To have respect and fairness, while treating the patients, it is important to be respectful of cultural competence and provide quality services to the patients. I have the openness to provide unbiased respect to the beliefs, customs, values, language, and to also follow the traditions that could allow communicating freely and honestly. For example, I understand when treating the Aboriginal patient, we should not communicate and look directly into their eyes, as it is a sign of disrespect (Lambert, & McMillan, 2020). Over the years, there has been a poor health status of Aboriginal and Torres Strait Islanders and health inequality that can be observed between the non-Indigenous Australians, experiencing the chronic and communicable diseases, facing the infant health, and even experiencing the detrimental mental health along with the life expectancy. It is also important to overcome the reduced disparities in healthcare and to improve patient outcomes. Aboriginal culture is unique, and the same goes for health and it is recommended to have fair individualized practice. World views, healthcare systems as one of the broadly thinking and doing at an expense of others, which are doing, perceiving, and being able to think. It is also important to think from the overall thinking biomedical model of health and it also forms on the basis of Australia’s healthcare system that exists today. It is also how to understand and differentiate in providing culturally safe healthcare for First Peoples (Marriott, Reibel, Gliddon, Griffin, & Monterosso, 2020)
There has been a disturbing trend, observed sheerly due to the ignorance and with the high rates of chronic diseases experienced such as renal failure, having cardio-vascular diseases, and facing diabetes (Vila, 2018). Through the continuity of the higher rates of the poor health identified within the Aboriginal and Torres Strait Islanders, for example, infants, have the common condition of otitis media (middle ear infection) and having the trachoma, that can result in the educational attainment and employment (Kelly, Wilden, Chamney, Martin, Herman, & Russell, 2016),. Through a continuing tendency, of accessing the poor primary health care, it is important to have the evidenced-based experience to overcome the high rates of sexually transmitted infections and also have higher trends of the high rates of HIV/AIDS prevalence. It is important to overcome the high rates of unhealthy and even experiencing risky behavior, which is primarily caused by high substance abuse and using the high percentage of alcohol and tobacco use. I also feel that the First Nation people have substantial health problems that remain untreated as it remains undiagnosed and even results in the low wellbeing such as in mental health along with the oral/dental health problems(Driscoll, 2007). For me, being a practicing nurse, I would be following the nursing codes of conduct and even abide by the practices that can provide better care, quality services, and even approaches with the equal and fairness approach.
In my opinion, with the government’s approach to have a fair equitable distribution of primary health care, services and even ensuring equitable standards can provide better care to the First Nations (Lambert, & McMillan, 2020). The first approach in my mind would be to follow the human rights-based approaches and attain First Nation’s health inequality (Vila, 2018). To provide significant development that could follow the worldview of the international human rights system and associate it with health. Second, is to identify the health inequality and correlate with systemic discrimination. First Nation people do not have the same opportunity, health access, and health services, and health infrastructure. Thirdly, follow as nurse commitments at providing a standard care, quality services and professional codes. Lastly, the culturally-based approaches can be followed with a holistic approach, by identifying the social determinants of health inequality and understand the impact.
Driscoll, J. (2007). Practicing Clinical Supervision: A Reflective Approach for Healthcare Professionals. Edinburgh: Elsevier
Lambert, K., & McMillan, F. (2020). Reflections from a non-Indigenous academic teaching into an Aboriginal and Torres Strait Islander mental health program: a reflection in practice. Australian Nursing and Midwifery Journal, 26(11), 44-45.
Marriott, R., Reibel, T., Gliddon, J., Griffin, D., Coffin, J., Eades, A. M., ... & Monterosso, L. (2020). Aboriginal research methods and researcher reflections on working two-ways to investigate culturally secure birthing for Aboriginal women. Australian Aboriginal Studies, (1), 36.
Kelly, J., Wilden, C., Chamney, M., Martin, G., Herman, K., & Russell, C. (2016). Improving cultural and clinical competency and safety of renal nurse education. Renal Society of Australasia Journal, 12(3).
Vila, V., Zhuang, J., Tan, E., & Thorne, S. (2018). Reflections on nursing educational advancement within diverse and evolving national cultural contexts. International Journal of Nursing Education Scholarship, 15(1).
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