Cultural Safety Action Plan for Culturally Safe Nursing Care

This assignment presents a detailed personal cultural safety action plan designed to promote culturally safe and equitable nursing care. The plan outlines specific goals, such as utilizing education sessions and shared decision-making, and includes measurable objectives to improve patient outcomes. It addresses the assessment of cultural determinants, the implementation of training programs, and the integration of traditional healing practices. The rationale emphasizes the importance of minimizing healthcare disparities and improving nurses' clinical competence, documentation proficiency, and language skills. The implementation approach involves assessing training spaces, engaging with language services, and optimizing resource allocation. The assignment also identifies strategies for overcoming anticipated barriers, such as resistance to change and workload challenges, and suggests monitoring methods like Gibbs Reflective Cycle and patient satisfaction surveys. The plan highlights the need for multidisciplinary coordination, transformational leadership, and the importance of therapeutic communication and shared decision-making. The assignment concludes with a list of relevant references supporting the strategies and rationale.

Part – 1
Personal Cultural Safety Action Plan
Goal: I am committed to the promotion of culturally safe and equitable nursing
care interventions through the systematic use of education sessions and shared
decision-making
Objectives Training and
Sources
Barriers and
Mitigation
Strategies
Evaluation
Method
The assessment
of institutional
practices and
cultural norms of
the treated
patients
Ensure the
inclusion of
community leaders
or health care
practitioners
equipped with
knowledge of the
patients’ culture,
tradition, and
customs
The assessment of
the patients’
social/cultural
determinants of
health: The
community leaders
require
communicating with
the patients in the
context of
identifying their
stress level, social
connectedness,
treatment
challenges, belief
systems, and
psychosocial issues
for their evidence-
based mitigation
Semi-structured
interviews of
patients and
nurses
Incentivisation of
the nurses’
performance
Assessment of
patient data
through electronic
health care record
Effective
mentorship
Statistical analysis
and reporting of
the patient safety
episodes
Self-reflection
The
establishment of
The administration
of a community-
Resistance by the
health care teams

an organisational
safety culture
based education
and training
program is highly
required to
enhance the
understanding of
health care teams
concerning the
cultures and
customs of the
treated patients
based on their
workload elevation:
The nurse leaders
require utilising
transformational
approach for
effectively
improving the
commitment and
motivation level of
the health care
team members to
facilitate the
development of a
robust social
service system for
the treated patients
Health care survey
of the patients
The integration of
traditional healing
strategies with
standardised
patient care
interventions
The nurse leaders
require training the
health care team
members for
improving their
proficiency in
exploring
comprehensive
and traditional
healing measures
Resistance by
practitioners of
modern medicine
based on the
absence of
scientific rationale
supporting the
traditional healing
approaches: The
nurse leaders
require
emphasising the
significance of
traditional healing
interventions and

their requirement
for improving the
quality of person-
centred health care
management
Shared decision-
making
The nurse leaders
require
collaborating with
the hospital
management in
the context of
configuring
hospital policies
and procedures to
facilitate the
process of shared
decision-making
Clinicians’ disbelief
in the shared
decision-making:
The nurse leaders
require
collaborating with
the hospital
administration in a
manner to include
the patients and
their caretakers in
the medical
decision-making
process and
sharing the positive
outcomes with the
concerned
clinicians
The systematic
configuration of a
culturally
sensitive
communication
process
The nurse leaders
require
collaborating with
various community
leaders and
language experts
in the context of
administering
comprehensive
The workload of the
professional nurses
will potentially
challenge the
successful
accomplishment of
their training
sessions

training sessions
for improving the
multilanguage
skills of the
professional
nurses
Establishment of
a therapeutic
relationship
between the
professional
nurses and their
patients
The nurse leaders
require configuring
an environment
conducive to the
utilisation of
therapeutic
communication
inside the hospital
setting
The work
responsibilities of
professional nurses
could barricade the
process of
therapeutic
communication
within the hospital’s
working hours
Part – 2
Rationale
Cultural safety establishment across the clinical setting substantially assists in
minimising the health care gaps, disparities, and treatment inequalities (Kurtz et al.,
2018). The professional nurses require enhancing their clinical competence,
documentation proficiency, and language skills in the context of administering
person-centred, holistic, and culturally safe health care interventions to the eligible
patients (Nursing_Council_of_New_Zealand, 2019). They also need to safeguard the
trust, confidence, and integrity of the treated patients while aligning their cultural
strategies, religious beliefs, personal perspectives, lifestyle, medication, and dietary
pattern with the conventional treatment strategies (Swihart & Martin).
Personal Cultural Safety Action Plan’s Rationale

