cultural safety and humility Flashcards
healthy equity
absence of avoidable and remedial differences, those with less may need a bit more to reach equivalent health outcomes
health equality
everyone gets the same
health inequity
socially constructed, unjust and avoidable differences in health and healthcare between and within groups of people
why is equity based care important
better patient health outcomes
equity based care benefits: clients
receive better care, trust the healthcare system, better health outcomes
equity based care benefits: providers
if you are able to help them or work with them to improve their health, feel accomplished, doing the right thing
equity based care benefits: organizations
positive press, saves money
3 components of equity based care
trauma and violence informed care, culturally safe care, harm reduction
trauma and violence informed care
focuses on understanding the impacts of trauma, creating environments that promote emotional and physical safety. Considering trauma when making decisions, making sure people have safe, comfortable access to health care
why is tvic important
moves us beyond individual pathology to focus on health and social service providers attention on structures and systems that cause the continuance of violence
structural violence
not physical, but not providing equal access to services, societies are organized in ways that grossly disadvantage some groups over others
vicarious trauma
negative reaction to trauma exposure and includes psychological symptoms that are similar to experiencing trauma directly
compassion fatigue
form of vicarious trauma when providers are affected by seeing the impact of the conditions of peoples lives, as well as by obvious acts of violence people suffer
intergenerational trauma
vicarious trauma people that have not actually experience but have seen it and suffer the effects, residential schools, violence passed down etc.
cultural safety
knowing your culture will not be judged, involves asking questions and being open to learn, not assuming, impossible to know everyones culture, decided by client
inherent power imbalance: cultural safety
between the health care or social service provider and the person coming to you for care, must take into account
cultural sensitivity
cultural safety moves beyond cultural sensitivity to place responsibility on care providers to create more culturally safe environments
shifting attention away from cultural differences : cultural safety
shift attention away from cultural differences as the source of the problem to the culture of health care as the site when health providers can take acton to create safety for all
cultural humility
“lifelong process of self reflection and self critique to understand personal bias and to develop and maintain respectful partnerships based on mutual trust. Cultural humility involves humbly acknowledging oneself as a learner when it comes to understanding another’s experience
why focus on cultural safety for indigenous people
indigenous people in Canada have and continue to experience the most profound impacts of colonization, including deliberate destruction of Indigenous cultures and languages, removal from their lands, and apprehension of Indigenous children by the state. Canadian society has a long way to go to try to repair these wrongs, and like other systems in Canada, health care creates and maintains systemic racism and negative stereotypes about Indigenous people.
harm reduction
philosophy and set a programs and services, focusing on preventing the harms of substance use, not reducing substance per se, viewing substance use as a health issue, evidence based repsonse
Practicing harm reduction means
accepting people, no judgement, emphasizing dignity, compassion, challenging policies and practices that cause unnecessary harm
