School of Nursing, Curtin University, Perth, Australia.
School of Nursing and Midwifery, The University of Newcastle, Ourimbah, Australia.
Contemp Nurse. 2022 Feb;58(1):33-42. doi: 10.1080/10376178.2022.2027254. Epub 2022 Jan 25.
Nurses and midwives predominately work in western-centric health care settings, which may not align with Indigenous perspectives of health and wellbeing. Nurses and midwives will also view care through their own cultural lens. Culturally inappropriate health care can reduce access and engagement in services and contribute to reduced health outcomes for Indigenous peoples. Australian codes of conduct for nurses and midwives now advocate for care that is holistic, free of bias and racism, challenges beliefs based on assumption, and is culturally safe for Indigenous peoples. However, there are varying understandings of cultural care, what it looks like, and how to best achieve it. To highlight the importance of cultural safety in health care and discuss the integration into nursing and midwifery practice. Discussion paper. Cultural safety has emerged in Australia as the framework to improve the access and quality of health care for Indigenous people and to improve disparities in health care outcomes. However, the application of these principles for nurses and midwives has not been widely explored. Misconceptions around the concept remain despite the inclusion in national standards and practice frameworks. Evaluation and research that contributes to evidence-based knowledge specifically on the integration of cultural safety in nursing and midwifery practice is required. This paper provides an overview of the importance of cultural safety in nursing and midwifery practice. Although cultural safety is now embedded in professional codes and standards, there is limited evidence of how this is translated to clinical care. Research and evaluation are needed to evaluate the application of cultural safety principles by nurses and midwives.
护士和助产士主要在以西方为中心的医疗保健环境中工作，而这些环境可能与原住民的健康和幸福观念不一致。护士和助产士也会从自己的文化视角看待护理。文化上不适当的医疗保健会降低服务的可及性和参与度，并导致原住民的健康结果下降。澳大利亚的护士和助产士行为准则现在提倡提供整体的、没有偏见和种族主义的护理，挑战基于假设的信念，并为原住民提供文化安全的护理。然而，对于文化护理的理解、它的样子以及如何最好地实现它存在差异。为了强调医疗保健中文化安全的重要性，并讨论将其纳入护理和助产实践。讨论文件。文化安全在澳大利亚已经出现，作为改善原住民获得和质量医疗保健的框架，并改善医疗保健结果的差距。然而，这些原则在护士和助产士中的应用尚未得到广泛探讨。尽管这些原则已经包含在国家标准和实践框架中，但人们对这一概念仍存在误解。需要进行评估和研究，为护理和助产实践中文化安全的整合提供循证知识。本文概述了文化安全在护理和助产实践中的重要性。尽管文化安全现在已经嵌入专业准则和标准中，但关于如何将其转化为临床护理的证据有限。需要研究和评估护士和助产士应用文化安全原则的情况。
