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Author Mackay, Bev (and others)
Title Utilising the hand model to promote a culturally-safe environment for international nursing students Type Journal Article
Year (down) 2011 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 27 Issue 1 Pages 13-24
Keywords Cultural safety; Nursing education; International students; Hand model
Abstract Backgrounds and describes the Hand Model, developed by a nurse teacher to assist her in teaching cultural safety, and suggests its potential to provide a framework for creating a culturally-safe environment for international students in NZ, including those aspects of cultural safety specific to NZ.
Call Number NZNO @ research @ Serial 1461
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Author Mortensen, Annette
Title Cultural safety : does the theory work in practice for culturally and linguistically diverse groups? Type Journal Article
Year (down) 2010 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 26 Issue 3 Pages 6-16
Keywords Cultural safety; Cultural and lingulistic diversity (CALD); Asian, refugee and migrant groups
Abstract Critically examines the theoretical base of the cultural safety guidelines for nursing practice with respect to culturally and linguistically diverse (CALD) groups. Poses two questions: have the guidelines led to culturally-safe nursing practice in health care for CALD groups; have the guidelines contributed to provision of culturally-acceptable health care for CALD groups?
Call Number NZNO @ research @ Serial 1457
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Author Richardson, Sandra
Title Senior nurses' perceptions of cultural safety in an acute clinical practice area Type Journal Article
Year (down) 2009 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 25 Issue 3 Pages 27-36
Keywords Cultural safety; Attitudes and beliefs; Senior clinical nurses; Nursing perceptions
Abstract 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.
Call Number NZNO @ research @ Serial 1449
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Author DeSouza, R.
Title Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand Type Journal Article
Year (down) 2008 Publication Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages 125-135
Keywords Cultural safety; Nursing models; Cross-cultural comparison; Maori
Abstract The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process.
Call Number NRSNZNO @ research @ 943 Serial 927
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Author Lewis-Clarke, G.M.E.
Title Whanau and whanaungatanga issues affecting Maori achievement in tertiary nursing education Type Report
Year (down) 2007 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Maori; Nursing; Education; Students; Cultural safety
Abstract
Call Number NRSNZNO @ research @ Serial 804
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Author Leeks, O.
Title Lesbian health: Identifying the barriers to health care Type
Year (down) 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Attitude of health personnel; prejudice; cultural safety
Abstract Homosexuality has been practiced since ancient times, but through the centuries this expression of sexual identity has moved from being acceptable to unacceptable and finally regarded in a contemporary era as a mental health problem that needed to be, and it was thought could be, cured. This paper focuses on the barriers that lesbian women perceive when wanting to access health care. Most of the research about lesbian women has been conducted in the United States with some in the United Kingdom, Canada and New Zealand. Through reviewing the available literature and grouping common themes, the author identifies three main barriers to health care that exist for lesbian women. Firstly, ignorance or insensitivity of the health care professional about the specific health care needs of this client group; secondly, homophobia or heterosexism that may be present in the health care environment; and thirdly the risk of disclosing one's sexual orientation. These barriers are discussed using the concepts of cultural safety and nursing partnership. The author concludes that the negative health care experiences that lesbian women encounter leave them feeling vulnerable and fearful. This fear and stigmatisation has resulted in lesbian women becoming an 'invisible' community. It is the assumption of heterosexuality that immediately places the lesbian woman at a disadvantage and this potentially may produce missed opportunities to provide individualised care to the lesbian client. The purpose of this work is to encourage discussion within nursing to challenge attitudes and the approach to women who identify as lesbian. The author hopes that this paper will contribute to the increasing body of knowledge in regard to this client group.
Call Number NRSNZNO @ research @ Serial 816
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Author Hughes, F.; Farrow, T.
Title Caring for obese patients in a culturally safe way Type Journal Article
Year (down) 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 4 Pages 14-16
Keywords Nursing models; Obesity; Cultural safety
Abstract The authors review the contemporary notion of obesity and suggest that the nursing approach, with an emphasis on treatment, are shaped by a culture located within “western” views of ideal body shape. The biomedical framework regards obesity as disease and obese people as the cause of their own health problems. The authors note varying cultural interpretations of obesity, and suggest that by viewing obesity as a disease, the cultural, social or economic determinants of obesity are not acknowledged. Nursing needs to broaden the concept of the categories of difference to respond in a culturally safe way to obesity. Cultural safety asks that nurses care for people “regardful” of difference. This means nurses must reflect on the care given, so that the biomedical model is not just replicated. Nurse-led clinics offer an opportunity for practices based on nursing values of care and cultural safety. Such clinics are based on nursing's social model of health, rather than a biomedical, disease-focused model.
