SOLUTIONS GRADED A++ LATEST UPDATE
Dr Irihapeti Ramsden
Bought about a revolution in the way the health system considers the cultrual context of
rhe patients it serves
History of cultural safety
1980 - Dr Ramsden developed Kawa Whalaruruhau or cultural safety in nursing
education
Kawa whakaruruhau and cultural safety
Focused on the importance of culture and provides for a holistic model of Māori health
care that moves beyond patients treatment and acknowledges interaction between
physical, mental, spiritual and whanau wellbeing
Cultural safety in nursing
Requires sector to consider Māori and other cultural identities that a patient brings with
them as they access health services
Principles of cultural safety
1. To reflect on your own practice is a critical aspect of culturally safe practice.
2. Engage in a conversation with the client to learn a bit about them.
3. Need to minimise the power differentials between yourself and your clients
4. Undertake a process of decolonisation.
5. Ensure that you do not diminish, demean or disempower others through your actions
, cultural awareness
Recognising that differences and similarities exist between cultures.
Learning about the impact on indigenous people in NZ is an important part of
developing cultural awareness
Cultural Sensitivity
Cultural sensitivity grows when we start to see the influences of our own culture and
acknowledge that we have biases.
Cultural sensitivity is NOT about treating everyone the same
Cultural safety competency
Cultural competency is about developing practical skills for interacting in respectful
ways with people who are different from us.
It does not require us to become experts in cultures from our own.
Cultural Safety Principles
Cultural safety is underpinned by communication, recognition of the diversity in
worldviews and the impact of colonisation processes in minority groups. Enables safe
appropriate and acceptable service that had been defined by those who receive it.
Cultural safety: principle one
Cultural safety aims to improve the health status of New Zealanders and applies to all
relationships
Cultural safety: principle two
cultural safety aims to enhance the delivery of health and disability services through a
culturally safe nursing workforce
Cultural safety: principle three