcome. In this context, it can be portrayed that as a registered nurse, it is necessary to intervene in the health mechanism of the Aboriginals who are experiencing poorer health conditions. This intervention is required since some of the data highlights that as per the 2016-17 data, many Indigenous have waited longer in the queue to undergo elective surgery and their mortality rate was also high at that time (Sweet, 2017).
Hence the interpersonal power not only means cultural safety but also respect that particular class of the society and assist them in leading better power. This interpersonal power by the registered nurse can often help in attaining better living standards in the future. Hence as per Cox, cultural safety is a fantastic model that focuses on the person-centric approach and always asks them to be accountable enough for their self-behavior and self-sustenance in the society. According to cultural behavior, interpersonal safety in the cultural behavior fitted well with international movement in the context of individual-centered care (Fleming, 2019).
It has been critically analyzed by Cox that still in certain Universities, transcultural approaches are being taught like that of the cultural awareness which is again making a differentiation between the white people and diverse people that need to be looked after. This indicates the gap in the equity between the social systems and also the negative impact on health. It has been found that in the context of the social systems and for the treatment of the Indigenous Aboriginals (Sean Yaphe, 2019). Certain principles on cultural safety have not been maintained well like the achievement in health equity and also there exists a lack of consciousness and competency which is imposing a negative impact on Indigenous health.
Again the focus towards the cultural safety activities which extends beyond acquiring the knowledge’s about the other cultures and the development of the appropriate skills and attitudes was missing. Hence as a whole, the lack of equity in the social system highlights a lack of focus towards the power relationship and the health inequalities through which both of the historical, as well as the social dynamics, get reflected (Sean Yaphe, 2019). In the context of accountability in the behavior, Cox stated that she had tried in promoting the cultural safety training for the senior management levels which will be widely embedded across the health system in Australia from codes of conduct to the statement of ethics (Cox, 2017).
Human nature is often captured from both the delicate as well as protracted negotiation in between the human instincts which being shaped through the core biological functions. Thee biological basis can be defined as a form of personality which human being shows. It can be stated as the collection of both the brain systems and the mechanisms through which the human personality can be underlined. The lack of co-operative behaviours can also be stated as the primary reason behind the lack of a biological basis in the culture (Sean Yaphe, 2019). The other factors responsible behind the lack of biological basis is the lack of social learning and also the presence of insufficiency in demonstrating traditional phenomenon and cultures. Hence one important thing that can be stated through this is the compelling pieces of evidence of social learning always come through the experiments and this the structural and Cultural Revolution can get developed through the mutual effect of both combination of the conformist social learning along with party off sensitive individual learning (Jowsey, 2019).
As a whole, it can be recommended that Cultural safety training program is an educational initiative that needs to be followed which will change the meaning of cultural safety and which will emphasize the equity and absence of racism. This will comes through a commitment by the registered nurse through lifelong learning by treating the diverse section of the people along with also taking responsibility of self-learning.
Cox, D. L. (2017, October 15). Do politicians need cultural safety training? (Croakey, Interviewer)
Fleming, T. (2019). Cultural safety continuing professional development for midwifery academics. An integrative literature review. Women and Birth,, 32(4), 318-326.
Jowsey, T. (2019). Three zones of cultural competency: surface competency, bias twilight, and the confronting midnight zone. BMC medical education, 19(1), 306.
Sean Yaphe, M. D. (2019). Cultural Safety training for health professionals working with Indigenous populations in Montreal, Quebec. International Journal of Indigenous Health, 14(1), 60-84.
Sweet, M. (2017, November 23). “Whitefellas have to step up”: a challenge to politicians, health services & professionals to focus on cultural safety. Retrieved from https://www.croakey.org/whitefellas-have-to-step-up-a-challenge-to-politicians-health-services-professionals-to-focus-on-culturally-safety/
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