module 7 cultural safety

8/7/2019 Module 7 Cultural safety

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What is cultural

safety, and whyis it important?


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Learning objectives:

Define cultural safety

Describe how a physician becomesculturally competent

Distinguish between culturalawareness, cultural sensitivity, andcultural safety

Analyze your individual biases andprejudices and how racism might

play a role while providing care


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Cultural Awareness,

Cultural Sensitivity, & Cultural Safety.

What's the difference?

Cultural Awareness

Beginning step toward understanding that

there is difference.

Sensitive to ritual and practice, rather than

the emotional, social, economic and political

context in which people exist.

Cultural Sensitivity

Alerts learner to the legitimacy of

difference. Begins a process self-

exploration as the powerful bearers

of their own realities and the impact

this may have on others

Cultural Safety

Analyzing power imbalances,

institutional discrimination,

colonization, and colonial

relationships that apply tohealthcare

Nursing Council of

New Zealand, 2005


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Risk of cultural safety education- Stereotypingall Aboriginal people. But the greater risk is notcritically discussing marginalization and health.

Cultural safety refers to a state whereby aprovider embraces the skill of self-reflection as ameans to advancing a therapeutic encounter withFirst Nations, Inuit, Mtis peoples.

Self-reflection in this case is underpinned by anunderstanding of power differentials.

For FN/I/M communities this power imbalance is

unequal and can be seen as a residual element ofcolonization and act as a barrier to facilitatinghealth and healing.

Cultural Safety

IPAC, 2009


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Frequently, cultural

differences and the inability ofhealth care providers to

appropriately address these

differences have contributed

to high rates of non-

compliance, reluctance to visitmainstream health facilities

even when service is needed.

Rationale

Naho, 2008


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So what does culturally

safe care look like

in the workplace?

Environment

Knowledge

Actions

Think about what youknow about ceremony,health beliefs, the roleof family, how healthcare is administered,

intergenerationaltrauma. How can youuse this information

everyday?


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Dealing with racismand stereotyping

everydayOften when a inappropriatecomment is made individualsare not sure how to react.Although the remark may haveoffended them and others

individuals struggle to speak updue to embarrassment, and notwanting to hurt someone'sfeelings or cause a scene.

Standing your ground caneducate, provide feedback, andmake your limits on respectableways of interacting clear to theother person.

niversity of Victoria , 2010)


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Specifically, in a calm and respectful way:

describe the behaviour that is offensive

express your feelings about its effects (own your emotions, forexample, I felt this way, when you said ...)

surface and clarify assumptions (I need to clarify what you meantand let you know that ...)

discuss and acknowledge intents (I think it is important to talkabout what you said because I am concerned these remarks feedracism and stereotyping, or ...)

set limits (It is not okay to make that type of remark because it isdisrespectful, so please do not do so around me any more. I wouldalso appreciate you taking some time to think about all of this.)

niversity of Victoria , 2010)


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module 7 cultural safety

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