This paper discusses the role and power of media and its influence it has on health-related matters. It further critically analyses two media items, focusing on the positive and negative influence the media has on cultural safe health care.
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Running head: CULTURAL SAFETY IN HEALTH CARE Cultural Safety and Healthcare Name: Institutional Affiliation:
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CULTURAL SAFETY IN HEALTH CARE2 Introduction Media plays a critical role in the lives of Australians in addressing health-related matters. The significance of media is manifest from the significant quantity of time various people spend on watching television sets, listening to radios and reading newspapers. There has been a rising concern on how media is used to depict the status of health care of the Australian population because of health care being a primary concern. There have been instances where the public and private healthcare sectors utilise media to mould health behaviours and attitudes. In various scenarios, media has been used for healthcare promotions which enhances the progress of healthcare industry. Other instances, media has been used to depict the healthcare industry in a discouraging and pessimistic manner. The Australians hold power to shape the industry since the way they intercept information from media impacts on the culturally safe health care in the Australian society that is multicultural. This paper discusses the role and power of media and its influence it has on health- related matters. It further critically analyses two media items, focusing on the positive and negative influence the media has on cultural safe health care. The matters discussed herein is critical in reinforcing Australia’s culturally safe health care. Role and Power of Australian Media The word media originates from the word medium which is a mode, which is used to reach and give information to a large audience or target group. Media is an integral part of healthcare because media has become part of people’s day-to-day needs. It plays a significant role in creating and shaping the opinion of its audiences which in turn solidifies the society. Artz, (2016) notes that the media is a watchdog, therefore, protects the interests of the public, hence, creates public awareness and protect them against malpractices. In Australia today, those charged
CULTURAL SAFETY IN HEALTH CARE3 with health care leadership may take full advantage of their high-end positions and engage in health crime syndicate and evil connections which results in making the common Australian citizens miserable. Such evil engagements also result in loss of taxpayer’s money which used for their gain. In such occurrences, the media becomes the fourth pillar of democracy after the judiciary, executive and legislature. The media is responsible for upholding an embarrassing role which guarantees that there is action against health oppression, misdeeds, injustices, bias and oppression (Ibrus, 2015). Since the introduction of television in the twentieth century, visual media has become a critical tool that strongly engages in forming current news to Australians. This makes visual media to be a strength for shaping the public opinion. The media plays a significant role in impacting the citizens. Therefore, media representatives should be responsible for every news that is presented to the citizen. It is imperative to note that media normally have an interpersonal and mutual influence on the society. The content provided by media as denoted by Artz, (2016) to the public makes the public to be tied and bound closely with material and development that is spiritual to the entire population. In recent times, the media’s role has immensely changed where they actively engage in reconciliation and searching for the truth and also creating a public perception where they (the public) would be shown respect. Barkow, O’Gorman and Rendell, (2012) reiterate that they have been forced to rectify their past mistakes and therefore try to release facts that are determined and confirmed. They expose information about the plight of other ethnic groups in the Australian society which is an important step forward for empathy enhancement in the society. There have been previous cases where the media only exposes the sufferings of one ethnic group, and this resulted in spreading of hate among the varied ethnic groups. In such
CULTURAL SAFETY IN HEALTH CARE4 instances, it is expected that there will be loss of trust and satisfaction of victims of the particular origin. Public education is one of the key roles media plays in Australia and all over the globe. The media forms the new generations opinions about the health occurrences in the nation (Rolph et al., 2015). In the health sector, the media is powerful too. The power comes in because it acts as a tool that maintains equilibrium in the nation whereby the public is well informed and have social and democracy that is effective. In modern times, I have exceptional influence in most aspects of the Australian’s lives. As much as media has three core function which includes to enlighten, influence and entertain, the effects of the functions involve several dimensions in modern Australia. Media has provided awareness in the health industry and is capable of shaping the country’s economy, politics, individuals and social values. Media has been able to provide health awarenesstothe public due to its supplemented authority from its cementing force. It strives and ensures that citizens rights are served. The media also has the power to connect governments, therefore, playing a role of ensuring that there is a liaison between two nations. Through this, the public is capable of knowing the government’s policies, feelings and opinions. In the Australian Digital Health Partnership, according to the World Health Organisation, there is a need to share evidence and policies that offer them support to provide improved digital services. Ibrus, (2015) notes that media has been utilised to enable engagement by varied governments which have been witnessed from Hong Kong. The mutual relationship is strengthened by media which can enhance good governance in the country. Critical Analysis of Media Items The first article
