What Is Cross Cultural Nursing Intervention

I learned that Aboriginal seniors in Canada have more health care concerns than non-Aboriginal seniors and their needs are not well understood and were taken for granted by health care providers. I can apply in my nursing practice what I have learned from this topic that I will respect and acknowledge their culture and way of life. In addition to that, I will keep in mind that Aboriginal seniors needs more intensive support than non-aboriginal because of what they experienced at the reserved and residential schools. I want to learn more about their traditional practices

The current health system can be improved to further cater for Australian Aboriginals needs. When at a healthcare facility an Australian aboriginal should feel as if not only their physical well-being is being recognized but also there social, emotional and cultural well-being. Healthcare services should aim to provide the same quality of care to their indigenous patients and assist in giving them the best opportunities in life. I believe one way this can be done is through implementing health strategy’s that benefit the indigenous people. Throughout this essay the implementation of cultural competency training will be developed followed by my own reflections on how I would use this to aid my practice and how implementing this health strategy

In nursing school, we are normally taught that we should respect the dignity and rights of all clients. As the "world becomes reduced" and societies and individuals become more mobile, we are progressively able to network with people that are from other cultures. Cultural respect and competence for others becomes particularly significant for us as nurses and patient supporters. Applying the principles and theories of communication is important for sufficient patient care. A lot of various communication methods are executed and have diverse focuses. Small groups use mechanisms such as objectives, standards, cohesiveness, behaviors, and therapeutic issues. Duty, process and midrange groups are separate categories. Orientation, tension, cohesion, working and dissolution are stages groups go through. Successful personal and professional communication profits the patients and other health professionals; however, the lack of applicable communication can lead to poor patient results and a hostile and fruitless work setting (Doane, 2004). However, the cultural group targeted in this paper is the Native Americans because this group has become a challenge for public health nurses.

This essay will explore about creating a culturally safe delivery of health care services to the Aboriginal and Torres Strait Islander Australian. What are the various factors influencing the access to health care, and the journey towards achieving culturally safe practice for the Aboriginal Torres Strait Islander people. Likewise the concept and principles of cultural safety, that is fundamental in the Australian nursing and midwifery practice of the Aboriginal and Torres Strait Islander people.

Local Aboriginal community control in health is important as this classifies the Aboriginal entire health. Thus, it allows Aboriginal communities to find out their own relationships, protocols and procedures. NACCHO represents local Aboriginal community control at a national level. By making sure that Aboriginal people have a greater right of entry to valuable health care within Australia. A coordinated holistic response is provided by NACCHO from the community sector. Therefore, it is promoting for culturally respectful and approaches to needs requirement. This shows the improvement in health and wellbeing through ACCHSs with better outcome.

The outcome of cultural awareness and cultural sensitivity is cultural safety (Berg, 2010). In practicing cultural safety, it is not really expected that health care workers will know all cultures; it is acknowledging and respecting people regardless of their differences and beliefs (Hughes & Farrow, 2006). Moreover, nurses and other health professionals create cultural safe practice when the patients feel safe, respected and understood (Skellet, 2012), as well as if there is a shared understanding and acknowledgement of the unique identity and diversity. Health workers should always consider the cultural and historical background of the Aboriginal and Torres Strait Islander Australians, because practicing cultural safety is significant to

According to Vass, Mitchell, and Dhurrkay (2011), the incidence of chronic diseases such as type 2 diabetes, renal disease, cardiovascular disease and chronic obstructive airway disease among Indigenous Australians is quite significant. In addition, the presence of mental health conditions and infectious diseases such as scabies, skin infections and rheumatic fever has also attributed considerably to the disease burden (Vass, et al, 2011). As a disability support worker, I had the opportunity to look after indigenous clients. With my experience working with them, it shed some light on me with how they value their culture and gave me an insight on their view about health concerning issues. I had my misconceptions about how aboriginal people