Call Number NRSNZNO @ research @ 994 Serial 978
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Author McEldowney, R.A.; Richardson, F.; Turia, D.; Laracy, K.; Scott, W.; MacDonald, S.
Title Opening our eyes, shifting our thinking: The process of teaching and learning about reflection in cultural safety education and practice: An evaluation study Type Report
Year (down) 2006 Publication Abbreviated Journal
Volume Issue Pages
Keywords Cultural safety; Nursing; Culture
Abstract The purpose of the research was an evaluation of practice exemplars as a reflective process in teaching and learning about cultural safety. Six Maori, two Pacific and five Pakeha students, ranging in age from 30 to 40, took part in the research. The research findings revealed five sub themes: personal safety, power/ powerlessness, reflection, teaching and learning and cultural safety. The presentation, while acknowledging that cultural safety shared some commonalities with culture care theory, highlighted differences between the two. These included that cultural safety was explicit in identifying the inherent power of the nurse in health care relationships; related to the experience of the recipient of nursing care, and extended beyond cultural awareness and sensitivity; provided consumers of nursing services with the power to comment on practices; and contributed to the achievement of positive outcomes and experiences for them. It outlined the characteristics of a culturally safe nurse as a nurse who had undertaken a process of reflection on her/his own cultural identity and who recognised the impact their personal culture had on client care.
Call Number NRSNZNO @ research @ 693 Serial 679
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Author Ramsamy, K.
Title Colonisation: The experience of a psychiatric nurse through the lens of reflective autobiography Type
Year (down) 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Cultural safety; Colonisation; History; Nursing
Abstract The author points to the oppression of colonisation living on in the daily lives of colonised people, and goes on to say that it is vital for nurses to understand the effects of that oppression, as well as the restrictive impacts, and dislocation from one's land and culture to-day. Nurses come from both the descendants of colonisers and the colonised. This thesis is a journey and a quest for insights into the impacts and significances of colonisation by looking at historical and socio-political contexts that have bearing on the health of colonised people who remain mostly powerless and marginalised. It is prompted in response to a cultural safety model which advocates that nurses should become familiar with their own background and history in order to be culturally safe in practice. This reflective autobiographical account is a personal effort and provides the foundation for an exploration of issues during nursing practice encounters, from a colonised ethnic minority perspective. The method was informed by Moustakas research approach and Johnstone's Reflective Topical Autobiographical process. The selection of specific events are deliberate, to make visible some of the many barriers that exist within our health structures as pertinent issues for non-dominant cultures that remain on the margin of our society. Maori issues provide a contrast and became a catalyst for the author while working for kaupapa Maori services. The intention of this thesis is to generate new knowledge about what it means to be a nurse from an ethnic minority working in a kaupapa Maori mental health service, and to encourage other nurses to explore these issues further. Some recommendations are made for nurses in the last chapter.
Call Number NRSNZNO @ research @ 739 Serial 725
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Author Greenwood, S.; Wright, T.; Nielsen, H.
Title Conversations in context: Cultural safety and reflexivity in child and family health nursing Type Journal Article
Year (down) 2006 Publication Journal of Family Nursing Abbreviated Journal
Volume 12 Issue 2 Pages 201-224
Keywords Cultural safety; Nursing; Education; Curriculum; Nursing philosophy; Teaching methods; Biculturalism
Abstract This article outlines some key aspects of the practice of a number of nurse educators and researchers, and their commitment to the needs of their specific region. The group has been based at the Waikato Institute of Technology (WINTEC) over the last decade and have worked collaboratively across primary health, cultural safety, and child and family health domains of the nursing curriculum. They share a common philosophy underpinned by notions of diversity and health equity. The philosophy informs their theoretical inquiry, practice and research interests, and pedagogical concerns. In this article, the nurse researchers begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They then consider the destabilising effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses.
Call Number NRSNZNO @ research @ Serial 883
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Author Smye, V.; Rameka, M.; