What Did You Do?

Nursing Council New Zealand (2011) defines cultural safety as the effective nursing of a person from another culture by a nurse who has undertaken a process of reflection and recognizes the impact of the nurses culture on own nursing. Irihapeti Ramsden (1946-2003) introduced the term ‘cultural safety’ into the education requirements of New Zealand nursing during the year 1990 (Wepa, 2012). As a result of this, Ramsden produced a document named Kawa Whakaruruhau. The document outlined concerns surrounding Maori health within New Zealand. In response to the publication of Kawa Whakaruruhau the Nursing Council of New Zealand amended, in 1990, the standards of nursing and curriculum assessment processes to include cultural safety (Wepa, 2012). Ramsden and Spoonley (1994) discuss that during the

Firstly, the role of cultural competence in the nursing care of an Aboriginal client is significant. Culturally competent care is defined as “the explicit use of culturally

The main ideas that Lisa Bourque Bearskin is stating in this article is that nurses need to be more sensitive to cultural care. They need to be aware of the issues in healthcare and strive to remove any barriers for certain groups, such as the first nations, and they need to disrupt any unequal relations in the social, political and historical aspect of healthcare. The way this can be done is by shifting their thoughts from cultural competence to cultural safety by way of relational ethics. Cultural competence is explained as the knowledge, skills, and attitudes that nurses need to use to care for cultural differences. Another framework described cultural competence as going through the stages of cultural awareness, cultural knowledge, cultural skill, cultural encounter, and cultural desire. Cultural competency works very well when making policies in an agency but this view fosters a view of culture that does not encourage nurses to ask questions. (Bearskin, 2011) Cultural Competence causes different cultures to be put in a box, which cannot be done because cultures are constantly changing and every person’s culture is different. Culture is individual. Lisa Bourque Bearskin goes on to say that cultural safety is what nurses should use for ethical practice. In cultural safety, a nurse must strive to improve health care and its access for all people, while recognizing that there are many different cultures that have a right to be recognized. Bourque

64). Reflecting one owns practice is the first principle, and it is a critical part for nurses because it is a vital characteristic for achieving professional competence (Mann, Gordon & MacLeod, 2009). While minimising the power gaps between the nurses and the Indigenous patients is the next principle (Atkins, De Lacey & Britton, 2014). An Indigenous client view nurses to have more power more than them, thus acknowledging the Indigenous practices lessen the power imbalance (Durey & Thompson, 2012). Thirdly, in implementing cultural safety it is actually engaging sensitively with the patient to gain understanding of their viewpoint (Atkins, De Lacey & Britton, 2014). Some health care providers lack true engagement to the Indigenous clients in the health care settings (Ware, 2013). For an instance, the use of medical jargons and abbreviations while talking, a culturally safe nurse includes simple language or explanation that the patient can understand easily (Skellet, 2012). Additionally, having an Aboriginal and Torres Strait Islander health workers in health care facility can excellently build trust and can promote better engagement among Indigenous client (Hepworth et al,

Enabling people to learn throughout life and being able to prepare themselves for all of its stages is essential especially when it’s in relation to chronic illness and injuries. This has to be taught in school, home, work and communities. Action is required through educational, professional, commercial and voluntary bodies.

This assignment will demonstrate an understanding through an overview of the New Zealand Healthcare System including its purpose, how and why it was initially established. It will also discuss the impact that colonisation has had on Māori historically and how the effects are still problematic in New Zealand’s current society, which is evident through statistical information that is available on Māori Health and the socioeconomic status of the Māori people. It will also illustrate the principals within Te Tiriti o Waitangi that directly relate to the way pharmacy practices are maintained. Furthermore it will also discuss the roles of The Pharmaceutical Management Agency (PHARMAC) and the District Health Boards (DHBs) in delivering mechanisms for medicine delivery to the current pharmacy services that are provided.

We have all heard the cliché comment it takes all kinds of people to make this world. One of the unique aspects of nursing is the direct access to a large population of different and diverse cultures. An effective nurse considers concepts, relevant components and barriers of each individual culture; proficiently examining how being culturally competent can enhance their future practices.

