Assessing cultural safety in Aboriginal and Torres Strait Islander Health

Liz Withall, Courtney Ryder, Tamara Mackean, Wendy Edmondson, David Sjoberg, Dennis McDermott, Annabelle Wilson

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Objective: The aim of this study was to explore how nurses and midwives (trained at Flinders University in Adelaide) from rural, remote and urban locations view the impact of cultural safety training on their practice and the extent to which they incorporated cultural safety principles into their practice. Design: qualitative research study. Setting: rural, remote and urban locations across Australia. Participants: Nurses and midwives who had undertaken cultural safety training at Flinders University as part of their undergraduate degree. Methods: Participants were recruited for semi-structured interviews. Interviews were recorded and transcribed verbatim. Transcripts were coded independently by members of the research team. Main outcome measures: The use of cultural safety principles in participants' practice, and the extent to which they were applied, was determined. Barriers and enablers to enacting cultural safety in the workplace were also identified. Results: 10 individuals participated in an interview (7 nurses and 3 midwives). The Modified Monash Model was used to classify participant location with the following observed: MM1, six; MM2, two; MM5, one; MM6, one. 3 participants were from the Northern Territory and 7 from South Australia. Participants were at varying stages in their journey of cultural safety, ranging from early stages to those able to embody the Cultural Safety Principles and negotiate barriers to provide culturally safe care. Educational strategies for participants to progress their cultural safety journey were also identified. Conclusion: The extent to which cultural safety principles are applied in practice is diverse amongst the nurses and midwives that participated in this study, demonstrating that cultural safety is a journey and ongoing support is needed.

Original languageEnglish
Pages (from-to)201-210
Number of pages10
JournalAustralian Journal of Rural Health
Volume29
Issue number2
Early online date1 Apr 2021
DOIs
Publication statusPublished - Apr 2021

Keywords

  • Aboriginal and Torres Strait Islander
  • cultural safety
  • education
  • midwives
  • nurses

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