7th August 2020

Cultural Safety Publications 3rd – 7th August 2020

By DrMJLock

This week (Monday 3rd to Friday 7th) shows 28 publications that referenced cultural safety. The most interesting one for me is ‘Indigenous nurses’ practice realities of cultural safety and socioethical nursing” (unfortunately it’s #lockedupknowledge at $37.50).

Favourite quote: “Although time and redistribution of resources may contribute to culturally safe care, the data in this study highlight that an ethic of care through the lens of cultural safety is often not complex and labour-intensive; it involves willingness of nurses to ‘refocus their gaze’ beyond biomedical expediency and ethnocentric healthcare.”

Critical comment: Hunter and Cook (2020) base their research (n=12 interviews with Māori nurses) on a theoretical model developed by Pākehā man Martin Woods (Woods M. Cultural safety and the socioethical nurse. Nurs Ethics 2010; 17(6): 715–725). The “Woods Model” (below) looks interesting and I will delve into it more in a later post (probably much later!). At this stage, my interest lies in the methodology of production of the Woods model. It is the work of a single person based on a synthesis of literature and these two points signal, to me, are cause for ethical concern. Firstly, cultural safety is about relational knowledge construction processes (e.g. co-design) and, secondly, it is about privileging non-Western modes of knowledge synthesis (e.g. oral methods such as yarning). I see this approach often with literature reviews and review articles and I wonder if it’s right or wrong (I need help deciding)?

