Cultural Safety

Question 1

What is cultural competence?

Answer 1

A set of principles which includes behaviours and attitudes within a profession that allows for effective working with people from different cultural backgrounds

Question 2

What are examples of cultural competence models?
(3)

Answer 2

The practitioner’s ability to care

An awareness of diversity

An open and non-judgements attitude

Question 3

What does Camphina-Bacote’s model say?

Answer 3

That health care professionals should see themselves as becoming culturally competent, rather than already being culturally competent. This allows them to learn new approaches ad adapting to changing situations over time

Question 4

What are the factors of the Camphina-Bacote model?
(5)

Answer 4

Cultural desire

Cultural awareness

Cultural knowledge

Cultural skill

Cultural encounters

Question 5

Why does cultural desire help with cultural competence?

Answer 5

It allows us to develop cultural competence

Question 6

Why does cultural awareness help with cultural competence?

Answer 6

It allows us to be self-aware of our own culture and how it could impact our approach in health and care situations

Question 7

Why does cultural knowledge help with cultural competence?

Answer 7

It allows us to understand the diversity of views

Question 8

Why does cultural skill help with cultural competence?

Answer 8

It allows us to have the ability to identify relevant cultural information and to understand variations between different and the same cultural groups

Question 9

Why do cultural encounters help with cultural competence?

Answer 9

It allows us to have the ability to engage with people from culturally diverse backgrounds

Question 10

What does good communication involve?
(5)

Answer 10

Open bodily posture

Maintaining eye contact

Using appropriate facial expressions, showing interest and responsiveness to what the patient is saying

Avoiding interruptions

Not being distracted by making notes while someone is speaking- the notes should be completed after the discussion has finished if possible

Question 11

What could affect confidentiality or privacy during an appointment?
(2)

Answer 11

Is the door open?

Is the consultation taking place behind a curtain or in an area where other staff or service users may be able to hear?

Question 12

What is an example of how the physical environment could affect the practioner-user relationship?

Answer 12

Physical barriers between the service user and the practioner, such as desks, could reinforce power imbalances

Question 13

What is cultural safety?

Answer 13

An environment which is safe for everyone,no matter what their identity is, who they are or what they need. This includes shared respect, shared meaning and shared knowledge

Question 14

What behaviours might show us that someone accessing health and care services doesn’t feel culturally safe?
(2)

Answer 14

They may feel disempowered and unable to access or take full advantage of the health and care services available to them

They may display behaviours of non-compliance or be reluctant to engage in communication surrounding their health or care needs

Question 15

What does a culturally safe approach to responsibilities mean?

Answer 15

That local and national healthcare services are inclusive

Question 16

What is social justice?

Answer 16

Seeing the barriers that people face (equality) and then what is needed to overcome them (equity) but also through action, trying to reduce the impact of the barrier or remove the barrier completely

Question 17

How can we deliver a culturally safe approach?
(3)

Answer 17

Understand the diversity profile of the population

Review health and care services and assess how inclusive their processes are

Match the health and social care services provided with the diverts of local needs

Question 18

What do we need to assess to make sure that we deliver a culturally safe approach?
(5)

Answer 18

Staff training and awareness on cultural safety and inclusive practice

Catering and nutrition

Washing and prayer facilities

Community advocacy

Methods for information giving and interpretation services

Question 19

What is equality?

Answer 19

Everyone benefits from the same support- equal treatment

Question 20

What is equity?

Answer 20

Everyone gets the support they need

Question 21

What is social justice?

Answer 21

Removing the cause of inequity, so no supports are needed

Question 22

What is the importance of self-reflection?

Answer 22

Being mindful of how our values and beliefs could impact the care we provide or how we interpret the behaviours or decisions of others

Question 23

What should we do to effectively communicate with patients?
(3)

Answer 23

Ask questions about cultures if you don’t understand

Treat everyone with respect regardless of their culture

Recognise that cultural differences and experiences can happen within the same culture

Question 24

Why might interpreters be needed?
(3)

Answer 24

So that health and care information can be understood by the person receiving care and their family

So that questions from both professionals, service users and their families can be answered

So that there’s an opportunity to explore health and care concerns, then work with the individual and their families to select the most appropriate, culturally safe choices

Question 25

Can family and friends be used as interpreters?

Answer 25

No

Question 26

Why can’t family and friends be used as interpreters?
(3)

Answer 26

There may be issues with confidentiality and not being able to have open dialogue with the individual

There’s potential for bias- certain information might be withheld or changed to avoid conflicts

Health and care professionals are responsible for ensuring that the correct information is shared and understood by the individual

Question 27

What do we do if no interpreter is available?
(2)

Answer 27

We should postpone the discussion of sensitive issues or intimate examinations

We should act in a way that protects the individual’s privacy and dignity

Question 28

How must the interpreter interact with the patient?
(3)

Answer 28

Face to face

By telephone

Online via phone or videoconferencing