Before I begin, I would like to acknowledge the traditional custodians of the country I am studying on, the Turrbal and Jagera people, and also acknowledge Elders, past and present and emerging. Introduction Aboriginal and Torres Strait Islander People form the oldest living and surviving cultural groups in the world. Being the most disadvantaged group in Australia, they suffer from critically poor health which requires urgent attention at both state and national levels. Therefore, it is of utmost importance to work towards their better health (Best & Fredericks, 2014). In this paper, I aim to reflect on my learning based on the course titled ‘Working with Aboriginal and Torres Strait Islander People (INDH2107)’ to inform my professional practice. A key understanding from this course involves the historical, social and political contexts of the Indigenous Australians in relation to their health. However, this has empowered me with the necessary knowledge and skills to provide culturally safe care to my patients. I have also gained an understanding of the concept of identity from the view of Australia’s First Peoples. Reflection My journey in nursing studies at UQ begun with little knowledge about Aboriginal and Torres Strait Islander People. This is because of the fact that I was an international student. However, after engaging in this course, I have come to realize much of its similarity to my own culture and now find myself well-informed and well-equipped with the adequate knowledge and skills to provide optimal care to Australia’s First Peoples. When I began this course, I was completely unaware of the shocking history of Indigenous Australians. The discovery of the atrocities inflicted on Indigenous Australians post-European contact was confronting for me. The process of colonization, dispossession, and introduction of foreign diseases, which resulted in the loss of a large population of Indigenous Australians filled me with commiseration (Best & Fredericks, 2014). This oppressive history has provided me with background knowledge regarding my patients and will enable me to deliver care more holistically to them. In addition, the knowledge about the history of the land on which I will
be providing care is further a critical step in working towards the betterment of their health (Best & Fredericks, 2014). I also learned about the oppressive policies and acts issued by the Government. In particular, I found the literature on The Stolen Generation as most traumatizing which filled me with empathy (Best & Fredericks, 2014). As a consequence of these racist and discriminatory policies, Indigenous Australians highly mistrust the government institutes. This mistrust leads to under-utilization of the health services resulting in negative health outcomes for Indigenous Australians (Durey et al., 2012). So as a nurse, I will tailor my care with the objective of developing trustworthy and respectful relationships for better health outcomes among Indigenous Australians. I will also remain sensitive to topics, such as The Stolen Generation. This knowledge has filled me with empathy and has moulded my judgments of Indigenous Australians optimistically which will affect my practice positively while delivering care to Indigenous Australians. By understanding the historical, political and social factors that affect the health of Indigenous Australians, I will be able to conduct a culturally safe practice. Delivering a culturally safe practice is one the nurses' code of conduct which forms the legal requirement in all practice settings (Douglas et.al, 2014). Prior to engaging in this course, I was unaware of the appropriate terminologies to be used while addressing and working with Indigenous Australians (Queensland Health, 2010). This could have led me to unintentionally offending my Indigenous Australian patients and hurting their sentiments. It could also be viewed as racism. This could make them feel unwelcome and would directly impact their engagement with me as a health professional which might result in their reluctance to access health services in future for diagnosis or treatment and hence leading to negative health outcomes (Durey et al., 2012). I also learned about the principles of cultural safety which begin with self-reflection. I was really surprised to realize that the ways in which my cultural values, identity, assumptions, and attitudes could influence the care that I provide and at the same time, ‘diminish’, ‘demean’ or ‘disempower’ an individual (Eckermann et al., 2010). As a nurse, I can avoid this unsafe cultural practice by following a non-judgmental approach while handling the clients. Furthermore, I can avoid forming assumptions and stereotypical
attitudes towards my Indigenous Australian patients by involving them rather than making assumptions where it’s not clear (Eckermann et al., 2010). When I came across Power differential, another principle of cultural safety, I got quite confused with the term. However, as I dug deeper into it, I realized that I had practiced it unintentionally at various instances during my placement, where power resided with me whereas my patients played a passive role in their own care. Therefore, I can improve my practice by remaining mindful to actively minimize these power differentials between me and my patients, particularly Indigenous Australian patients (Best & Fredericks, 2014). I can achieve this by accepting and incorporating my patients’ values in their care which form the core of a person-centred care (Calisi, Boyko, Vendette, & Zagar, 2016). I can also achieve this by working with them at their pace and acknowledging their Indigenous practices (Best & Fredericks, 2014). Before the commencement of this course, I was only culturally aware and could recognize the cultural differences that existed between me and my patients. However, I now consider myself as culturally safe since I can and will always strive to provide holistic care to my patients that is free of racism and bias while incorporating their values (Holland, 2017) While undertaking this course, it shocked me that Indigenous workers could experience racism yet they are the traditional custodians of the land and should be highly respected (Best & Fredericks, 2014). Being on this land, I personally consider it as my duty to highly respect its traditional custodians. I, therefore, consider it as my responsibility to create a culturally safe and racism-free environment for them to work and will always challenge racist behaviours in accordance with the available hospital policies and the staff. By so doing, my practices will be in compliance with nurses’ code of conduct principle which urges the nurses to ignore racism and harassment and act to eliminate them. I gained knowledge about identity which is another important concept for Indigenous Australians. It surprised me that identity forms a broad concept for Indigenous Australians similar to my culture, which not only incorporates them as beings but also closely relates to their family, community, land, culture, and history. Since it relates well to my culture and I have a similar mindset. I can better understand the indispensable role that family, community,
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