CULTURAL SAFETY FRAMEWORK - NATSIHWA

1 CULTURAL SAFETY . FRAMEWORK . NATIONAL aboriginal . AND TORRES STRAIT. ISLANDER HEALTH. WORKERS ASSOCIATION. THE NATIONAL aboriginal AND TORRES. STRAIT ISLANDER HEALTH WORKERS. ASSOCIATION ( NATSIHWA ) DEVELOPED. THEIR CULTURAL SAFETY FRAMEWORK . IN 2013 TO INCREASE THE CAPABILITY. WITHIN THE HEALTHCARE SYSTEMS. TO DELIVER CULTURALLY SAFE AND. RESPONSIVE HEALTH AND WELLBEING. SERVICES FOR aboriginal AND TORRES. STRAIT ISLANDER PEOPLES. If you would like to know more about NATSIHWA 's Explanatory note: Throughout this document we refer to aboriginal activities please visit our website: and/or Torres Strait Islander Health Workers as ATSIHW and 1800 200 800 aboriginal and/or Torres Strait Islander Health Practitioners as ATSIHP.

2 This abbreviation is used only for the purposes of National aboriginal and Torres Strait Islander readability and we pay respect to the full names and titles of our Health Workers Association Limited members and the profession Suite 2, Level 1, 31-37 Townshend Street PHILLIP ACT 2606. ABN 61 138 748 697. 2 | N AT S I H WA C U LT U R A L S A F E T Y F R A M E W O R K S U M M A R Y N AT S I H WA C U LT U R A L S A F E T Y F R A M E W O R K S U M M A R Y | 3. family from another culture by NATSIHWA , through its In addition, for healthcare a healthcare professional who membership.

3 Have identified systems and health has undertaken a process of a number of strategies as professionals to work reflection on their own CULTURAL being crucial to enhancing and effectively and in collaboration CULTURAL SAFETY IS ABOUT COMMUNITY AND identity and recognises the maintaining CULTURAL SAFETY in with aboriginal and Torres INDIVIDUAL EMPOWERMENT TO MANAGE ONE'S impact their culture has on their aboriginal and Torres Strait Strait Islander peoples, it is OWN HEALTH AND WELLBEING AND SOCIAL ISSUES. own practice iv.

4 Islander healthcare contexts: critical they understand that communities and their peoples IN PRACTICE, CULTURAL SAFETY REQUIRES HEALTH CULTURAL SAFETY on a continuum The need to achieve balance are not all the same and that SYSTEMS TO EXAMINE THEIR OWN PRACTICES of care with CULTURAL awareness between academic and/. there is no single culture, or clinical expertise and IN ORDER TO BREAK DOWN THE BARRIERS TO being the first step in the learning process (which aboriginal and Torres Strait homogenous worldview, ACHIEVING CULTURAL UNDERSTANDING AND involves understanding Islander CULTURAL knowledge.)

5 Experience or reality. What may RESPONSIVENESS. difference), CULTURAL sensitivity work is one community may The universal application and not necessarily work in the next being a next step (where self implementation of CULTURAL so methods of engagement THE PURPOSE OF THIS PAPER IS TO EXPLAIN THE exploration occurs), CULTURAL SAFETY across the workplace. and practice must be both EXPRESSIONS USED IN THE ORIGINAL CULTURAL competence, and CULTURAL SAFETY being the final outcome Embedding the principles localised and contextual.

6 SAFETY FRAMEWORK . IT IS NOT INTENDED TO of this is a of CULTURAL SAFETY ' within the DISTRACT FROM OR UNDERMINE THE ORIGINAL dynamic and multidimensional accreditation of all health DOCUMENT BUT TO EXPOUND ON THE CONTENT, process where an individual's professional practice and PRINCIPLES, DEFINITIONS, AND EIGHT CRITICAL place in the continuum can health services. DOMAINS SET OUT IN THE CULTURAL SAFETY change depending on the An awareness of the FRAMEWORK . setting or community v. importance and applicability i Nursing Council of New Zealand (2002), Guidelines of both verbal and non-verbal for CULTURAL SAFETY in nursing and midwifery.

7 CREATING SAFE aboriginal and Torres Strait Wellington: NCNZ. & CULTURALLY ii Nursing Council of New Zealand (2002), Guidelines RESPONSIVE Islander communication for CULTURAL SAFETY in nursing and midwifery. WORKPLACE styles. Wellington: NCNZ. ENVIRONMENTS iii The Royal Australasian College of Physicians Recognition and respect for November (2004), Paper was developed for the aboriginal and Torres Strait Islander Mentoring PURPOSE needs to be done nationally CULTURAL SAFETY strategies A safe and culturally responsive CULTURAL obligations, CULTURAL Program of the Australian Indigenous Doctors to embed CULTURAL SAFETY and are embedded within the workplace environment is one validation, and CULTURAL Association (AIDA)

8 And the Royal Australasian College of Physicians (RACP). NATSIHWA considers it critical respect across all health processes and policies to that acknowledges, respects, credentialing within CULTURAL iv The Royal Australasian College of Physicians to increase the understanding services, and creating culturally increase health outcomes for and accommodates difference. safe workplaces. November (2004),Paper was developed for the of the role and value of safe and responsive healthcare aboriginal and Torres Strait Cross CULTURAL training aboriginal and Torres Strait Islander Mentoring Program of the Australian Indigenous Doctors aboriginal and Torres Strait Acknowledgement of for aboriginal and Torres Strait Islander peoples.

9 Programs, strategies and Association (AIDA) and the Royal Australasian Islander Health Workers and respect for CULTURAL College of Physicians (RACP). Islander people requires a other transforming workplace across the health system. protocols within gender v AIDA Position Paper CULTURAL SAFETY for aboriginal coordinated cross-sectoral CULTURAL SAFETY tools have slowly gained specific services. and Torres Strait Islander Doctors, Medical Therefore they established the approach to achieve this goal. A DEFINITION traction in the private and Students and Patients.

10 CULTURAL SAFETY FRAMEWORK public healthcare workplace CULTURAL SAFETY is the outcome (the FRAMEWORK ) for the CULTURAL SAFETY of education that enables domain with each, in their purpose of identifying and PRINCIPLES own way, designed to create safe services to be defined by providing practical guidance a better understanding and The CULTURAL SAFETY FRAMEWORK those who receive the service' i. for the development and awareness of respecting is underpinned by the following 'Unsafe CULTURAL practice is implementation of CULTURAL and accommodating CULTURAL set of enabling principles: any action which diminishes, difference and diversity.