• Subject Name : Nursing

Culturally Safe and Respectful Care to Aboriginals

Communication is found to affect the patient safety and experiences of the patient in the health care system. According to Kerrigan et al. (2020), with proper communication, there is the development of a strong relationship between the nurses or health professionals and the patients. It also helps in gaining trust so that the patient gives proper feedback on the care and the feelings of his/her treatment. With proper communication, the patient’s and the family members’ anxiety and stress can be resolved. The nurses should never judge the patient based on the patient’s origin, culture, language, or other grounds. This essay discusses the communication and nurses' behavior for culturally and respectful care.

If the patient is in a critical condition then it should be ensured that at first treatment is ensured to the patient rather than asking for the aboriginal. As in the scenario, the patient was in severe contractions of labor but the nurse asked about ticking of the aboriginal box in the check-list. If could have asked that later on, after the delivery of the patient when she was in a normal state. According to Ristevski et al. (2020), it is always advised to the health care providers to perform the tasks related to their patients only when the patents are in a normal and stable state. The nurses and health care staff are supposed to respect and treat every patient equally and they are allowed to judge any patient based on their culture and origin. Moreover, in the scenario the health care staff does not treat the patient as a normal patient, they looked at her in a bad way and communicated within an effective manner just only because she was an aboriginal. The patient felt awful about the behavior of the health care staff and felt that the health care staffs is considering her a patient who is taking advantage of her aboriginality for money and services in the hospital. This showed the biased care services for the aboriginal patient. However, in such cases, the health care professionals should follow the code of conduct as per the Nursing and Midwifery Board of Australia, to maintain lawful behavior and patent safety. So that, in labor no complications arise and the paper formalities should be performed after the operations when the patient is in a safe state.

In the second experience, the mother was so anxious and concerned for the child, and being an emergency nurse she knew that the condition of her wheezing child is getting worse. Still, the registered nurse asked to call the security rather than immediately informing the senior doctor to operate on the child. The stressed mother was told that the child will be assessed first; on this, the mother thought that it could worsen the child’s condition as the treatment will be delayed. As there was no proper communication with the mother because she was threatened with calls for security and she was also not treated respectfully. This shows that here if proper communication where the other’s dignity, concern, and stress were handled with effective communication. Then it could have resulted in the safe care of the patient and respect of the mother. According to Laverty et al. (2017), active listening, showing compassion, inspiring of trust, educating parents, and non-verbal communication should be performed in every case.

This helps in the respectful and culturally safe care of the patient with health experience in health care centers. As family members might know about the abnormality of their ill members which could be used as a sign of major clinical concern, therefore active listening is important. If the nurse does not show compassion for safe patient care then family members’ anxiety will increase (Bnads et al., 2020). As in this case, as the mother was an aboriginal in which the child is taken away from the family under a political simulation policy so she got stressed and as she was also not educated about the health issues of her child by the nurse, the experience becomes worse with health staff. Therefore, from the scenario, it was found that the barriers faced in nursing to communication are anxiety, pain, physical discomfort, nurse’s reluctance for communication, and lack of cultural knowledge.

The consequences for biased care are poor patient safety, lack of trust, poor feedback, conflicts in health care workplace, disrespect, poor communication, and many others. According to Jennings et al. (2018), the aboriginals often do not get culturally safe and respectful care because there are chances of lack of multidisciplinary team involvement, informed consent, educating patients or family members about the disease or treatment, poor access to health care services, and many others. However, with norms and policies of the government, a safe environment, respectful care, consideration of aboriginal patient’s wishes or demands, and access to health care is maintained. These ensure that the aboriginal patient can express his/her views openly to the health care staff with brief feedbacks. According to Gadsden et al. (2019), the patient should feel that he/she is being discriminated against on the basis of aboriginality due to the behavior of the health care staff. A culturally safe acre should be ensured where the patient gets services free of racism with avoiding stereotyped barriers, communication barriers, and respectful communication.

Aboriginals face many disparities and health inequities in health care. They are treated with a biased approach in the health care centers by the medical care providers. This sometimes delays their treatments, builds up stress, anger, anxiety, lack of trust, and many others. However, with proper communication where the aboriginal patient is explained about the medical process helps in preventing many cases where the patient can feel disrespected. Communication and care services with compassion, responsibility for patient safety, and quality care can help in improving the experiences of aboriginal with health care systems.

References for Culturally Safe and Respectful Care to Aboriginals

Bnads, H., Orr, E., & Clements, C. J. (2020). Improving the service to Aboriginal and Torres Strait islanders through innovative practices between aboriginal hospital liaison officers and social workers in hospitals in Victoria, Australia. The British Journal of Social Work, (6), 124-132. https://doi.org/10.1200/JGO.19.00109

Gadsden, T., Wilson, G., Totterdell, J., Willis, J., Gupta, A., Chong, A., & Maher, L. (2019). Can a continuous quality improvement program create culturally safe emergency departments for Aboriginal people in Australia? A multiple baseline study. BMC Health Services Research19(1), 222. https://doi.org/10.1071/PY17082

Jennings, W., Bond, C., & Hill, P. S. (2018). The power of talk and power in talk: A systematic review of Indigenous narratives of culturally safe healthcare communication. Australian Journal of Primary Health24(2), 109-115. https://doi.org/10.1093/bjsw/bcaa032

Kerrigan, V., Lewis, N., Cass, A., Hefler, M., & Ralph, A. P. (2020). “How can I do more?” Cultural awareness training for hospital-based healthcare providers working with high Aboriginal caseload. BMC Medical Education20, 1-11. https://doi.org/10.5694/mja17.00328

Laverty, M., McDermott, D. R., & Calma, T. (2017). Embedding cultural safety in Australia’s main health care standards. The Medical Journal of Australia207(1), 15-16. https://doi.org/10.1186/s12913-019-4049-6

Ristevski, E., Thompson, S., Kingaby, S., Nightingale, C., & Iddawela, M. (2020). Understanding aboriginal peoples’ cultural and family connections can help inform the development of culturally appropriate cancer survivorship models of care. JCO Global Oncology6, 124-132. https://doi.org/10.1186/s12909-020-02086-5

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