REM Framework Application: Cultural Competence in Nursing Practice

This report provides an overview of the REM Framework, a model designed to enhance cultural competence among nursing students when providing healthcare to Indigenous Australians. The framework, emphasizing 'Respect, Engagement, and Moving forward,' aims to ensure optimal health service delivery. The report details how nurses should demonstrate respect for Indigenous cultures, engage patients, and promote collaborative healthcare practices based on evidence and community strengths. It highlights the importance of cultural humility, lifelong learning, and avoiding assumptions in patient care. The application of the REM Framework involves focusing on the patient, encouraging collaboration, and adapting care to individual needs. The report concludes by emphasizing the framework's effectiveness in improving healthcare outcomes for Indigenous communities, as supported by the provided references.

REM Framework 1
REM Framework
By (Student’s Name)
Professor’s Name
College
Course
Date

REM Framework 2
The REM Framework is a model that was developed to ensure that nursing students have
cultural competence towards the Indigenous people in Australia to ensure they get the health
services they need. This model focuses on ‘Respect, Engagement and sharing and Moving
forward.' The REM framework is made to ensure that both the indigenous and non-indigenous
nursing students to provide health for the indigenous people in the country (Hill 2016).
In respect, a nurse is required to be able to have respect for the indigenous people's
culture. He or she is supposed to be able to provide optimal health care by being able to work
with other people that have different views of culture. As a nurse in a culturally diverse world, I
will exhibit cultural competence by learning all about the people's culture, e.g., learn about the
culture of the indigenous people in Australia. This will help me in relating to them better when
providing health care without being biased. I will also show cultural humility (Power et al.
2016). Cultural humility is when one has a respectful attitude towards other people's culture. I
will suppress my cultural bias and adopt learning different cultures as a lifelong process.
In Engagement and sharing it requires nurses to focus on a person when providing care
and setting aside one's views especially on culture. As a nurse, I will be respectful of my patient's
cultural views even when they differ with mine (Squires and Amico 2015). This way I can
provide care for the patient. Also by engaging with the patient in a respectful manner, it leads to
a good relationship and the patient develops trust. This way, when providing care to the
Indigenous residents of Australia I will focus on the patient and suppress any of my cultural bias.
In moving forward, it requires practitioners to work together and also work with the
indigenous Australians so that they can provide optimal health care. The nurse practitioners are
required to come up with strategies for better health that are based on evidence and strengths in
the communities. This will ensure one does not provide care based on the cultures but instead on

REM Framework 3
the evidence and strengths in that community. Nurses are also encouraged to being agents of
change by adopting cultural humility so that they can be able to work in a diverse world. This
they can accomplish through lifelong learning of the indigenous Australian's culture. It is a
never-ending process because one person's cultural beliefs might not be that of another and thus
every task should be treated as new (Wolfe, Sheppard, Rossignol and Somerset 2017).
As a nurse, I will use the REM framework when providing healthcare to the indigenous
people by never making assumptions. When I treat a patient, I will always focus on them and
exhibit cultural humility by asking questions about my patient so I can now them on a personal
level. I will encourage them to work with me so that I can provide the best care because working
together is more efficient. In conclusion, the REM Framework can be used to provide optimal
care.

REM Framework 4
References
Hill, T., 2016. Cultivating enhanced professional development. The Dissector, 44(3), p.40.
Power, T., Virdun, C., Sherwood, J., Parker, N., Van Balen, J., Gray, J. and Jackson, D., 2016.
REM: A collaborative framework for building indigenous cultural competence. Journal of
Transcultural Nursing, 27(5), pp.439-446.
Squires, A. and Amico, A., 2015. An integrative review of the role of remittances in international
nurse migration. Nursing: Research and Reviews, 5, pp.1-12.
Wolfe, N., Sheppard, L., Rossignol, P.L. and Somerset, S., 2017. Uncomfortable curricula? A
survey of academic practices and attitudes to delivering Indigenous content in health professional
degrees. Higher Education Research & Development, pp.1-14.