Nursing Reflection 4: Cultural Safety in Australian Healthcare

This nursing reflection examines the evolving landscape of healthcare in Australia, focusing on the need for nurses to adapt to changing health needs and expectations. It emphasizes the importance of cultural safety, intersectionality, and social determinants in providing effective patient care. The reflection highlights the challenges faced by healthcare professionals in navigating complex patient needs and advocating for culturally appropriate care. The author discusses the significance of community nursing, health promotion, and addressing issues such as chronic diseases and health disparities. The paper also touches upon the role of government initiatives, nursing education, and the ongoing need for nurses to stay informed about new standards and policies to contribute to the well-being of the Australian population.

Nursing Reflection 1
NURSING REFLECTION
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Nursing Reflection 2
Nursing Reflection
The change in health needs and expectations has created the urge for the healthcare sector
to recognise an unconventional service by nursing and medical professionals and government
while enhancing the quality of primary care services to people. In future, the healthcare sector is
focused on involving greater health promotion, chronic diseases monitoring the care of older
patients while coping the increasing complexity in care standard. The process involves astute use
of existing resources while cultivating work practices with an innovation used by other health
professionals and practice nurses (Collins & Bilge, 2016). However, in Australia, the
healthcare sector is facing a shortage of health workforce following the underlying need to
develop a sustainable and responsive health workforce while maintaining the commitment to
high quality and safe health outcomes. According to intersectionality theory, the process of
clinical and health service inquiry is followed with research approach within the health service
inquiry having a strong impact of people’s health (Burgess et al., 2007).
It is essential for nursing staff to follow up with a combination of philosophies under
universal generalisability to develop understanding upon meeting health disparities to minimise
the risk to complex aspects of a gendered power relationship, gender relationship, and other
cultural relationship following the multiplicity of individual lives. By combining intersectionality
theory, complexity theory, and social determinants, it is important for individuals to extrapolate
broader social location in Australia contributing healthcare access and practices within areas of
inequalities, confounding factors, structural relationship synergises with identification to produce
health inequalities (Cioffi, 2013). It is essential for nursing professionals to define the areas in
which they are required to intersect identities within institutions within the hierarchies of power,
gender, sexuality, and social relationship supporting illness and diseases. As a health care

Nursing Reflection 3
professional, I often meet people facing issues with a healthcare service provider having complex
needs which often become challenging for us healthcare professionals to comply within the
scope of our rights and responsibilities.
Our focus in health care operations is followed with the intersection of primary
healthcare provider interconnecting with patients understanding their needs embodied with the
process in space and time. We have learned about our roles and responsibilities under the
Australian Practice Nurses Association of Australia following clinical care involving procedures
and activities. It also considers practices needing management, coordination, and administration
to support administrative practices as business entities (Behera & Hasan, 2018). It has followed
us to develop the integration requiring effective communication channels with general practices
following organisation and individuals. According to patient demographics, the practices are
influenced by nursing play supporting families focused on immunisation and health issues. As a
healthcare professional, I have focused on sustaining strong belief about having cultural identity
following the components of the social and emotional wellbeing of patients under the Australian
Framework of health as it is often cultivated and maintained while developing the connection to
community and traditional lands (Behera & Hasan, 2018).
As an individual, I am personally focused on fostering effective response following
positive coping mechanism having life balance to protect individuals with adverse life
experience facing issues having self-assessed health, educational, and wellbeing outcomes for
greater life satisfaction. I believe that having a cultural impact on nursing practices is focused on
the cultural identity of individuals to assess resources Australia Wide (Crawford et al.,
2017). While working in a professional setting, we have to follow with a positive attitude
encouraging individuals to develop their own roles setting standards for education and role

Nursing Reflection 4
model guidelines, though there is a time when we face challenges. For example, in Australia, I
think that the define health safety and quality standards are quite insufficient ensuring safe
culture for patients achieving optimum care outcomes. Business with health care is
disempowering boasting the likelihood of culturally safe clinical care contributing to health
improvement. I think that it is followed with cultural safety within mandatory standards to offer
safe, quality-assured clinical care strengthening inadequate gap within healthcare delivery
(DeLaune et al., 2016).
Furthermore, throughout any career, I believe that while integrating cultural safety with
healthcare practices reconfigure healthcare allowing the equity following the access to an
appropriate intervention improving standards for individuals in professional work setting
following a procedure based on conditions of Australian population irrespective on indigenous
and non-indigenous people. As a healthcare worker, I have experienced cultural safety
indigenous-lead care model limited, however, it has taken uptake from the inherent power
imbalance with the healthcare service provider and patients (DeLaune et al., 2016; Usher
et al., 2017). Furthermore, I personally believe that having cultural safety, the care results
often inadvertent disempowering of the recipients involving in decision making while
maximising the care effectiveness. We are required to work on effective work practices by
making sure that individuals in our work setting are aware of considering power relationship
implementing reflective practices which further allow the individuals clarifying safety means. I
was always focused on cultural safety and institutional care to deliver effective care identifying
communication difficulties and barriers with intervention or procedures to overcoming these
barriers (Cioffi, 2003).

