module 7 cultural safety
TRANSCRIPT
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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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