Cultural Safety Assessment 2022
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Running head: REFLECTION
Assessment 1 Task
Name of the Student
Name of the University
Author Note
Assessment 1 Task
Name of the Student
Name of the University
Author Note
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1REFLECTION
Introduction- Cultural safety is an umbrella term that refers to generation of an
environment where patients feel socially, spiritually, physically, and emotionally safe, where
there does not exist any identity denial or assault challenge (Pauly et al., 2015). Any kind of
unsafe cultural practice is found to demean the identity of the patient or his/her family
members, while delivering care. This essay will contain a reflective account, in relation to a
case study, following the “What? So what? Now what” model (Rolfe, 2002).
What?- The situation involved a violation of cultural safety by a registered nurse who
had been assigned with the responsibility of delivering care to Alan who had been admitted to
the ward, following a vehicle accident that resulted in spinal cord injury. This violation
occurred due to an instance of misinterpretation by the nurse who had assumed Alan’s
husband Mark, who had been accompanying the former, as his paid care giver. This
eventually made the nurse provide an explanation to Mark about the possible benefits and
consequences of the intended treatment, while ignoring the patient. The RN also inquired
Mark about his duration as a caregiver, and also tried to obtain information about the
patient’s medical history, to facilitate patient examination and treatment. Hence, it can be
stated that the RN was incorrect in making an assumption that Mark was not any relative or
partner, but was a caregiver for the patient. This can be associated to the fact that the RN did
not take any efforts to learn about the patient, nor did anticipate the probability of the patient
having same sex partner. The actions of the RN must have made Mark and Alan feel
discriminated and insulted. They might feel that they are being treated in a worse manner for
having partners with people of the same gender (Heilman & Manzi, 2016). Furthermore, they
might have also felt that their values and principles have not been acknowledged by the RN,
thereby enraging them.
So what?- My response would have been different owing to the fact that I am well
aware of the several challenges and struggles that the contemporary conception of
Introduction- Cultural safety is an umbrella term that refers to generation of an
environment where patients feel socially, spiritually, physically, and emotionally safe, where
there does not exist any identity denial or assault challenge (Pauly et al., 2015). Any kind of
unsafe cultural practice is found to demean the identity of the patient or his/her family
members, while delivering care. This essay will contain a reflective account, in relation to a
case study, following the “What? So what? Now what” model (Rolfe, 2002).
What?- The situation involved a violation of cultural safety by a registered nurse who
had been assigned with the responsibility of delivering care to Alan who had been admitted to
the ward, following a vehicle accident that resulted in spinal cord injury. This violation
occurred due to an instance of misinterpretation by the nurse who had assumed Alan’s
husband Mark, who had been accompanying the former, as his paid care giver. This
eventually made the nurse provide an explanation to Mark about the possible benefits and
consequences of the intended treatment, while ignoring the patient. The RN also inquired
Mark about his duration as a caregiver, and also tried to obtain information about the
patient’s medical history, to facilitate patient examination and treatment. Hence, it can be
stated that the RN was incorrect in making an assumption that Mark was not any relative or
partner, but was a caregiver for the patient. This can be associated to the fact that the RN did
not take any efforts to learn about the patient, nor did anticipate the probability of the patient
having same sex partner. The actions of the RN must have made Mark and Alan feel
discriminated and insulted. They might feel that they are being treated in a worse manner for
having partners with people of the same gender (Heilman & Manzi, 2016). Furthermore, they
might have also felt that their values and principles have not been acknowledged by the RN,
thereby enraging them.
So what?- My response would have been different owing to the fact that I am well
aware of the several challenges and struggles that the contemporary conception of
2REFLECTION
homosexuality has had to ensure in the recent decades. I would have initially tried to build a
good rapport with both Alan and Mark, to know about their relation, and concern. My values
are different from the RN since I believe that all people have equal authority to live free from
persecution, violence, discernment and stigma, regardless of their sexual identity or
preference. Homosexual people are generally apprehensive of openly exhibiting their sexual
orientation in the first place (Vanlee, Van Bauwel & Dhaenens, 2017). I also hold the belief
that failure to advocate the human rights of such people result in serious violation of human
rights law, besides creating a strong impact on their emotional wellbeing. This case made me
feel that the RN demonstrated prejudice and stereotypic attitude towards Alan and Mark, and
also demonstrated a failure in upholding cultural safety of the clients. The potential
consequences of such discriminating attitude from the RN might include sadness, anxiety and
depression in the couple, besides triggering the onset of feelings related to emptiness and
guilt. Furthermore, it might have resulted in significant psychological pain (Symons,
O’Sullivan & Polman, 2017). In addition, exposure to discrimination and ridicule would
decrease their self-esteem, also made Alan and Mark develop anger and hatred directed both
superficially at the RN holding preconceptions against them, and silently for manifesting the
supposed personalities that attracted such behaviour. This experience enhances my academic,
personal and professional development by helping me realise the importance of maintaining
cultural safety, with the aim of improving the wellbeing and health of patients and their
family members. It also made me comprehend that all kinds of differences among people
must be accepted, besides demonstrating dignity and respect towards all.
Now what?- Taking cues from this experience, I intend to enhance my ability of being
culturally safe by reflecting on my personal culture, beliefs, and attitude about homosexuals.
