Richardson Sandra, Williams Tracey, Finlay Annette, Farrell Marrilyn
University of Otago, Christchurch.
Nurs Prax N Z. 2009 Nov;25(3):27-36.
Cultural safety is a concept that emerged within the New Zealand nursing context. The purpose is to ensure that nursing practice is congruent with the aims and objectives of the Treaty of Waitangi (the founding document between Maori and the Crown) and so facilitates the nursing of patients regardful of all that makes them unique and individual. While cultural safety has continued to develop since its inception in the 1980s, there remains relatively little research looking at its application in practice. This is due in part to the core element that recognises that only the recipient of care can determine if cultural safety has occurred. There are inherent difficulties in questioning patients about the quality of their care from a cultural safety perspective. One of these is the uncertainty around the public perception and understanding of cultural safety together with the implications of asking a vulnerable group to comment on this aspect of care. An alternative to asking patients to comment on whether they received culturally safe care is to consider the perceptions of health care professionals regarding this concept. This paper presents the results of a small study aimed at eliciting the beliefs and attitudes of a group of senior nurses with respect to the concept of cultural safety, and their perception of its role in clinical practice. It was undertaken as a preliminary to a wider survey.
文化安全是一个在新西兰护理背景下出现的概念。其目的是确保护理实践与《怀唐伊条约》（毛利人与英国王室之间的创始文件）的宗旨和目标相一致，从而在护理患者时充分考虑到使其具有独特个性的所有因素。自20世纪80年代文化安全概念产生以来，它一直在不断发展，但针对其在实践中的应用的研究仍然相对较少。部分原因在于其核心要素，即只有护理接受者才能确定文化安全是否实现。从文化安全的角度询问患者其护理质量存在内在困难。其中之一是公众对文化安全的认知和理解存在不确定性，以及要求弱势群体对护理的这一方面发表评论所带来的影响。除了询问患者他们是否接受了具有文化安全性的护理之外，另一种方法是考虑医疗保健专业人员对这一概念的看法。本文呈现了一项小型研究的结果，该研究旨在了解一组资深护士对文化安全概念的信念和态度，以及他们对其在临床实践中作用的认知。该研究是作为一项更广泛调查的前期准备工作进行的。
