Developing a Cultural Safety Action Plan in Nursing Practice

This report outlines a comprehensive cultural safety action plan designed for nursing practice, focusing on improving healthcare outcomes for Aboriginal and Torres Strait Islander communities. The introduction defines cultural safety and its importance in healthcare, emphasizing relationship-based care and patient-centered principles. The goal is to enhance understanding of how cultural backgrounds impact patient behavior and beliefs. The plan includes objectives such as overcoming language barriers, acknowledging health literacy levels, and understanding patient behaviors during hospitalization. The report details required resources, including safety champions and employee education, along with anticipated barriers like employee motivation and financial constraints. The rationale highlights health and social disparities between indigenous and non-indigenous populations, emphasizing the need to address systemic issues and disrupt narratives that blame indigenous people for their health challenges. The plan incorporates principles of cultural safety, empowering service users, preparing healthcare providers, and addressing inequalities. Implementation strategies involve raising cultural consciousness, conducting cultural assessments, and developing communication skills. The report also discusses methods for overcoming barriers, such as using medical interpreters and safety champions, and includes progress and outcome evaluation methods to ensure the plan's effectiveness. Finally, it provides a list of references.

Running head: CULTURAL SAFETY ACTION PLAN IN NURSING 1
CULTURAL SAFETY ACTION PLAN IN NURSING
Name of Student
Institution Affiliation

CULTURAL SAFETY ACTION PLAN IN NURSING 2
CULTURAL SAFETY ACTION PLAN IN NURSING
Part one
Introduction
Cultural safety is the practice that makes indigenous people have a feeling of safety and
respect, free from racism and not discriminated against during their time to access health services
and social service programs (Pauly, McCall, Browne, Parker &Mollison, 2015). Indigenous
people need healthcare professionals they can trust, who care and continue their good
relationship with them (Bishop, & Macdonald, 2017). This approach refers to as relationship-
based care and aims at putting the interest of client, families, carers and consumers first.
Development of cultural safety practice requires the guiding principles that are patient centered
(Pauly et al., 2015). These principles will be further discussed in the assignment and includes
only for this case and not limited to: process and positive purpose;protocols; partnerships; and
personal knowledge (Bishop, & Macdonald, 2017). This paper is meant to develop a personal
plan and discuss how the implementation of the principles of cultural safety amongst the
Aboriginal and Torres Strait Islanders can be done in my future health profession.
Goal
The goal of this discussion is to have a greater understanding of how cultural background
can affect client behavior, beliefs, and language skills on admission to hospital and in post care.
Objectivesof the plan
 Overcoming language barriers to improve communication
 Acknowledge different levels of healthy literacy, and
 Learn clients’ behavior about hospitalization
Resources or additional training required

CULTURAL SAFETY ACTION PLAN IN NURSING 3
To develop culturally safe practice, I will require making service adjustment to
accommodate culturally different needs. There are three processes required by individual or
organizations to develop a cultural safety practice, and they include:
Appointing a safety champion who will be responsible for leading the safety culture
initiative. The champion must be having the knowledge and understanding of the safety
programs in existence, perception surveys, baseline assessment report, as well as improvement
plan like initiatives and applications of employee involvement (Zavalkoff, Korah& Quach,
2015).
The other resource and additional training required would include employee education. I
am conducting appropriate training for employee safety cultural improvement process (Pauly et
al., 2015). There are more training conducted on employees, but few for this case include
Incident Investigation & Root Cause Analysis; Near Miss and Good Catch Reporting; Concern
Reporting; Critical Error Reduction Techniques; and Hazard Identification and Assessment of
Risk (Pauly et al., 2015). Use of visuals such as memos, booklets along with emails, flyers and
posters helps in keeping safety memories in front of employees(Norouzinia, Aghabarari, Shiri,
Karimi&Samami, 2016).
Anticipated barriers and strategies for overcoming those barriers
The anticipated barrier when it comes to employee education is the issue of employee
self-motivation, language barrier, marketing and advertising, finances, accessibility and time. A
proposal should be written to the management asking for the hire of medical interpreters,
distribute information materials, as well as plan on the employee education budget.
The other anticipated barrier for appointing a safety champion is lack of information on
the qualified champions and lack of finance. The case should be presented to the management

