Cultural Safety Flashcards
What is cultural competence?
A set of principles which includes behaviours and attitudes within a profession that allows for effective working with people from different cultural backgrounds
What are examples of cultural competence models?
(3)
The practitioner’s ability to care
An awareness of diversity
An open and non-judgements attitude
What does Camphina-Bacote’s model say?
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
What are the factors of the Camphina-Bacote model?
(5)
Cultural desire
Cultural awareness
Cultural knowledge
Cultural skill
Cultural encounters
Why does cultural desire help with cultural competence?
It allows us to develop cultural competence
Why does cultural awareness help with cultural competence?
It allows us to be self-aware of our own culture and how it could impact our approach in health and care situations
Why does cultural knowledge help with cultural competence?
It allows us to understand the diversity of views
Why does cultural skill help with cultural competence?
It allows us to have the ability to identify relevant cultural information and to understand variations between different and the same cultural groups
Why do cultural encounters help with cultural competence?
It allows us to have the ability to engage with people from culturally diverse backgrounds
What does good communication involve?
(5)
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
What could affect confidentiality or privacy during an appointment?
(2)
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?
What is an example of how the physical environment could affect the practioner-user relationship?
Physical barriers between the service user and the practioner, such as desks, could reinforce power imbalances
What is cultural safety?
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
What behaviours might show us that someone accessing health and care services doesn’t feel culturally safe?
(2)
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
What does a culturally safe approach to responsibilities mean?
That local and national healthcare services are inclusive
What is social justice?
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
How can we deliver a culturally safe approach?
(3)
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
What do we need to assess to make sure that we deliver a culturally safe approach?
(5)
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
What is equality?
Everyone benefits from the same support- equal treatment
What is equity?
Everyone gets the support they need
What is social justice?
Removing the cause of inequity, so no supports are needed
What is the importance of self-reflection?
Being mindful of how our values and beliefs could impact the care we provide or how we interpret the behaviours or decisions of others
What should we do to effectively communicate with patients?
(3)
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
Why might interpreters be needed?
(3)
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
Can family and friends be used as interpreters?
No
Why can’t family and friends be used as interpreters?
(3)
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
What do we do if no interpreter is available?
(2)
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
How must the interpreter interact with the patient?
(3)
Face to face
By telephone
Online via phone or videoconferencing