The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning

Nurses have a perfect role in influencing, and in the distinctive position to encourage health for the Aboriginal and Torres Strait Islander people (Brascoupe, 2009). Thus, culturally safe care is a vital component in improving the health of the Indigenous population (Durey & Thompson, 2012). Likewise, the existence of an Aboriginal health worker (AHW) in partnership with non-Indigenous health providers especially in the primary health care settings carries matching skills to improve the health care and wellbeing of the Indigenous Australians (Abott, Gordon & Davison, 2008). The AHW are the main health professionals, valued and equal members of the health care team, they have an incomparable clinical skills in health promotion, education and leadership roles which has a great involvement in closing the gap between the non-indigenous and Indigenous Australian (Abott, Gordon & Davison, 2008). The strategy of employing Indigenous health professionals and health workers to encourage culturally safe care delivery works in addressing cultural competence, acceptability and appropriateness (Ware, 2013). Therefore, acceptable health care services works from cultural safety and respect, and allowing clients to maintain their cultural practices (Ware,

With this knowledge how can the Registered Nurse/ Midwife ensure that Indigenous people in their care are provided with culturally safe nursing care? (230

With the large increase multicultural population in the United States, nurses encounter patients with differences in healthcare beliefs, values and customs. To provide adequate nursing care, nurses must be aware of these differences. They must respect and acknowledge the patient’s culture. To do this, nurses need education on cultural competence to ensure patient satisfaction and better patient outcomes.

Cultural safety wasn’t an area of focus until the late 1900’s, according to the National Collaborating Centre for Aboriginal Health. Cultural safety focuses on building an environment where health care professionals respect all cultures, beliefs and practice. Cultural safety’s focus is that no one will be treated unfairly or discriminated against because of their identity of who they are and what culture they come from. We as potential workers in the health care system need to understand the concept of cultural safety and be aware of cultural differences that we will face. Living in a country with such ethnic diversity, nurses of Canada need to understand the matter of cultural safety, so patients feel they are accepted no matter their cultural

This encounter referred to as biculturalism, is an important aspect of cultural safety. This means that the interaction between a nurse and a patient is always considered bicultural as this involves the nurse’s culture and that of the patient’s. In this contact there is hidden power structure and a dominant culture (Henderson, 2003; Jarvis, 2012; Papps & Ramsden, 1996). As stated earlier, in New Zealand the colonisation British enabled them to dominate over all aspects of New Zealand’s way of life and culture, hence in the health care setting, the non-Maori culture prevails. As a culturally safe practice, nurses should learn to respect and acknowledge the culture of the care recipient whether it similar or different from them. Recipients of cares should be encouraged to participate and utilize their culture in managing their health and treatment (Papps & Ramsden, 1996). The nurse’s self awareness of one’s culture while acknowledging and respecting another’s is a fundamental requirement in order to practice cultural safety in nursing (Papps & Ramsden, 1996; Polaschek, 1998; Robinson et al., 1996).

The language barrier between healthcare professionals impacts the assessment of the Indigenous patient’s issues. This could lead to either treatment underdose or overdose. There is a dearth amount of people educated in this field, who would be keeping watch over the children. Insignificant reaching out to Indigenous children, letting them know there is help out there for them, is a key cause to developed issues later on (Lewis, L. Lockton, G. CUL00409 Study Guide March, 30. 2017). The different views on mental health well-being are the communicational barrier between the westernised and Indigenous views. These two perspectives result difficulties understanding each other when the situation is present. In my interpretation, I believe the integration between the two ideologies is minimal. One method to better understand the Indigenous and generate better insight would be to employee Indigenous people into the mental health wards. This will amplify the communication with the Indigenous people giving a better insight as they will be able to communicate better and understand from their perspective. This would hopefully create a more comforting and approachable environment for the Indigenous people to attend, as English is not their first language. A second method would be to create an annual check-up on indigenous families. A main issue is indigenous people who are unaware of their sickness and think they do not need to seek out help. With

Cultural and ethnic are challenges for the future. For all the people, age or cultural difference without looking, is guaranteed the opportunity to participate in society and to promote health. The nurses encounter different cultures of people in their work. This makes it important to study the multi-cultural nursing in health care programs. (Mäntyharju, E. & Siili, T. 2010.)