Culturally safe practice Flashcards
(22 cards)
Define Culture and how it is shaped
- Shared beliefs, values, practices and ways of being that emerge through interactions.
- Shaped by factors such as identity, age, socioeconomic status and ethnicity
What is personal culture?
- each individual has a unique culture shaped by their lived experiences.
What are professional and organisational cultures?
- defined by norms, values, language and knowledge systems specific to a field or organisation?
What is the dynamic nature of culture within organisations?
- shifts depending on interactions, environments and historical or social contexts
How is the idea of culture evolving?
- culture is not a static set of beliefs that remain unchanged over time
- it is a living dynamic process shaped by ongoing interactions
What does it mean if a culture is contested?
- Different groups have conflicting interpretations of what their culture means and how it should be expressed.
What does it mean when a culture is negotiated?
- groups continuously redefine their cultural identity as they interact with others.
Define dominant culture and what it shapes.
- set of values, beliefs, standards and systems that organise every aspect of our lives.
- shapes what is considered normal and what we see as important to health.
What is colonisation?
- the assumption specific knowledge is to justify interference and control of indigenous peoples lives.
What are individualistic cultures?
- those that stress the needs of the individual over the needs of the group as a whole.
- people are seen as autonomous and independent
what is a collective culture?
- stresses the importance of group goals
What is power distance?
- the extent to which the less powerful members of institutions and organisations expect and accept that power is distributed unequally.
what does it mean to have large power distance?
- emphasis on positional power & formal authority
- high dependents
what does it mean to have small power distance?
- emphasis on earned power - based on accomplishments
- inequalities among people should be minimised - treated as equals
Define high context and its value
- communication relies on context, non-verbal cues and implicit understanding.
- high value on relationships, trust
- rely on indirect communication.
what does it mean to have low context and its value?
- communication is more explicit and relies heavily on verbal expression
- valuable for clarity, precision and explicit communication
define cultural safety (Dr Irihapeti Ramsden (2002))
- challenges the idea that health systems and professions are neutral
- examine how power, privilege and historical factors shape health and healthcare.
- focus on power dynamics
When does cultural safety occur?
- when an environment is physically, socially, emotionally and spiritually safe
- questions the attitudes, behaviours and power held by the healthcare provider.
why do we use culturally safe practice?
- culturally inappropriate health care can reduce access and engagement in services and contribute to reduced health outcomes
- shown to improve patient experiences and make them feel supported, increasing access to indigenous knowledge
what is the term used when cultural safety is misunderstood?
- cultural competency
what does the view of cultural competency lead to?
- Homogenizing assumptions (treating all people from a group the same)
- ignoring the culture of the healthcare provider and the institution
- judging authenticity
- moralising health
What is biculturalism in cultural safety?
- it means acknowledging that every clinical encounter involves at least two cultures
- the culture of the healthcare professional and the culture of the patient