CULTURAL SAFETY ACTION PLAN IN NURSING 4
showing the need to have the safety champion like the safety of the patients and smooth working
across departments.
Method of Evaluation (reflection)
The management, however, may take my ideas as important but costly for the
organization at that given time. If the management adheres to my ideas, then my goal is achieved
if all the medical instructions have been written in the languages which a patient can familiarize
with (Bishop, & Macdonald, 2017). That patient can adhere to medical requirement including
dosage, and there are reduced cases of readmissions related to failure to adhere to new
medication instructions.
Part 2
Write a rationale that includes the following:
Statistics that indicate significant differences in health and social between indigenous and
non-indigenous are known by a majority of people. For instance, indigenous Australians have
more suicidal tendencies and poor health compared to non-indigenous Australians (Pauly et al.,
2015). Many indigenous children of Australia than non-indigenous children of Australia are
more vulnerable to be in foster care, and indigenous youth do not graduate from school by the
same rate with the non-indigenous Australians. These realities like they obvious can do - they are
troubling (Rothrock, 2018). Today what is even worrying is the context in which inequities occur
including economic, political, historical and social contexts (Wepa, 2015). These contexts
continue to shape the health of the indigenous people (Norouzinia et al., 2016). The plan,
therefore, will help to answer a few questions like; the reasons for indigenous people having a
drastically different and health and social outcome, finding out whether there is anything wrong
with the system (Rauktis, Bishop-Fitzpatrick, Jung & Pennell, 2013). By asking these questions,

CULTURAL SAFETY ACTION PLAN IN NURSING 5
the plan will help to disrupt narratives that blame indigenous people of failing to address their
health issues (Pauly et al., 2015). The action we take will be dependent on our understanding of
those issues and how we answer the questions.
Principle 1 of cultural safety is aimed at improving the health status and wellbeing of the
New Zealand people. This principle applies all through the relationships by emphasizing on
health gain and positive health good outcome (Rothrock, 2018). It acknowledges those different
from them in terms of beliefs and practices (Pauly et al., 2015). These differences would be in
terms of age or generation, disability, religious or spiritual belief, ethnic origin or migrant
experience, occupation and socio-economic status, sexual orientation, and gender (Rauktis, et al.,
2013).
The second principle of cultural safety aims at the delivery of health services through a
workforce that is culturally safe through 1). Empowering the users of the service meaning people
have the obligation to express their extent of safety of risk perceived before they choose the care
they want. People who might feel unsafe may not even purchase the service they require raising
a need to intervene or intrude to help. 2). Health care providers are prepared to understand
differences in cultural reality (Kear, & Ulrich, 2015). 3. Applying the concept of social sciences
that support the health care practices 4). They identify the power relationship between the people
who use the services and the providers of the services.
The third principal recognizes 1)inequalities within healthcare, society, employment,
education, inequalities in health, representing the microcosm through societal interactions,
employment, education, healthcare, as well as that which has prevalence across Australia. 2). To
address the cause and the effect historical relationship employment status, social, political,
housing, personal experience, gender, and policies and practices for people using psychological

