NSB202 Essay: Cultural Safety and Healthcare for Indigenous People

This essay provides a discussion on cultural safety within the context of Aboriginal and Torres Strait Islander peoples' health and wellbeing, acknowledging the impact of racism and discrimination. It utilizes the 5R's Reflection Framework, reporting on institutionalized racism in Australian history and its effect on healthcare, responding to the emotional impact of racism, relating personal cultural competence as a care nurse student, reasoning the importance of cultural safety, and reconstructing the approach to cultural safety in the nursing profession to decrease bias and attain equity. The essay concludes by emphasizing the importance of cultural safety in healthcare, highlighting the need for a discrimination-free environment and culturally mindful practices.

Cultural Safety Essay

Table of Content.
INTRODUCTION...........................................................................................................................1
REPORT..........................................................................................................................................1
RESPOND.......................................................................................................................................1
RELATE..........................................................................................................................................1
REASON.........................................................................................................................................1
RECONSTRUCT............................................................................................................................1
CONCLUSION................................................................................................................................1
REFERENCES................................................................................................................................2

INTRODUCTION
The concept of culture is generally a constructed socially within the interactions among the
people who specifically lives within the network of relationships. The culture safety is all about
creating the surrounding environment safe for the Aboriginal and Torres Strait Islander people. It
is all about the shared respects, having shared meaning as well as the shared knowledge’s. in
this, the essay will cover the concept of cultural safety and how the racism is generally enacted
as well as perpetuated via the Australian history mainly regarding the provisions of well-being
care for Aboriginal peoples. In the reflection, it will cover my emotional response towards the
influence of racism on the Aboriginal people’s well-being and health as well. In addition to this,
there is also a discussion about the future cultural safety within the care nursing profession in
order to address the influences of racism and its other forms of discrimination as well to
effectively enhance the Aboriginal people’s experiences within the well-being care services
(Duthie et. al., 2019).
REPORT
The term Racism is generally an enhancing determined internationally as a key component
that can directly contribute towards the well-being inequalities. It has been determined that there
are the negative aspects related with health outcomes and racism as well. It has been determined
within Australia the well-being disparities among the Torres Strait Islander people as well as
non-indigenous Australians and the despite efforts to bridge the specific gaps, the well-being
disparities can continue to exist. There is no debate over the health of the Aboriginal people
within Australia as it is quite poor and worse than the non-indigenous Australians, and the life
expectancy at the time of birth is generally about 21 years less within male and about 19 years
less within female. in context with institutional racism, it can refer to the pathway in which the
racist values and beliefs generally have been grown within the operation of the social institution
in such a manner as to discriminate against the control, as well as oppress the several minority
groups of the people. It specifically has been claimed that an institutional racism is more
specifically embedded within the Australian institutions. more frequently, the racism within the
institution is generally covert or even unrecognised by the specific agents who are involved in it.
In addition to this, the institutional racism within Australia generally been an almost constant
characteristic of the past, from the British designation of the continent as terra nullius, via the
convention in the year 1897 on the federation such as where the specific thoughts or feelings in
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the form of a question of the Aboriginals must be counted as a people within the national census.
it is generally believed that any of the well-being care is generally a social system that is being
grown on the cultural stances of the public which it serves. It can follow that the cultural beliefs
and values must give the value base for the well-being care services. In this, among the
Aboriginal people and Non-Aboriginal people, there is no specific differences within their
culture but there must be clashes of the culture as well. in context with the recent well-being care
policies, there is a less efforts taken to recognise the differences within the culture of white and
black. the holism of an Aboriginal people’s well-being can include not just a wholeness, but a
series of the common responsibilities (Impact of racism and discrimination on the physical and
mental health among Aboriginal and Torres Strait Islander peoples living in Australia, 2020).
RESPOND
As a care nurse student, it is known by me that primary well-being care is generally an
important well-being care that is mainly based on the practical, socially acceptable, as well as
scientifically sound methods and technologies which are made universally accessible to a person
and their families within the community via their full participation and at the cost which the
community and across the country can effectively afford at each stage of their development
within the spirits of self-determination and reliance as well. As per World Health Organization,
the primary health care can specifically form an integral part of both of the well-being systems of
a country, of which it is generally a central function as well as the main concentration and of the
whole economical and social enhancement of the community. As a care nurse student, it is
identified by me that sustaining a strong cultural identity is generally key element of the social as
well as emotional health, the Aboriginal Australian framework of well-being. At this time, the
identity can be effectively cultivated as well as can be effectively maintained via participating
within the cultural events and can enhancing the connections to the family, the traditional lands
and community as well. Having cultural safety within me can impact the well-being in order to
decrease the bias as well as can attain the equity in the healthcare organization and the working
environment as well (Gopalkrishnan and Babacan, 2022).
RELATE
