Faculty of Health, School of Nursing, Queensland University of Technology, Brisbane, Australia.
Faculty of Health, Engineering and Sciences, School of Nursing and Midwifery CF FACN FAAN, Head Indigenous Research and Community Engagement, University of Southern Queensland, Ipswich, Queensland 4305, Australia.
Contemp Nurse. 2022 Feb;58(1):71-81. doi: 10.1080/10376178.2022.2051572. Epub 2022 Mar 25.
The nursing/midwifery professions are facing a sea change with the inclusion of cultural safety in the Code of Conduct for Registered Nurses [Nursing and Midwifery Board of Australia. (2018a). . Retrieved January 30, 2021, from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx], the Code of Conduct for Midwives [Nursing and Midwifery Board of Australia. (2018b). . Retrieved January 30, 2021, from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx], the Registered Nurse Accreditation Standards (Australian Nursing and Midwifery Accreditation Council. (2019). . Retrieved from https://www.anmac.org.au/), and the Midwife Accreditation Standards [Australian Nursing and Midwifery Accreditation Council. (2021). . Retrieved from https://www.anmac.org.au/standards-and-review/midwife]. In this paper, we focus on the theme of enabling cultural safety seeking to overcome the barrier of confusion surrounding it. The inclusion of cultural safety in codes and accreditation standards highlights the pressing need for these professions to attain deep understanding of cultural safety so that clinicians and educators can confidently practice and teach in this area. This need is underscored by the context of heightened awareness, that developed amongst mainstream Australians with Black Lives Matter in 2020, of inequity including health inequity. Our concern as academics responsible for staff development, curriculum development and implementation in university Schools of Nursing/Midwifery is to enable and support the teaching and practice of cultural safety. Its focus on working in partnership, addressing power imbalances, racisms and related systems of discrimination constitutes it as a vastly different model to cultural other-awareness and notions of cultural competency which have held sway on matters of culture in health service provision up to now. Our approach was to undertake a reflection on our combined decades of studying, leadership, teaching, and practice of cultural safety, which consistently showed the confusion in Australia about the model overall and about the definition of culture underpinning it. This paper supports the profession by addressing the need to educate academics and clinicians on cultural safety itself and on the role of all nurses/midwives, Indigenous and non-Indigenous, in these endeavours. This paper encourages a coherent development and confident implementation of cultural safety curriculum and practice to meet current requirements.
护理/助产学专业正面临着一场重大变革，因为《注册护士行为准则》[澳大利亚护理和助产委员会。（2018a）。. 检索于 2021 年 1 月 30 日，来自 https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx]、《助产学行为准则》[澳大利亚护理和助产委员会。（2018b）。. 检索于 2021 年 1 月 30 日，来自 https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx]、《注册护士认证标准》（澳大利亚护理和助产认证委员会。（2019 年）。. 检索自 https://www.anmac.org.au/）和《助产学认证标准》[澳大利亚护理和助产认证委员会。（2021 年）。. 检索自 https://www.anmac.org.au/standards-and-review/midwife]中都包含了文化安全内容。这些准则和认证标准中纳入文化安全内容，突显了这些专业人员需要深入了解文化安全的迫切需求，以便临床医生和教育者能够在这一领域自信地实践和教学。这一需求是由主流澳大利亚人在 2020 年因“黑人的命也是命”运动而对不平等现象（包括健康不平等）的认识不断提高所决定的。我们作为负责员工发展、课程开发和大学护理/助产学院实施的学者，关注的是使文化安全的教学和实践成为可能，并为其提供支持。其关注的是合作、解决权力失衡、种族主义和相关的歧视制度，这使其与迄今为止在卫生服务提供方面主导文化的文化他者意识和文化能力概念形成了巨大的不同模式。我们的方法是对我们多年来学习、领导、教学和文化安全实践进行反思，这些经验一直表明，澳大利亚人对该模式总体以及支撑该模式的文化定义感到困惑。本文通过阐述教育学者和临床医生了解文化安全本身以及所有护士/助产士，包括土著和非土著护士/助产士在这些努力中的作用，来支持该专业。本文鼓励在文化安全课程和实践方面进行协调发展和自信实施，以满足当前的要求。