Martin Woods'(2010) Model of Culturally Safe Practice


Indigenous nurses’ practice realities of cultural safety and socioethical nursing (K Hunter, C Cook – Nursing Ethics, 2020)
 …The ‘socioethical’ nurse, who critiques professional power dynamics in cultural identity maintenance, understands the importance of relationships based on mutual trust and respect. cultural safety has an explicit moral rationale whereby safe,
effective care requires maintenance of these vital social phenomena….
Non-disclosure of drug use in outpatient health care settings: Findings from a prospective cohort study in Vancouver, Canada (LA Pearce, F Homayra, LM Dale, S Moallef, B Barker… – International Journal of Dug …, 2020)
… Disclosure of drug use was associated with lower quality of care. • There is a need for culturally safe and non-stigmatizing care to address pervasive stereotyping in the health care system towards Indigenous people and people who use drugs. • …
Blurred in Translation: The Influence of Subjectivities and Positionalities on the Translation of Health Equity and Inclusion Policy Initiatives in Aotearoa New Zealand (S Lee, FL Collins, R Simon-Kumar – Social Science & Medicine, 2020)
… For instance, the notion of ‘cultural safety‘, which requires practitioners to reflect on extant power structures and their own cultural identity, was introduced among nursing staff in the 1980s (Papps and Ramsden, 1996; Curtis et al., 2019). This
emphasis on cultural safety has, however, been partially superseded by a focus on cultural competence that became formalised in legislation governing health practitioners in the early 2000s…
Competencies required to prescribe medicines: embedding quality use of medicines into practice (NPS MedicineWise – 2020)
… Culturally safe practice is the ongoing critical reflection of health practitioner
knowledge, skills, attitudes, practising behaviours and power differentials in delivering
safe, accessible and responsive healthcare free of racism. …
The Cedar Project-Mobile Phone Use and Acceptability of Mobile Health Among Young Indigenous People Who Have Used Drugs in British Columbia, Canada …(K Jongbloed, ME Pearce, V Thomas, R Sharma… – JMIR mHealth and uHealth, 2020)
For young Indigenous people who use drugs, mHealth programs that take a culturally safe approach, including avoiding judgement of drug use and honoring Indigenous identities, may help to strengthen relationships with health care providers and engagement in care.
Understanding the client characteristics of Aboriginal residential alcohol and other drug rehabilitation services in New South Wales, Australia (DB James, KSK Lee, T Patrao, RJ Courtney… – Addiction Science & Clinical …, 2020)
Having established a best-evidence and culturally safe model of care for Aboriginal residential rehabilitation services, it was then important for ADARRN [Aboriginal Drug and Alcohol Residential Rehabilitation Network] to develop an evidence-based client assessment tool that could be integrated into routine clinical practice. 
Developing and Maintaining Interprofessional Teams in Rural and Remote Settings (T Smith, S Munro, M Moran – Sustainability and Interprofessional Collaboration, 2020)
… They must know and respect cultural, as well as professional boundaries and thus, practice in culturally safe, as well as physically, mentally and emotionally safe ways. Cultural links in …
Indigenous employees’ perceptions of the strategies used by mining employers to promote their recruitment, integration and retention (J Caron, H Asselin, JM Beaudoin – Resources Policy, 2020)
The Anishnaabeg denounced that certain beneficiaries took undue benefits
from the programs, as well as the lack of financial assistance, advertisement, encouragement and cultural safety.
Community Health and Wellness Fair: A strategy for Assessment of Social Determinants of Health, Inclusion and Engagement of Newcomers (K Salman, JM Turek, C Donovan – Journal of Community Health, 2020)
The research team, along with other providers and interpreters onsite, had the opportunity to meet and greet newcomers and their families and share food and social activities, creating a friendly atmosphere based on trust and security. Such an
approach created a culturally safe and non-threatening environment for recruitment and data collection.
Human Trafficking of Indigenous Women and Girls in Canada: A Review of State and NGO Prevention Efforts (D Turkington – 2020)
…Indigenous Gender Based Analysis Plus (IGBA+) approach….IGBA+ takes GBA+ and works through it using an Indigenous lens, recognizing intersectionality with Indigenous communities and peoples and how to approach GBA+ through a culturally safe and inclusive means…
Relationship Violence in Indigenous Populations (B Gurm – Making Sense of a Global Pandemic: Relationship …, 2020)
… This results in many Indigenous populations not having a sense of cultural safety. Systemic racism and power imbalances endured by any group can be addressed through cultural safety … 
A Cultural Change for Leadership Identities: Could Aboriginal Artists Reveal a Different Approach? (L Martin-Chew – Academy of Management Proceedings, 2020)
… Indigenous methodologies such as Please Knock before You Enter (Martin, 2009)
developed a research paradigm “founded on the principles of cultural respect and cultural safety and embedded in Aboriginal ontology, epistemology and axiology” …
Practitioner perceptions of the health of Australian First Nations’ Peoples: Preliminary findings (A Crouch, B Chew, G Freeman – Australian Journal of Rural Health)
… The inclusion of basic population health and culturally safe health systems
training in curricula for all genres of health practitioners appears …
Time to listen: Chronic disease yarning with Aboriginal and Torres Strait Islander peoples living in remote Australia (H Rheault, F Coyer, A Bonner – Collegian, 2020)
