Bachelor of Nursing: Indigenous Cultural Respect in Clinical Practice

This report focuses on the role of registered nurses in ensuring Indigenous cultural respect within clinical environments, addressing the REM framework's key components: Recognition, Engagement, and Maintenance. It emphasizes the importance of cultural safety, respect, and collaborative work with Indigenous Australians to optimize healthcare delivery, particularly in managing chronic conditions. The report highlights the need for nurses to understand and respect Indigenous cultures, values, and health disparities. It includes a detailed analysis of continuing professional development (CPD) activities, demonstrating a commitment to lifelong learning and incorporating culturally safe practices. The report provides examples of CPD, including self-directed learning and research, to enhance cultural competence. It stresses the importance of effective communication, acknowledging social, economic, and behavioral factors, and adhering to professional boundaries to promote respect and dignity. The report references relevant literature and standards, demonstrating a comprehensive approach to culturally responsive nursing care for Indigenous populations, advocating for equal access to healthcare and positive health outcomes.

Optimising Care in Chronic Conditions - Assessment
By Student’s Name
Course
Tutor
Institution
City/State
Date

Cultural safety, respect and the ability to work together with Indigenous Australians using ‘REM’
Registered nurses have a role to play in terms of administering, medical care, monitoring
patients, educating g individual patients and their families. Further their role is far much in need
when it comes to upholding and respecting persons of indigenous diversity. Registered nurses need
to uphold dignity through cultural respect for the indigenous person through following the
framework on recognition, protection, and protection and upholding inherent rights, cultural aspects
and advancing inherent rights. As a nurse embedding to the cultural safety in a manner which
engages them and allows for greater equity of health care resources and respecting the population,
in general, is vital (Durey et al., 2012). Engaging in respectful practice for requires nursing knowledge
application for values, attitudes, assumption, and beliefs of the indigenous community are vital. In
ensuring restful service care for the indigenous persons there is a need for acknowledging the
cultural diversity if the indigenous community and to ensure that there is reset for what they value
most (Feo et al., 2017). As a nurse, acknowledging the social, economic and behavioral factors of the
community will play a vital role in this aspect. Further, ability to work efficiently with respect for
professional boundaries within the context of indigenous persons allows engaging safely and
effectively through promote of respect and dignity.
The indigenous population often have a poor status of health with substantial inequalities
having been reported compared to nonindigenous prisons. The level of health care access and
trends of noncommunicable disease highlights the glaring challenges. Engaging with this population
to instill culture safety for health is a crucial cornerstone for enhancing community engagement and
sharing (Shahid, Finn, Bessarab and Thompson, 2009). Enhancing effective communication for
channelling, respect values and practices is vital. Building my skills towards being aware of health
and literacy issues is fundamental for enhancing respect for the values which the community pursue.
Engaging the indigenous community in none disparaging manner is essential for me as a nurse
(Reaburn & MacDonald, 2017). Communicating effectively in a respectful manner for the community
is essential in promoting respect values. The recognition of the nursing provision to provide
continuous care for indigenous persons is essential (Power et al., 2015). Thus provision of care for
the practitioners necessitates for the promotion of well being of the indigenous persons.
In forging with health care provision, registered nurses need to recognise human rights as a
health care priority in fostered for comprehensive access to safe health care which ensures positive
health care outcomes of the indigenous population. The human rights charter for entire Australia
engages on equal access to health through utilizing existing approaches in the community. As a
nurse moving forward ensures that I seize available opportunities which it exists in the health care
system to ensure that the indigenous community has access to safe health through building on the
safe cultural environment (Tsey et al., 2010). Engaging on the need for enhancing key
communication aspect which enhances respect is vital. According to Jacob et al., (2016, engaging in a
deeper understanding of the indigenous community is essential in ensuring that respect values are
enhanced in nursing profession which facilitates respect for the people and improve delivery of care
services.

CPD
Date
Source
or
provider
details
Identified learning
needs Action plan Type of activity
Description of the topic
(s) covered during activity
and outcome
Reflection on activity
and specification to
practice
No./Title/
Description of
evidence
provided CPD
02/05/2019 NMBA
Code for nurses
Principle 3
Looking for avenues
of incorporating
culturally safe care
for the indigenous
persons.
3.1
Understanding the
various social and
cultural difference
which exist in health
care for the indigenous
persons s key.
Plan: to review my
knowledge of cultural
aspects as a
determinant of health
Self-directed learning.
Reviewing on my
knowledge built and
engaging in
acknowledgment
and attainment with
regard to the
indigenous cultural
aspects.
Engaged on a review of
my basic knowledge and
skills of culture and
health outcomes in
gained the knowledge
and tools to use while
engaging on the diverse
population towards
access to health and
apply them in making
decisions about my
nursing practice.
This exercise will
be crucial for me in
learning and
understanding how
culture affects
health outcomes of
the community
and enhancing
culture into health
care outcomes for
positive health
care services.
Registered
nurse
standards for
practice by
NMBA;
Reference no. 4
2
hours

