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TRANSCRIPT
Building Cultural Safety in Northern Health
March 2014 Presentation for the Moving Forward Conference
Presentation Overview
• Our purpose • Cultural safety defined • Setting the context • Moving forward • Round table discussion
Workshop Questions
• What are you doing in your organization to build a culturally safe organization?
• What did you hear in this presentation that peaks your interest or you may want to try?
• What role should the Health Authority play in addressing cultural and spiritual needs of patients?
• What do you see as some next steps for your organization in terms of cultural safety?
Purpose
To explore activities that are undertaken in Northern Health that support the culturally safe delivery of services to First Nations and Aboriginal peoples residing in the north
Being in Relationship: Some Terms and Concepts
Culture adapts to changing environments and can be defined as generation-to-generation transmission of knowledge and ways of being as a result to people’s collective and personal histories and experiences
Cultural awareness (acknowledges difference)
Cultural sensitivity (recognizes the importance of diversity)
Cultural competency (skills, knowledge and attitudes of practitioner)
Cultural safety (involves self-reflection and a shift in power)
Cultural Safety …
What is felt or experienced by a pa;ent when a health care provider communicates with the pa;ent in a respec?ul, inclusive way (Na;onal Health Organiza;on (NAHO) of Canada)
Soap Berries
Fast Facts • 54 bands across the
North • Rich diversity of
culture, language and traditions
• 17% of NH’s population (25% of BC’s Aboriginal population)
• 60% live off–reserve in NH
One of NH’s Key Strategic Directions
Partner with Aboriginal people to build a Health Care System that honours diversity and provides service in a culturally safe manner
AHIC in Nak’azdli
Aboriginal Health Services Plan 2012-2015 Strategic Directions
1. Improving engagement and facilitating partnerships
2. Increasing effective service delivery
3. Increasing investment in the Aboriginal workforce
4. Monitoring and evaluation
NH’s Aboriginal Health Team Victoria Carter
Theresa Healy
Bonnie Greer Hilary
McGregor
Margo Greenwood
Specific Initiatives and Activities in Northern Health
• Cultural Competency • Aboriginal Patient Experience Data • Aboriginal Patient Liaisons • Aboriginal Health Improvement Committees
(AHIC) • Aboriginal Health Improvement Grants (AHIP)
Provincial Health Services Authority Indigenous Cultural Competency
• NH doubled its seats • 18% now taken it
“Tan si” “Jaahejii!” “I teach nurses to use this as an opening conversation with their patients. Many are doing it!”
Yvonne Tupper, APL
• local, cultural understanding
Cultural Competency
“Hospital staff are asking more questions around cultural beliefs and practices to be aware of when working with Aboriginal patients in acute care.”
Lloyd McDames, APL
Aboriginal Patient Experience Data
Cultural & Spiritual Needs
Were Spiritual and Cultural needs met?
How can we improve care?
Can we improve patient transitions?
Continuous Quality Improvement in the Aboriginal Patient Liaison Program
Improvement Activities being tested
• Sharing the information • ICC spreadsheet • Awareness of APLs • Local cultural
opportunities • Tips for communicating
clearly • Teach Back
• APL and Nurse rounds • Ask about cultural & spiritual
needs • Whiteboards • APLs attend Rounds • Patient responsibility
brochure