Newspaper Article Search

 

1. Search for an article that provides evidence of culturally safe care in health care or between a nurse and client related to Culture and/or spiritual/religious safe care of the Indigenous peoples.

           and

   Post the article, summarize the main points of the article by citing  

   information from your article that demonstrates examples of      

   culturally safe care and your knowledge of cultural and spiritual 

    terminology.

 

PLAN

 

Plan to build your knowledge about culture and cultural competency.

 

ACT

 

You will look to the news and research a health care or nursing news article that demonstrates either the "lack" of or "support" of culturally and/or spiritually/religious safe care of the Indigenous people related to their own beliefs in the health care system.

 

speak to why or why not the article you chose provides example(s) that demonstrate

• culturally and/or spiritually/religious safe care of the Indigenous people.

 

If it does not demonstrate cultural and/or spiritual/religious safe care, as a nurse, how could you assist to promote this for your client, family and/or their community?

 

If it does demonstrate cultural/spiritual/religious safety and competency, how does it?

 

Search for an article that provides evidence of culturally safe care in health care or between a nurse and client related to Culture and/or spiritual/religious safe care of the Indigenous peoples and; Post the article, summarize the main points of the article by citing information from your article that demonstrates examples of culturally safe care and your knowledge of cultural and spiritual terminology.

ANS: This is the article I found that I believe demonstrates well the concept of cultural safety in healthcare specifically for the Indigenous people of British Columbia (BC). 

Article Title: B.C. rolls out new Indigenous-focused cancer strategy

Main points of the article which prove cultural safety include: 

1. Canada (B.C.) is rolling out a new strategy aimed at improving cancer care for the province's Indigenous people. 

2. According to the article, this initiative took years to be developed and is built on a partnership between the First Nations Health Authority (FNHA) and BC Cancer Agency, along with several other groups, which assures a multi-sectoral approach in provide safe healthcare for the indigenous people

3. The strategy is designed to tackle the disease from every angle — from prevention to treatment, and through to recovery — while maintaining a sensitivity to Indigenous culture.

4. This program is built with "cultural safety" for Indigenous peoples in mind, meaning it embraces the health and wellness perspective of Metis and First Nations people, and is grounded in holistic thinking.

5. This strategy is among the newest of its kind, and a crucial step in addressing cancer survival disparities among Indigenous people in British Columbia. 

6. Lastly, the proponents said they hope to use data to address structural racism that makes Indigenous peoples "invisible" in the healthcare system.

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PLAN

Plan to build your knowledge about culture and cultural competency.

ANS: To further expand our knowledge on culture and cultural competence, we must first understand the meaning of each. Culture can be defined as the "personal identification, language, thoughts, communications, actions, customs, beliefs, values, and institutions that are often specific to ethnic, racial, religious, geographic, or social groups." (Andruilis, 2007). 

Cultural competence in healthcare refers to the "ability of systems to provide care to patients with diverse values, beliefs and behaviors, including the tailoring of healthcare delivery to meet patients' social, cultural and linguistic needs." (AHA, 2015). Being a culturally competent health system requires behaviors, attitudes, and policies that support effective interactions in cross-cultural situations (Brach, 2012).

For both patients and providers, healthcare is defined through a cultural lens. An individual's cultural affiliations can affect where and how they seek care, how they describe symptoms, how they select treatment options, and whether they follow care recommendations (Saha, 2008). Similarly, providers bring their own cultural orientations, including the culture of medicine.

I believe that cultural competence translates to less medical errors and harms. In addition, cultural competence can have a powerful effect on another driver of patient safety outcomes - patient engagement (Butler, 2016). Cultural and linguistic competence strategies, such as provision of language assistance and the use of cultural brokers, can promote effective communication with diverse patients that is critical to engage them as collaborative partners in their care. Other interventions, such as cultural competence training, can increase understanding of what the patient is experiencing and give providers skills to bridge cultural differences and foster increased trust (Orgera, 2018). 

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ACT

You will look to the news and research a health care or nursing news article that demonstrates either the "lack" of or "support" of culturally and/or spiritually/religious safe care of the Indigenous people related to their own beliefs in the health care system. Speak to why or why not the article you chose provides example(s) that demonstrate culturally and/or spiritually/religious safe care of the Indigenous people. If it does not demonstrate cultural and/or spiritual/religious safe care, as a nurse, how could you assist to promote this for your client, family and/or their community?

ANS: One good news article that I found to exhibit the lack of cultural safety in healthcare: 

Title: Health care system was designed to subject Indigenous people to systemic racism: Minister Hajdu

Summary: 

1. In this news article it is said that the systemic racism endured by Indigenous people in Canada's health care system exists because the system was designed that way. 

2. The Minister says that sadly this is not shocking to him. For him, Racism is not an accident. The system is not broken. It was created this way. And the people in the system are incentivized to stay the same.

3. This meeting by the minister with some 400 participants from across the country was called following the death of Indigenous mother of seven Joyce Echaquan, who died in a Quebec hospital last month.

4. Lastly, in this news article, Echaquan was reported to record some of the last moments of her life on a video later released on Facebook. The video captured Echaquan screaming in distress, along with the voices of staff members making degrading comments, calling her stupid and saying she would be better off dead.

This article clearly provides us a picture of cultural harm that is going on in Canada today. In this article, it is highlight how the Minister reacts to the racial injustice through healthcare that was done against indigenous patient named Joyce Echaquan, who recorded her last moments in video and how she was maltreated by the healthcare professional who wanted her dead instead. 

In order to create a more culturally safe healthcare for the indigenous people, we must all first open our eyes and minds to the reality that as healthcare professionals, we swore to protect and provide care to all people, regardless of their color, their ethnicity, their origins, and their characteristics. This is the first step in order for us to fully provide culturally safe nursing care. Furthermore, developing culturally safe practice requires the capacity to make adjustments to services that accommodate culturally different needs. I high suggest that we perform the following in the care of the indigenous oeople, so that to ensure a culturally safe helathcare for all:

1. We must learn cultural consciousness or awareness of the constructs of one's own culture and recognition of unique and similar qualities of other cultural groups. Engagement with minority cultural groups is imperative to the process of cultural consciousness and building collaborative cancer control programs.

2. We must practice cultural appraisal or assessment to identify cultural domains of difference that need to be considered in the plan of person-family centred cancer care.

3. Lastly, we must undergo training for cultural safety skill development of appropriate behaviours, attitudes, and communication strategies that reduce the gap of inequities in cancer outcomes.