As a care nurse student, the cultural competence can specifically imply my capabilities in
order to give a best medical care results to my patients while exhibiting the cultural awareness
for my values, beliefs and race as well. in this, the cultural identities are generally impacted by
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various components such as ancestry, language, religion, education, skills, class, the family and
political attitudes as well. these such components can effectively contribute towards the
development of my cultural identity. having cultural identity in my own values and beliefs can
help me to enhance the participations of the patients and their engagements, can furnishing the
respect as well as an enhanced understanding, that can ultimately lead to the safety of the
patients as well.
REASON
The concept of cultural safety is specifically arising from the colonial context of Aotearoa,
New Zealand. In this, the Maori people were mainly suffering from the poor well-being as
compared with the Non-Maori people which is initially led by the Maori nursing care student. In
context with cultural self and corporate awareness, it can effectively promote the awareness of a
care nurse student’s own culture such as their values, attitudes, beliefs and assumptions as well
and how a care nurse’s can effectively inform their thinking and the care practice as well. In
context with cultural sensitivity, the realisation which the other cultures can exist, asserting that
they are legitimate. it can effectively support the self-exploration of how the care nursing
student’s experiences of life as well as the realities can influence such things can have on others
as well. In the cultural safety, the care nursing practices which can allow the safe care services as
mainly defined by the recipient of the care services. In this, whiteness is generally depicted not
as a preordained biological property, but as a socially constructed part of the race, wherein the
non-white people are generally racially designated, while the white people can specifically
escape these such designations as well as can occupy the position that can enable these people to
carry on as if what they actually say is quite neutral instead of historically as well as
ideologically positioned. The term Race is generally a social construct; it can include an example
of scientific racism as it was specifically used to justify to the acquisition of the land as well as
the other valuable via various means (Aboriginal and Torres Strait Islander cultural safety,
2021).
RECONSTRUCT
The cultural safety in my profession can specifically impact the well-being care in order to
decrease the bias as well as can attain the equity within healthcare organization and working
environment as well. it is identified by me that the cultural safety is generally an essential
foundation for having an effective clinical as well as a patient-centred care. As a concept, it can
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effectively enhance my both professional and ethical roles. the cultural safety is quite essential
for me as I have to deliver the highest levels of an effective quality care to all the vulnerable
patients. For the Aboriginal people, cultural safety is generally an essential human right aspect. it
is specifically a legislative needs of the public agencies in order to provide safety within the
workplace. The environment of the workplace, the care services as well as the settings for well-
being, health and safety should be culturally safe for every people. It is my responsibility for the
cultural safety of the Aboriginal people within the healthcare organization. I am the only nursing
care student who is mainly responsible for how I will work with the Aboriginal staff, the well-
being consumers as well as the clients of the community services. In addition to this, the cultural
safety framework of the Aboriginals generally has been improved to aid the mainstream
Victorian well-being, human as well as a community care services and the health department to
create the culturally safe surrounding environment. The cultural framework can specifically aim
to aid the mainstream and health department as well as the community care services in order to
strengthen the cultural safety of Aboriginals by simply participating in an ongoing learning path
and so on (Gates, Achia and Petch, 2021).
CONCLUSION
From the above discussion, it is concluded that the cultural safety is all about producing the
surrounding environment which is safe for all the Aboriginals and Torres Strait Islander people.
it mainly refers to addressing the discrimination and racism or an unconscious bias in the
enabling surrounding environment delivering policies or the care services to the Aboriginal
people. It specifically means that there is no challenge, assault or a denial of their experience and
identity as well. It is determined by me that as a care nurse, I should provide an effective
surrounding environment which is effectively safe for the Aboriginal people, where there is no
challenge, assault and denial of their identity and experience as well. If I become culturally
aware then I can better understand the issues of Aboriginals so that the people can be more
culturally mindful. Furthermore, the cultural safety is not about a safe culture, but it is all about
the discrimination and racism that has happen among the Aboriginal people’s. moreover, the
Australian government have effectively committed to a well-being care system free from
discrimination and racism for the Aboriginal and Torres Strait Islander peoples.
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REFERENCES
Books and Journals:
Duthie, D., Steinhauer, S., Twinn, C., Steinhauer, V. and Lonne, B., 2019. Understanding trauma
and child maltreatment experienced in indigenous communities. In Re-visioning public
health approaches for protecting children (pp. 327-347). Springer, Cham.
Gates, T.G., Achia, T. and Petch, J., 2021. Allyship, social justice values, and commitment at an
Australian social service organization. Journal of Social Service Research, 47(6), pp.796-
807.
Gopalkrishnan, N. and Babacan, H., 2022. Cultural Partnership Practice and Mental Health in
Higher Education. In Mental Health and Higher Education in Australia (pp. 51-66).
Springer, Singapore.
Kilcullen, M. and Day, A., 2018. Culturally informed case conceptualisation: Developing a
clinical psychology approach to treatment planning for non‐Indigenous psychologists
working with Aboriginal and Torres Strait Islander clients. Clinical Psychologist, 22(3),
pp.280-289.
Trounson, J.S., Oppenheim, R.K., Shepherd, S. and Pfeifer, J.E., 2021. Social and emotional
wellbeing among Indigenous Australian correctional officers. Psychiatry, Psychology and
Law, pp.1-18.
Online:
Aboriginal and Torres Strait Islander cultural safety, 2021 [Online] Available through:
https://www.health.vic.gov.au/health-strategies/aboriginal-and-torres-strait-islander-
cultural-safety
Impact of racism and discrimination on the physical and mental health among Aboriginal and
Torres Strait Islander peoples living in Australia, 2020 [Online] Available through:
https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-020-01480-
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