REM Framework: Registered Nurses

Running head: REM FRAMEWORK: REGISTERED NURSES
REM FRAMEWORK: REGISTERED NURSES
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1REM FRAMEWORK: REGISTERED NURSES
Introduction
Nurses adhere to a variety of ethnically and culturally diverse patients, which is why,
they must also ensure compliance of their professional practice with the REM framework – a
criteria of cultural competence which recognises the rights of the indigenous and aboriginal
communities in Australia (Power et al. 2016). The following paper will choose to focus on
the strategies undertaken by the registered nurse to ensure adherence to this framework in
their nursing careers.
Nursing Position Statement: To engage in the implementation and administration, as a
Registered Nurse, of provision of care which patient-centred, culturally competent, evidence-
based and respectful of ethnic, spiritual and religious diversity.
Discussion
Cultural Aspect and the Registered Nurse
To ensure compliance to the cultural aspect patient during provision of care, the
Registered Nurse (RN) must seek to comply to the joint statement produced by the Nursing
and Midwifery Board of Australia (NMBA) and the Congress of Aboriginal and Torres Strait
Islander Nurses and Midwives (CATSINaM), which comprises of acknowledging the cultural
diversity of Australia, recognising the status of indigenous Australians as the First Peoples of
Australia and ensuring that provision of aboriginal patient care takes into consideration, the
role of historical and colonisation factors in informing nursing interventions (Nursing and
Midwifery Board of Australia 2019). The RN can adhere to the same by complying nursing
practice with the NMBA Standard 4.1 of Practice which required conductance of assessments
and nursing care which holistic, comprehensive and culturally appropriate (Nursing and
Midwifery Board of Australia 2019).

2REM FRAMEWORK: REGISTERED NURSES
REM framework and the Registered Nurse
Respect
To adhere to this aspect of the REM framework, the RN must understand that
indigenous and aboriginal patients have had a history of oppression and discrimination which
may encourage their mistrust with the mainstream society and healthcare services (Friganović
et al. 2018). Hence, the RN will attempt recognise, empathise and acknowledge these
sensitivities, by not only enlightening herself on the rich history of indigenous patient but by
also engaging in empathetic, therapeutic and compassionate interpersonal communication
with the patient in order to listen to their personal stories and experiences (Shen 2015).
Engagement and Sharing
To adhere to this aspect of the REM framework in future professional nursing
practice, the RN will recognise that indigenous patients have an equal share in the therapeutic
decision-making process and hence, have a right to voice their concerns. This can be done by
the RN administering nursing care which is person centred and culturally competent, which
will comprise of direct allowing the patient to participate in the care plan decision-making
process (Clifford et al. 2015).
Moving Forward
To maintain culturally competent therapeutic relationships, the RN will seek to
engage in evidence based research and practice which will continuously improve her
knowledge on the needs of indigenous Australians. This will further include the RN regularly
following up, evaluating and monitoring the progress of the indigenous patient along with
administration of patient education and interpersonal communication to ensure advocacy,
empowerment and self-control of the patient to attain lifestyle positive health outcomes
(Power et al. 2018).