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CULTURAL SAFETY IN HEALTH CARE5 https://www.sbs.com.au/nitv/article/2018/03/28/cultural-safety-not-about-saying-sorry- being-white-nurse-1 The first article reflects the content of the headline as the author tries to create awareness about the wrong information spread in the media. The author Summer May Finlay wrote the article in the SBS news piece, its intended audience is the general public aiming at addressing the misconception about the new code of conducts for midwives and nurses. SBS is a public service media aiming at providing educating and information the Australian society on different issues across the nation. The campaign to promote cultural safety in healthcare has led to the development of the code of conducts that the healthcare professionals are expected abide by while carrying offering the healthcare services to the individuals from different cultural backgrounds such as the Aboriginals and non-aboriginals. The topic has caused overreaction among people(Australian Commission on Safety and Quality in Health Care, 2017). The author addresses the topic and makes it clear from the headline. From a negative perspective, the media has provided false information causing confusion among the citizens of Australia. The article addresses the information reported by some of the media platforms promoting the notion that white midwives and nurses are supposed to acknowledge their white privilege verbally. Media has a role in communicating information in society and spreading the wrong information about cultural safety can cause a disturbance in society. The author also acknowledges that the media are using the state of the indigenous people at their benefit. The author begins by explaining the roots of the rumours that are spreading across social media based on the new code of conducts that highlights the need for healthcare practices to be
CULTURAL SAFETY IN HEALTH CARE6 culturally safe when taking care of the aboriginals and Torres Strait Islander patients. The misconception quoted in social media stating that the nurses and midwives to use the statement that “I acknowledge my white privilege” before serving their patients. It acknowledges the difference in culture while treating patients and the discrimination that white people have over the other cultures.citr the author addresses the issue by providing evidence on what is stated in the code of conduct. From the article, it is noted that people do not understand the meaning of cultural safety and spreading rumours based on ignorance. The article addresses the issue and defines cultural safety. This is a positive perspective as the article can provide the right information where he refers to it as a self-reflection aimed at understanding how the culture and beliefs of the healthcare providers towards the patients from various cultural backgrounds impacts the outcome of the service and their practices. The author illustrates on the issue of white privilege which has caused the disparities in health care services is also acknowledged, and a brief history with evidence is provided to shade light and more understanding of the concept white privilege (Freeman, Edwards, & Baum, et al., 2014). The concept is accurately explained. White privilege is passed through institutions, and it is unconsciously done (Kowal, 2011). The author acknowledges that the systems are set by the white people who align with their expectations and values. The author explains the disparities in health care among the different cultures and gives an example of how articles that support the idea of the aboriginals and Torres Strait people receive poor health services. People cannot be treated the same due to different cultural values but judgement when offering services can be avoided. Bennett, (2015) adds that the aboriginals would like an improvement in the relationship when receiving different services.
CULTURAL SAFETY IN HEALTH CARE7 The author also notes and acknowledges the differences in gender preference when it comes to services. The same should be done in practicing healthcare services to the different cultures as people do have different beliefs as supported by (Doran & Wrigley, 2018). Therefore, the article states the importance of reflecting on white privilege and how it affects the practice to achieve cultural safety. Cultural safety is important to enable equality in access to health care services despite the cultural differences in values and beliefs (Martin, McDermott & Calma, 2017). The second article https://www.hospitalhealth.com.au/content/facility-admin/news/anti-racism-training-required- for-nurses-898833368#axzz5U2SCS7cW ‘Anti-racism training required for nurses’ The negative and positive elements of the article can be established from the title ‘Anti- racism training required for nurses.’ The negative aspect noticed is the availability of racism in healthcare. The author illustrates that there are instances of racism in healthcare practices especially with the nurses working with the children. The positive perspective of the author is the main aim of the article which is to express the need for the introduction of anti-racism in the training of the nursing workforce. There is a growing concern on the skills of the nurses in handling and recognizing incidences of racism during practice. The training of the nurses needs to be introduced especially for child health nurses. The author refers to a past study that showed that nurses do not feel equipped enough to handle structural racism. The intended audiences are the bodies nursing bodies, education reviewers, the nurses and the general public. The publication is owned by ‘Westwick-Farrow Pty Ltd’ best known for the healthcare magazine and hospital. It has an influential role in the medical
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CULTURAL SAFETY IN HEALTH CARE8 field providing insight into various issues. The article aims at shading light into the need for training and education of nurses on anti-racism, particularly for the child health care. The author illustrates the interests of the lead researcher at the nursing college who identifies instances of racism or possibilities of racism during service delivery. The nurses lack the required education to assist them handles such cases. There is a gap between what is considered racism and how different nurses understood racism when dealing with migrants, aboriginals, and refugees(Robinson, 2014). They considered some acts to be racists as they’re not supported by the organizations they work with to provide support for the culturally appropriate practices (Willis, & Elmer, 2011). Being unable to support the families made the nurses feel racists. This highlighted the misunderstanding of the term racism in the nursing workforce, hence the need for anti-racism education. The author shows that the nurses failed to recognize that their values and beliefs influenced the care they provided to families. They provide healthcare service based on the knowledge they have acquired and believe to be doing their best. The author also acknowledges that little research has been done on the health professional understanding of racism when providing health care services and how to manage racism. The author notes the need for providing services to all the children from diverse ethnic backgrounds and racial groups are not disadvantaged by receiving culturally unsafe healthcare practices (Berlin, Hylander & Törnkvist, 2008). Therefore the need for the nurses to be trained to gain cultural competency needed to provide culturally safe practices (Milne, Creedy, &West, 2016). The author also acknowledges the need for studies to determine the various anti-racism approaches that would be effective for Australian families. The author acknowledges that the idea of respectful and cultural safety is not new.