CULTURAL SAFETY ACTION PLAN IN NURSING 6
services. 3). This contributes to the acceptance of legitimacy diversifying human behavior and
social structure. 4). Acceptance of the fact that the beliefs and attitudes, practices and policies of
the psychological service provider can act upon barriers to accessing the services. They also
improve the quality of service delivery as well as a consumer right.
The implementation of the plan
There are three processes required by individual or organizations to develop a cultural
safety practice, and they include:
Consciousness or awareness of cultural constructs attached to one's own culture and
recognizing the uniqueness and similarity of qualities associated with other cultural group
(Rothrock, 2018). It is imperative to engage with the minority cultural groups in the process of
cultural consciousness as well as constructing a collaborative cancer program control (Kear, &
Ulrich, 2015). Also, it is important to carry out cultural assessment and appraisal for identifying
cultural domains of difference that requires consideration in the planning of patient-family
centred care for cancer (Woods, 2010). The third training that is required is the development of
cultural safety skill of appropriate attitudes, behaviours, and strategic communication that bridge
the inequity gap in cancer outcomes(Norouzinia et al., 2016).
Some of the resources required as discussed before include training and education
(further studies) for professional development and the use of safety champions.
How will my strategies help to overcome barriers/challenges?
Choosing a medical interpreter will help to overcome communication barriers between
patient and health care providers. Patients depend on staff like nurses and case managers to help
them understand important Medicare informational messages, instruct them on performance
post-discharge tasks, and to ensure they concerns are met (Rothrock, 2018). Interpreters act as

CULTURAL SAFETY ACTION PLAN IN NURSING 7
the source of cultural information (Mansour, Skull & Parker, 2015). This means they help with
information concerning cultural safety awareness hence increasing cultural competences (Kear,
& Ulrich, 2015). The safety champion will help bridge the barriers of communication and help in
the successful implementation of the plan (Rothrock, 2018). Champions will engage in educating
the staff, building relationship, education and boundary spanning.
How you intend to complete both a progress evaluation (tracking whether your plan is
working) and an outcome evaluation. Discuss how you will complete a final evaluation to
determine whether your plan worked.
The reason why I feel having achieved my goal is there is a good relationship between
the patients, local communities and the healthcare providers who are accessing organizations'
services without fear of being discriminated in terms of race (Mansour, Skull & Parker, 2015).
Also, there are written materials in front of the care providers to act as a reminder of their
services and safety measures they should remember when caring for the patients.

CULTURAL SAFETY ACTION PLAN IN NURSING 8
References
Bishop, A. C., & Macdonald, M. (2017). Patient involvement in patient safety: a qualitative study of
nursing staff and patient perceptions. Journal of patient safety, 13(2), 82-87.
Kear, T., & Ulrich, B. (2015). Patient safety and patient safety culture in nephrology nurse practice
settings: Issues, solutions, and best practices. Nephrology Nursing Journal, 42(2), 113.
Mansour, M., Skull, A., & Parker, M. (2015). Evaluation of the World Health Organization multi-
professional patient safety curriculum topics in nursing education: Pre-test, post-test, none-
experimental study. Journal of Professional Nursing, 31(5), 432-439.
Norouzinia, R., Aghabarari, M., Shiri, M., Karimi, M., &Samami, E. (2016).Communication barriers
perceived by nurses and patients.Global journal of health science, 8(6), 65.
Rauktis, M. E., Bishop-Fitzpatrick, L., Jung, N., & Pennell, J. (2013). Family group decision making:
Measuring fidelity to practice principles in public child welfare. Children and Youth Services
Review, 35(2), 287-295.
Pauly, B. B., McCall, J., Browne, A. J., Parker, J., &Mollison, A. (2015).Toward cultural
safety.Advances in Nursing Science, 38(2), 121-135.
Rothrock, J. C. (2018). Alexander's Care of the Patient in Surgery-E-Book.Elsevier Health Sciences.
Wepa, D. (Ed.). (2015). Cultural safety in Aotearoa New Zealand.Cambridge University Press.
Woods, M. (2010). Cultural safety and the socioethical nurse. Nursing Ethics, 17(6), 715-725.
Zavalkoff, S., Korah, N., & Quach, C. (2015). Presence of a physician safety champion is associated
with a reduction in urinary catheter utilization in the pediatric intensive care unit. PloS one,
10(12), e0144222.