Nursing Reflection 5
I think that as nurses, we are required to work on communal development having the
discipline to incorporate evidence-based research to support science and approaches to improve
healthcare practices taken into consideration to support cultural and socioeconomic background
for people in need ensuring interaction and sensitivity to support effective care practices. The
goal of the community role in supporting individual practices is focused on health nursing
promoting, protecting, and preserving public health involving various scenario (Foronda et al.,
2015). For example, promoting healthy lifestyles, and preventing disease and health problem
supporting direct care to the individual requiring it. I am currently looking forward to educating
myself and others about making efficient decisions following people with chronic conditions so
that they can make healthy decisions while supporting their roles under health and wellness
programs. As a nation, I think that we are facing major issues such as infectious and sexually
transmitted diseases, obesity, poor nutrition, substance abuse, smoking, teen pregnancy, and
other (Foronda et al., 2015).
Currently, I am looking forward to improving my focus as community nursing work in
healthcare institutions while giving importance to the healthcare practices in remote places
supporting people facing issues such as chronic illness, and economic struggle looking forward
to improving individual welfare. I was focused on bringing quality patient care in a vulnerable
and underserved member of the society. From what I have experienced, nursing practices in
Australia has followed in response to government initiatives to support the primacy care
followed with current demographics and employment characteristics exploring the trends
supporting their role in the recent time. Following my role in Australia general practices, I have
followed with the expansion in the last decade following the changes in health policies, funding

Nursing Reflection 6
models, and nursing education are transforming the Australian primary care landscape (Hook et
al., 2016).
To summarise, it can be said that nursing practices are evolving in this era continuously
hence require us as nurses to continuously learn about new standards, regulations, and policies
formulating perspectives. These I believe can support us meet the difficulties of this industry
dynamics whole contributing our role in the social and communal background doing good for the
people in Australia.

Nursing Reflection 7
References
Behera, J. and Hasan, B., 2018. Cultural identity and acculturative stress: A systematic
review. Indian Journal of Health and Wellbeing, 9(3), pp.454-458.
Burgess, D., Van Ryn, M., Dovidio, J. and Saha, S., 2007. Reducing racial bias among health
care providers: Lessons from social-cognitive psychology. Journal of general internal
medicine, 22(6), pp.882-887.
Cioffi, R.J., 2003. Communicating with culturally and linguistically diverse patients in an acute
care setting: nurses’ experiences. International journal of nursing studies, 40(3), pp.299-306.
Cioffi, J., 2013. Being inclusive of diversity in nursing care: A discussion
paper. Collegian, 20(4), pp.249-254.
Collins, P.H. and Bilge, S., 2016. Intersectionality. John Wiley & Sons.
Crawford, T., Candlin, S. and Roger, P., 2017. New perspectives on understanding cultural
diversity in nurse–patient communication. Collegian, 24(1), pp.63-69.
DeLaune, S.C., Ladner, P.K., McTier, L., Tollefson, J. and Lawrence, J., 2016. Fundamentals of
Nursing: Australia & NZ Edition-Revised. Cengage AU.
Foronda, C, Baptiste, D, Reinholdt, M & Osman, K 2015, ‘Cultural Humility,’ Journal of
Transcultural Nursing, 27(3), pp. 210-217.
Hook, J.N., Boan, D., Davis, D.E., Aten, J.D., Ruiz, J.M. and Maryon, T., 2016. Cultural
humility and hospital safety culture. Journal of clinical psychology in medical settings, 23(4),
pp.402-409.

Nursing Reflection 8
Usher, K, Mills, J, West, R & Power, T 2017, ‘Chapter 20 Cultural Safety in
Nursing and Midwifery’, in J Daily, S Speedy & D Jackson (eds), Contexts of
Nursing an Introduction, Vol 16 (1) Elsevier Australia, Chatswood, pp. 1-9.