Cultural Competence based on the Purnell Model can provide a comprehensive, systematic, and concise structure for learning and understanding the Palauan culture. Based on the previous paper regarding my Palauan friend, S.S., I will be discussing five areas where I can further improve my transcultural care pertaining to this specific community. These areas are in communications, high-risk health behaviors, nutrition, pregnancy and the childbearing practices, and death rituals (Purnell, 2014). Furthermore, I will present a reassessment of my culture competency to evaluate my learning that can positively affect the nursing care of individuals from diverse cultures represented by the Palauans.

Evidence of knowledge about the elements and principles of cultural competency and how they relate to your health profession.

The model of health being used will be the Te Whare Tapa Wha model. The Te Whare Tapa Wha – meaning strong house – is a Maori model of health which links the power and symmetry of four walls of a house to different aspects of health. There are four aspects of Te Whare Tapa Wha these are taha hinengaro (mental health), taha whanau (Family), taha wairua (spiritual) and taha tinana (physical). All four aspects relate to each other, and cannot contribute to health without the other, just like how walls of a house cannot contribute to holding the roof without each other (Durie, 1998). The 3 main themes that were expressed in the interview were her positive outlook on the condition, the importance of a wider support network and mainly how proper education on the condition can influence how the condition is

In 2007, the Royal New Zealand College of General Practitioners (RNZCGP) published a paper on cultural competence. It outlines the importance and necessity of this relational concept in patient care. Though it was written for physicians, the same concepts apply to nurses. When looking at the specifics of Maori care and the unfamiliarity within the health care system of the belief systems and habits of the Maori people. It is found that it contributes to the unwelcome, and uncomfortable feeling of the Maori towards the health care system and has led to poor patient interaction (p. 7). This was the case for the patient-nurse interaction in Mr. M’s circumstance. The nurses created an uncommunicative situation by stereotyping, rather than exploring the patients’ values. Had the nurses

People of old generations pass their cultures to the coming new generation. Culture can be seen here in everything like dance, fashion, artistry, music, behaviour, social norms, food, architecture, dressing sense, etc. India is a big melting pot having various beliefs and behaviours which gave birth to wide different cultures here.

Everyone should have equal rights and privilege to live and be treated fairly in every aspect of human life. Health in humans is the ability of each individual or communities to adapt and cope to challenges in relation to social, physical, or mental aspects. In this paper we will tackle about some of the common health inequalities that most Maoris and non-maoris have experienced while looking for healthcare services, and on how such healthcare inequalities can be reduced. New Zealand has a rich and fascinating unique history, depicting its early settlers from Maoris until the colonization of the British Crown. The discovery of New Zealand comes a long way back from more than 700 years ago. Learning ones history is like seeing the foundation of the past and how it actually get influenced by a lot of factors such as time, people, and many more. It all starts from the agreement signing of the Treaty of Waitangi or also called Te Tiriti o Waitangi in Maori language. It is a mutual agreement between the British crown and Maori tribes when the British crown claimed New Zealand as a colony in 1840 and it stays to be vastly significant in defining the connection between Māori and Pakeha (non-Maori) until present. The health status of aboriginal people internationally differs from their peculiar, historic, administrative, and public circumstances.

Consideration of cultural preferences to Maori or other sets of people are crucial to the department of counseling because counseling is best practice with good rapport and trust development. (Hirini, 1997). When one counselor is sensitive with Maori’s cultural background then this person will approach according to the client’s known social practice. Example, introduction and assessment cannot be established well when in the part of the counseling worker lacks proper commencement skills due to insensitivity to one’s general upbringing or culture.

The decline in the use and status of te reo Māori is a legitimate concern in Aotearoa / New Zealand, and this essay will describe the historical development of this issue, justify this by critically examining the origins and historical events / whakapapa related, and identify the underlying attitudes and beliefs regarding this issue by Māori, Pākehā, government and other relevant groups about the events happened. The influence of this issue on the ongoing process and implementation of bicultural development in early childhood settings will also be explained and analyzed in detail. This essay will consider the issue from both historical and contemporary perspectives of Te Tiriti ō Waitangi/The Treaty of Waitangi, and link it to Te Whāriki and the whanaungatanga approach.