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CULTURAL SAFETY IN HEALTH CARE 10 References Artz, L.(2016). The Media of Power, the Power of Media.Perspectives on Global Development & Technology,15(5), 497-519. 23p. DOI: 10.1163/15691497-12341404 Australian Commission on Safety and Quality in Health Care(2017).National Safety and Quality Health Service Standards. User Guide For Aboriginal and Torres Strait Islander Health. Athttps://www.safetyandquality.gov.au/wp-content/uploads/2017/12/National-Safety- and-Quality-Health-Service-Standards-User-Guide-for-Aboriginal-and-Torres-Strait- Islander-Health.pdf Barkow, J. H., O’Gorman, R., & Rendell, L. (2012). Are the new mass media subverting cultural transmission?Review of General Psychology,16(2), 121–133. https://doi.org/10.1037/a0027907 Bennett, B. (2015). “Stop Deploying Your White Privilege on Me!” Aboriginal and Torres Strait Islander Engagement with the Australian Association of Social Workers.Australian Social Work,68(1), 19–31.https://doi.org/10.1080/0312407X.2013.840325 Berlin, A., Hylander, I., & Törnkvist, L. (2008). Primary Child Health Care Nurses’ assessment of health risks in children of foreign origin and their parents – a theoretical model.Scandinavian Journal of Caring Sciences,22(1), 118–127. https://doi.org/10.1111/j.1471-6712.2007.00533.x Doran, F., & Wrigley, B. (2018). Issues. Cultural Safety and Implications for Building Staff Capacity: Snapshot of Findings from a Study with Nurse Academics.Australian Nursing & Midwifery Journal,25(9),22. Retrieved fromhttp://search.ebscohost.com/login.aspx? direct=true&db=aph&AN=128635494&site=ehost-live
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CULTURAL SAFETY IN HEALTH CARE 11 Fowler, A.,Ewens, B Vafeas, C., Delves, L.,; Hayward, C; Nannup, N.,& Baum, G., (2018). Closing the gap: A whole of school approach to Aboriginal and Torres Strait Islander inclusivity in higher education.Nurse Education in Practice,30,(5), 86-90. FreemanT, Edwards T, Baum F, et al. (2014) Cultural respect strategies in Australian Aboriginal primary health care services: beyond education and training of practitioners. Aust NZ Public Health Ibrus, L. (2015). Primary Child Health Care Nurses’ assessment of health risks in children of foreign origin and their parents – a theoretical model.Scandinavian Journal of Caring Sciences,22(1), 118–127. Kowal, E. (2011). The Stigma of White Privilege.Cultural Studies,25(3), 313–333. https://doi.org/10.1080/09502386.2010.491159 Martin L., Dennis McD. & Tom C.,(2017). ‘Embedding Cultural Safety in Australia’s Main Health Care Standards’Medical Journal of Australia, 207(1), 15 Milne, T.; Creedy, D.K West,.(2016). Development of the Awareness of Cultural Safety Scale: A pilot study with midwifery and nursing academics. Nurse Education Today, 6(44),20- 25. Robinson, O. V. (2014). Characteristics of Racism and the Health Consequences Experienced by Black Nursing Faculty.ABNF Journal,25(4), 110–115. Retrieved from http://search.ebscohost.com/login.aspx? direct=true&db=aph&AN=98943160&site=ehost-live Rolph, D., Vitins, M., Bannister, J., & Joyce, D. (2015). The Social and Political Role of the MediaMedia Law Ebook(2nd Edition ed., pp. 3-12). South Melbourne: Oxford Univeristy Press.
CULTURAL SAFETY IN HEALTH CARE 12 Willis, K., & Elmer, S. (2011). Society, culture and health an introduction to sociology for nurses. (2nd ed.). (pp45-65). South Melbourne, Vic: Oxford University Press