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Cultural safety adds to the framework of nursing strategies to deliver more ethical and responsible healthcare services. In literal terms it can be explained as an environment which is emotionally, mentally, spiritually fit for the patient care. The healthy environment creates a sense of comfortless chiefly by effective communication and creates a healthcare system to provide equal care. It can be achieved by shared knowledge and expertise during the nursing profession (Curtis et al., 2019). Cultural safety lead to acknowledge needs of every person including what they require and demand. Equal healthcare services demands to understand the cultural background followed by respecting their beliefs and values. Although unsafe cultural leads to demean the cultural identity and welfare of others. It defines one's own culture and beliefs toward other religions. Cultural safety also focuses to avoid the prevalence of stereotypical behavior. The concept of cultural safety is required to develop at both individual and organizational level for equal quality care. Cultural equality is imparted and followed by every healthcare practioner as part of their professional. Equal respect and care to others designs a special trust and bond which set a path for effective treatment (Yeung, 2016). Individual commitment towards work and respect for cultural diversity holds an essential component in self-motivated growth. It aims to share information in a two way process where sharing of thoughts turns smooth which otherwise creates a barrier for communication. Moreover, it creates a strong practioner and receiver bond. In the modern healthcare environment with diverse cultures, the concept of being judged gets neutralized and can be achieved by delivering cultural safety.
Power is an elementary force in creating social and moral relationships and remains persistent throughout several interactions. The consequential approach of power is connected with the decision making abilities and social interaction with diverse culture. The prime principle of medical ethics aims to allow the patient to take decisions regarding their medical care. Patients can take their own decisions without any external resistance (So,2019). Health care workers must value and respect patient decisions as part of their ethical rights. Healthcare workers while imparting the education to the patients should keep the final treatment call on the patient. The empathic behavior filled with care is considered satisfying by both the patients and their family members as well. Medical support and nursing altogether comes out and create a broader path for effective care and safety (So,2019). Trust and respect contributes to the care which patient experience thorough out their care process. The existence of power can strongly change the power holder but at the same time impart freedom of decision making in them. As a result, individual determinants will define the interpersonal power in negative or positive outcomes. Interpersonal power is a not a stationary parameter and vary among individuals and is positioned at top under social hierarchies(Sturm & Antonakis,2015). Individual possession of power is a stepwise process and can be gained through experience involving social and ethical rights of the individual. Senior teams will gain the power while making sure of its delivery for the betterment of the individual, organizational, and society level as well.
Social equity in health can be described as the social inequalities in healthcare. It is considered as one of the important social determinant of health among individuals with different social backgrounds. Equality reflects to provide equal care while equity stands to fulfill the basic needs of others like housing and employment. Individuals belonging to weaker sections of the society remain deprived of basic education and housing. Economic crisis plays a key role in creating equity gaps (WHO,2020). Children with poor knowledge and poverty get more involved with crime and violence, creating non-violence in the environment. Every child has a social right to gain standard knowledge and education from institutions without concerning where they belong or live. Social equity is to be ensured in hospital organizations where the only aim of medical workers is to provide equal care to the patients. To implement the process in equal caring requires an effective co-operation between nursing staff and other healthcare workers (WHO,2020). The nurses must achieve the sub sections of nursing and include competence, anticipation, nursing competence, and exploration. The social equity process is patient centered and supports for conveying critical decisions. Caring in nursing practice is shaped by the NMBA guidelines followed in every day practice (So,2019). Equity aims to deliver equal health services to receive, access to medical resources for effective and improved patient outcomes. They also focus to evaluate the smooth flow of human rights. Health equities should be promoted among individuals coming from poor, marginalized, ethnic minorities dimensions to bring a strong social and economical relationship (So,2019).
The moral and intellectual behavior of an individual is not dependent on anatomical or physiological characteristics. The concepts of behavior, technology and ideas are transferred in the course of sharing knowledge. Scientists have developed calculated models to understand culture patterns. It is well clear that the culture patterns have no direct linkage with the genetic diversity (Creanza et al., 2017). However, genetic and cultural behavior altogether influences each other at an extended level. Every human being is born and lived up with different cultural outlines which form the basis of their behavior in long process. Cultural diversity is human centered and bridges gap between individuals and promote connections between unequal approaches. Culture can be considered as the moral and mental outcomes acquired by a human being in his life-time. Culture patterns changes with time and society while the biological traits remain same during his lifetime. Cultural evolution brings a new individual which can be dissimilar in ancestral forms. Cultural diversity shape an individual differently despite of his inherited qualities from the parents. The transference of biologic cultural ethics is transferred from parents to their children (Portin,2015). However, the cultural diversity is an extended approach where different parameters like society, kin. Non-kin and other peers are involved. This clearly depicts cultural is not biologically favored rather supported by social factors. Human ecology and human background co-evolve and is necessary for setting up coming drifts in the changing environment. Ethical and moral principles are important for shaping the cultural and moral standards in an individual (Irina,2017).
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 team work. International Journal of Academic Research in Business and Social Sciences. 7(7).208-218.
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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