In my future practice, I intend to engage with diverse clients in a two-way dialogue that
would facilitate knowledge sharing, besides helping me initiate a value free, clear, respectful
homosexuality has had to ensure in the recent decades. I would have initially tried to build a
good rapport with both Alan and Mark, to know about their relation, and concern. My values
are different from the RN since I believe that all people have equal authority to live free from
persecution, violence, discernment and stigma, regardless of their sexual identity or
preference. Homosexual people are generally apprehensive of openly exhibiting their sexual
orientation in the first place (Vanlee, Van Bauwel & Dhaenens, 2017). I also hold the belief
that failure to advocate the human rights of such people result in serious violation of human
rights law, besides creating a strong impact on their emotional wellbeing. This case made me
feel that the RN demonstrated prejudice and stereotypic attitude towards Alan and Mark, and
also demonstrated a failure in upholding cultural safety of the clients. The potential
consequences of such discriminating attitude from the RN might include sadness, anxiety and
depression in the couple, besides triggering the onset of feelings related to emptiness and
guilt. Furthermore, it might have resulted in significant psychological pain (Symons,
O’Sullivan & Polman, 2017). In addition, exposure to discrimination and ridicule would
decrease their self-esteem, also made Alan and Mark develop anger and hatred directed both
superficially at the RN holding preconceptions against them, and silently for manifesting the
supposed personalities that attracted such behaviour. This experience enhances my academic,
personal and professional development by helping me realise the importance of maintaining
cultural safety, with the aim of improving the wellbeing and health of patients and their
family members. It also made me comprehend that all kinds of differences among people
must be accepted, besides demonstrating dignity and respect towards all.
Now what?- Taking cues from this experience, I intend to enhance my ability of being
culturally safe by reflecting on my personal culture, beliefs, and attitude about homosexuals.
In my future practice, I intend to engage with diverse clients in a two-way dialogue that
would facilitate knowledge sharing, besides helping me initiate a value free, clear, respectful
3REFLECTION
and open communication with others. I will try to develop trust among my patients, and will
strive towards acknowledging and avoiding the display of stereotypical behaviour towards
them. I would also try to understand the effect of delivered healthcare as a bearer of the
patient/s culture, attitude, history, and life experiences, and will also try to strike a balance in
power relationship such that all clients gain access to an effective service.
Conclusion- To conclude, cultural safety is an effective nursing aspect that is related
to care delivery to patients who are culturally diverse. In the aforementioned case study, the
RN demonstrated discriminating attitude towards the patient and his partner, and also
misinterpreted their relation, thus violating cultural safety. Nonetheless, all patients must be
treated with respect and dignity, regardless of their age or generation, sexual
orientation, gender, religious beliefs, occupation, or even disabilities.
and open communication with others. I will try to develop trust among my patients, and will
strive towards acknowledging and avoiding the display of stereotypical behaviour towards
them. I would also try to understand the effect of delivered healthcare as a bearer of the
patient/s culture, attitude, history, and life experiences, and will also try to strike a balance in
power relationship such that all clients gain access to an effective service.
Conclusion- To conclude, cultural safety is an effective nursing aspect that is related
to care delivery to patients who are culturally diverse. In the aforementioned case study, the
RN demonstrated discriminating attitude towards the patient and his partner, and also
misinterpreted their relation, thus violating cultural safety. Nonetheless, all patients must be
treated with respect and dignity, regardless of their age or generation, sexual
orientation, gender, religious beliefs, occupation, or even disabilities.
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4REFLECTION
References
Heilman, M., & Manzi, F. (2016). Sex discrimination. The Wiley Blackwell Encyclopedia of
Gender and Sexuality Studies, 1-3.
Pauly, B. B., McCall, J., Browne, A. J., Parker, J., & Mollison, A. (2015). Toward cultural
safety. Advances in Nursing Science, 38(2), 121-135.
Rolfe, G. (2002). Reflective practice: where now?. Nurse Education in Practice, 2(1), 21-29.
Symons, C. M., O’Sullivan, G. A., & Polman, R. (2017). The impacts of discriminatory
experiences on lesbian, gay and bisexual people in sport. Annals of leisure
research, 20(4), 467-489.
Vanlee, F., Van Bauwel, S., & Dhaenens, F. (2017). Same-sex love in times of Dutroux: The
articulation of homosexuality with child abuse in late 1990s’ Flemish print
media. Catalan Journal of Communication & Cultural Studies, 9(2), 185-199.
References
Heilman, M., & Manzi, F. (2016). Sex discrimination. The Wiley Blackwell Encyclopedia of
Gender and Sexuality Studies, 1-3.
Pauly, B. B., McCall, J., Browne, A. J., Parker, J., & Mollison, A. (2015). Toward cultural
safety. Advances in Nursing Science, 38(2), 121-135.
Rolfe, G. (2002). Reflective practice: where now?. Nurse Education in Practice, 2(1), 21-29.
Symons, C. M., O’Sullivan, G. A., & Polman, R. (2017). The impacts of discriminatory
experiences on lesbian, gay and bisexual people in sport. Annals of leisure
research, 20(4), 467-489.
Vanlee, F., Van Bauwel, S., & Dhaenens, F. (2017). Same-sex love in times of Dutroux: The
articulation of homosexuality with child abuse in late 1990s’ Flemish print
media. Catalan Journal of Communication & Cultural Studies, 9(2), 185-199.
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