Williams R
Public Health Strategy Unit, Territory Health Services, Casuarina NT.
Aust N Z J Public Health. 1999 Apr;23(2):213-4. doi: 10.1111/j.1467-842x.1999.tb01240.x.
Culturally safe service delivery is critical in enhancing personal empowerment and, as a result, should promote more effective and meaningful pathways to self determination for Indigenous people. Little has been said about encouraging people from Indigenous groups into the health and education discipline(s) to help provide a safe environment which includes cultural safety. This is a phrase originally coined by Maori nurses which means that there is no assault on a person's identity. The people most able or equipped to provide a culturally safe atmosphere are people from the same culture. We need to move on from the 'short term, cost effective, quick fix' approach to Indigenous issues, driven by economic imperatives, the clamouring of industry and conservative, hegemonic practices. To genuinely address the challenges of Indigenous health and education, the issue of cultural safety cannot be avoided. Critical reflection on experiential knowledge and defining or framing a debate on cultural safety is essential. This paper briefly examines some considerations for work practice.
提供具有文化安全性的服务对于增强个人赋权至关重要,因此,应为原住民促进更有效、更有意义的自我决定途径。关于鼓励原住民群体的人进入健康和教育领域以帮助提供包括文化安全性在内的安全环境,这方面几乎没有什么讨论。这是毛利护士最初创造的一个短语,意思是不对一个人的身份进行攻击。最有能力或最有条件营造文化安全氛围的人是来自同一文化的人。我们需要摒弃由经济需求、行业呼声以及保守、霸权做法驱动的针对原住民问题的“短期、成本效益高、快速解决”方法。为了真正应对原住民健康和教育方面的挑战,文化安全问题无法回避。对经验知识进行批判性反思并界定或构建关于文化安全的辩论至关重要。本文简要探讨了一些工作实践方面的考量因素。