The cultural safety plan is based on the requirement of improving the spiritual,
social, and cultural lives of the underprivileged patients who experience health
access restrictions and safety issues based on their ethical identity and social
stigmatisation (NMBA, 2016). The establishment of cultural safety of the
underprivileged patients is paramount to reducing their discrimination and racism in
the hospital setting (Government_of_Northwest_Territories, 2018).
Plan Implementation Approaches
The implementation plan will be based on assessing the appropriate space for
administering the training and education sessions to the professional nurses. The
hospital administration will require engaging with language-related services and
community organisations to facilitate the administration of multilanguage education
sessions to the professional nurses. The coordination between the nurse leaders
with data entry experts will be highly required to effectively record the patients’ and
nurses’ responses during the interview sessions. The hospital administration will
require optimising the health care resources and staff allocation practices while
improving the nurses’ autonomy for effectively improving the culturally sensitive
shared decision-making process inside the hospital setting (Farokhzadian, Nayeri, &
Borhani, 2018).
Additional Training and Resources
The nurses’ will require increasing their participation in cross-cultural training
programs and research projects to effectively improve their cultural competency and
patient handling skills (Center_for_Substance_Abuse_Treatment, 2014). The cultural
competency training and education methods will include workshops, lectures,
readings, reflection, discussion, and videos for effectively improving the cultural
safety knowledge of the professional nurses (Jernigan, Hearod, Tran, Norris, &
Buchwald, 2016).
Strategies for Overcoming the Anticipated Barriers

The nurses will require multidisciplinary coordination for evaluating the
patients’ health determinations, cultural issues, and psychosocial challenges inside
the hospital setting (Hartgerink et al., 2014). Furthermore, the utilisation of
transformational and transactional leadership styles will assist the integration of
culturally safe health care practices inside the hospital setting (Sfantou, et al., 2017).
The nurse leaders will also require orchestrating health care resources and work
allocation practices for optimising the workload of the nursing teams. This will
provide enough time and opportunities to the professional nurses for engaging
themselves in therapeutic communication, shared decision-making, and
multilanguage skills’ development for effectively improving the patients’ wellness
outcomes.
Monitoring of the Implemented Plan
The professional nurses will require utilising Gibbs Reflective Cycle for
evaluating their performances and outcomes of their cultural safety action plan (Wen,
Lin, Lin, & Chu, 2015). The nurse leaders will require evaluating the patients’
satisfaction level and their health care experience through surveys and interview
sessions. Furthermore, the statistical assessment of the patients’ readmission rate
and clinical complications will assist in determining the effectiveness of therapeutic
communication, language interventions, shared decision-making, and other culturally
safe practices in the hospital setting.
References

Center_for_Substance_Abuse_Treatment. (2014). Appendix F Cultural Resources.
In Improving Cultural Competence. Rockville, MD: Substance Abuse and
Mental Health Services Administration. Retrieved from
https://www.ncbi.nlm.nih.gov/books/NBK248414/
Farokhzadian, J., Nayeri, N. D., & Borhani, F. (2018). The long way ahead to
achieve an effective patient safety culture: challenges perceived by nurses.
BMC Health Services Research, 1-13. doi:10.1186/s12913-018-3467-1
Government_of_Northwest_Territories. (2018). Caring for Our People (Cultural
Safety Action Plan 2018-2020). Canada: Government of Northwest Territories
.
Hartgerink, J. M., Cramm, J. M., Bakker, T., Eijsden, A. M., Mackenbach, J. P., &
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climate for relational coordination among teams delivering care to older
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Jernigan, V. B., Hearod, J. B., Tran, K., Norris, K. C., & Buchwald, D. (2016). An
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Health Disparities Research and Practice, 9(3), 150-167. Retrieved from
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Kurtz, D. L., Janke, R., Vinek, J., Wells, T., Hutchinson, P., & Froste, A. (2018).
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NMBA. (2016, 01 06). Registered nurse standards for practice. Retrieved from
https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/
Professional-standards/registered-nurse-standards-for-practice.aspx
Nursing_Council_of_New_Zealand. (2019). Competence assessment. Retrieved
from
https://www.nursingcouncil.org.nz/Public/Nursing/Competence_assessment/

NCNZ/nursing-section/Competence_assessment.aspx?hkey=ae138d83-
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Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki- Pistolla, D., Matalliotakis, M., &
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