… The Australian national approach to health literacy (Australian Commission
on Safety & Quality in Health Care, 2015) does not yet illustrate the interaction
with cultural safety and cultural considerations. The delivery of culturally safe …
Perinatal and addiction mental health support (A Bocioaga – 2020)
… However, preliminary evidence suggests that culturally safe, strengths-based
interventions have the potential to support … values;(3) healing from
intergenerational, historical, and lifetime trauma;(4) building trust through …
National travel assistance entitlements are inaccessible to Whānau Māori. (B Masters-Awatere, S Murphy, TB Helmhout, K Flavell… – International Perspectives in …, 2020
… & Masters-Awatere, 2020).
Māori are a significant proportion of health service users, and it is imperative that the system is culturally safe and supports the overall healing process for patients and wider whānau. One way this …
New graduate physiotherapists’ perceptions and experiences working with people from culturally and linguistically diverse communities in Australia: a qualitative study (M Te, F Blackstock, P Liamputtong, L Chipchase – Physiotherapy Theory and Practice, 2020)
… Specifically, the ‘Physiotherapy Practice Thresholds in Australia and Aotearoa New Zealand’, a document that outlines the practice competencies of physiotherapists,
requires that registered and practicing physiotherapists always “consider each client as a whole, adopt clientcentered and family/whānau1 focused (where relevant) approaches, and prioritize cultural safety and cultural respect” (Physiotherapy Board of Australia and Physiotherapy Board of New Zealand, 2015). …
The ongoing effect of diabetes during pregnancy and the impact on infants (NA Strobel, D McAullay – The Lancet Regional Health–Western Pacific, 2020)
… Foodpricing. Google Scholar. ]. There have been many public health approaches that have been identified to improve hyperglycaemia during pregnancy such
as providing outreach programmes and diabetes prevention programmes whilst ensuring that culturally safe care is provided. …
Improving LGBTQ Cultural Competence of RNs Through Education (T Traister – The Journal of Continuing Education in Nursing, 2020)
… Cultural competence arose as a critical concept in the literature. The researcher included and considered the following terms as a variation of cultural competence: culturally congruent care, cultural safety, and transcultural nursing care…
Patient experiences of pictogram use during nurse-led rapid-access chest pain clinic consultations in regional Aotearoa New Zealand. (T Low, S Scott-Chapman, R Forrest – Nursing Praxis in Aotearoa New Zealand, 2020)
… level) by increasing clinician trust in the patient’s ability to provide accurate information and patient’s trust in the clinician’s ability to listen to and interpret what was being disclosed correctly, aligning well with the concept of cultural safety (Papps & Ramsden, 1996) …
From “Infant Hercules” to “Ghost Town”: Industrial Collapse and Social Harm in Teesside (L Telford, A Lloyd – Critical Criminology, 2020)
This article explicates the harms associated with deindustrialization in Teesside in the
North East of England in the context of neoliberalism. For some, however, harm, as a concept, requires its own ontological foundation. Tombs and Hillyard (2004) offer a typology of economic or fnancial harms, emotional or psychological harms, physical harms, and harms to cultural safety. This allows us to categorize harmful action but does not ofer a stable footing for understanding the nature of harm.
Developing pharmacist‐facilitated medicines review services for community‐dwelling Māori older adults in New Zealand–A qualitative study exploring stakeholder …(J Hikaka, R Jones, C Hughes, MJ Connolly, N Martini – Health & Social Care in the) …
… The right of Māori to receive medicines review and optimisation services,
delivered by culturally competent practitioners in a culturally safe manner,
to support the achievement of Māori health equity, has been articulated in …
Relationship Violence in Post-Secondary Institutions (B Gurm, J Marchbank – Making Sense of a Global Pandemic: Relationship …, 2020)
… As well, survivors need to be assisted using a cultural safety approach (see chapter 6) and be allowed to report anonymously and get assistance…
Trauma of young people in youth detention centres (T Jamieson)
… TIC is a strengths-based framework that is responsive to the impact of trauma,
emphasising physical, psychological, emotional and cultural safety and creates
opportunities for young people to rebuild a sense of empowerment and choice …
An Introduction to Relationship Violence (B Gurm – Making Sense of a Global Pandemic: Relationship …, 2020)
… This chapter outlines the collaborative and inclusive process of NEVR.
We describe the participatory action research (PAR) used to develop and maintain the committee focus and actions. Inclusion, cultural safety, and …
Mental Health and Wellbeing for Victoria’s Multicultural Communities Under COVID-19 (T Miletic – 2020)
… ECCV sees the recommendations for mental health system reform flowing
from the RCVMHS as the best opportunity to ensure the government targets
reforms for the delivery of equitable, inclusive and culturally safe mental …
Development of 6Cs of Caring (PR Calculator)
… The code of conduct considers some important issues such as harassment, bullying,
cultural safety and professional nurses.
Fabricating Identity (P Sharrad – A Companion to Textile Culture, 2020)
… She also humorously alludes to the manual labor of many Pacific Islander migrants when she produces something that looks like a traditional Maori rapaki cloak but which is made of bright orange and silver plastic straws and labeled “Cultural Safety Vest”(Ruki 2007) …

That’s it for this week:) Let me know if a link is broken: mailto:marklock@committix.com