23/5/2019 NMBA
Registered Nurses for
Standards for Practice
Standard 6:
Provision safe and
appropriate care
which values the
health care needs of
the indigenous
persons
Refresh skills on
comprehensive safe care
in order to achieve
health care goals and
outcome as a nurse.
Learning and researching
what the indigenous
person’s value in health
care allows for flexibility
and orienting services
towards that direction.
Evidence-based
research practice
Engaging my skills in
evidence-based
practices reviews on
aspects and
techniques of
providing safe care for
the indigenous
persons is critical.
Respect the values of
the people is
essential.
Cultural determinants
of health among the
indigenous
community. Learning
on avenues of
learning of safe care
is essential which
enhances respects
and safe health
delivery.
This activity
provided me with
a new theory and a
practical
competence
assessment in
relation to health
care provision for
the indigenous
persons.
Registered
nurse
standards for
practice by
NMBA
Reference no. 4
5
hours
02/06/2019
Frame
work
Guidelines
Research in health
Actions towards the
promotion of health
and well being of the
indigenous person
health.
A literature review based
studies on the subject Library sessions
Search on evidence-
based studies on
the subject
This activity
provided me with
a new theory and
practical
competence in
health promotion
towards efficient
working in the
community.
Evidenc
ed
based
practice
framew
ork
Referenc
e no. 3
5
hours

References
1. Durey, A., Wynaden, D., Thompson, S.C., Davidson, P.M., Bessarab, D. and
Katzenellenbogen, J.M., 2012. Owning solutions: a collaborative model to improve quality in
hospital care for Aboriginal Australians. Nursing Inquiry, 19(2), pp.144-152.
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1440-1800.2011.00546.x.
2. Feo, R., Conroy, T., Marshall, R.J., Rasmussen, P., Wiechula, R. and Kitson, A.L., 2017. Using
holistic interpretive synthesis to create practice‐relevant guidance for person‐centred
fundamental care delivered by nurses. Nursing inquiry, 24(2), p.e12152.
https://onlinelibrary.wiley.com/doi/abs/10.1111/nin.12152.
3. Lin & Pagan 2016. The Culture of Health Action Framework And Systems Science:
Opportunities And Challenges. Accessed at
https://www.healthaffairs.org/do/10.1377/hblog20161017.057073/full/. DOI
10.1377/hblog20161017.057073
4. NMBA-Registered nurse standards for practice 2016. Accessed at
https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-
standards/registered-nurse-standards-for-practice.aspx. viewed on 14/04/2019.
5. Power, T., Sherwood, J., Geia, L.K. and West, R., 2015. Indigenous leadership in nursing:
Speaking life into each other’s spirits’. Leadership and Nursing: Contemporary perspectives,
Elsevier, Chatswood, pp.141-152. https://opus.lib.uts.edu.au/handle/10453/36725.
6. Reaburn, P. and McDonald, J., 2017. Creating and facilitating communities of practice in
higher education: Theory to practice in a regional Australian university. In Communities of
Practice (pp. 121-150). Springer, Singapore. https://link.springer.com/chapter/10.1007/978-
981-10-2879-3_6.
7. Shahid, S., Finn, L., Bessarab, D. and Thompson, S.C., 2009. Understanding, beliefs and
perspectives of Aboriginal people in Western Australia about cancer and its impact on access
to cancer services. BMC Health Services Research, 9(1), p.132.
https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-9-132.
8. Stuart, L. and Gorman, D., 2015. The experiences of Indigenous health workers enrolled in a
Bachelor of Nursing at a regional Australian university. AlterNative: An International Journal
of Indigenous Peoples, 11(1), pp.29-44.
https://journals.sagepub.com/doi/abs/10.1177/117718011501100103.

9. Tsey, K., Whiteside, M., Haswell‐Elkins, M., Bainbridge, R., Cadet‐James, Y. and Wilson, A.,
2010. Empowerment and Indigenous Australian health: a synthesis of findings from Family
Wellbeing formative research. Health & Social Care in the Community, 18(2), pp.169-179.
https://www.ncbi.nlm.nih.gov/pubmed/19804554.