Post on 07-Jul-2020
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Whose problem? Whose responsibility?
Responsibility
Power
We would like to acknowledge the Traditional Owners of the country we are meeting on today, and extend that respect to Elders, past and present and future emerging generations.
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Ted X Michelle Deshong
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Legislation
In and out of house
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Cultural determinants of health
Cultural They build:
• stronger individual and collective identities
• a sense of self-esteem
• resilience
• improved outcomes across the other determinants of health, including:
– education
– economic stability
– community safety
Brown, N 2014, Overview of cultural determinants, The Lowitja Institute, Melbourne, <http://www.lowitja.org.au/sites/default/files/docs/Ngaire-Brown.pdf>.
“As a change agent, my centrality in the informal network is more important than my
position in the formal hierarchy”Helen Bevan, Chief Transformation Officer, NHS Improving Quality,
England
Should Indigenous knowledge's inform the dominant culture? “No, Indigenous knowledge should be the dominant culture.”
Michael Rose, Chair, Indigenous Engagement Taskforce, Business Council of Australia
Dr. Irahapeti Ramsden
Cultural Safety vs. Cultural Awareness
• Cultural Awareness :– Acknowledges differences – Doesn’t seek broader context or
understanding– The gaze is outwards – Comfortable– Very limited behavior change– Cultural Voyeurism
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Diverse Aboriginal Australia
Cultural Safety is ‘knowing thy self, the gaze is inward… not outward
to challenge clichés, myths & understand where they come from.
Cultural Safety is a life long journey
Analogy of why Aboriginal and Torres Strait Islander people
should decide..‘Men wouldn’t be asked if sexism was
eradicated, nor should women be asked to fix sexism. Similarly white
people wouldn’t be asked if racism has been eradicated and Indigenous
people shouldn’t be asked to fix it’ Dr Greg Phillips
What is dominant culture?
People born outside the dominant
culture
People born into
the dominant
culture
“It is just the way that
things are -this is
normal.”
“Living and interacting with the dominant
culture can be a very difficult experience.”
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Butchered in the name of science: 19th century politician Korah Wills admitted to killing and dismembering the body of
an Aboriginal
Signposts for cultural safety
ANMAC
Regulating systemic and provider risk
2018 Code of Conduct: Individual professional level
2nd edition 2018: Organisational
level
2018 Registered Nurse Standards
2014 Midwife Standards
2017 Enrolled Nurse Standards
2018 Cultural Safety Statement of intent
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Practice that promotes cultural safetyHealth professionals and administrators:
Practice that creates a lack of cultural safetyHealth professionals and administrators:
– have an awareness of their own culture, cultural practices and assumptions
– are unaware of own culture, cultural practices and assumptions
– have an awareness of how their own cultural practices and assumptions may be different from those of other cultural groups
– focus on understanding other cultures. Assume that people can be understood by studying their culture.
– use personal reflection to become aware of stereotypes and act to counter stereotypes
– are unaware of own stereotypes
NACCHO Governance and Member Support Initiative:
NGPGG
Harvard Project on Indian Economic Development
• Cultural safety • Promote the importance of Indigenous
governance.• Cultural Determinants
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Audre Lorde
https://occupymelbourne.net/tag/audre-lorde/ 30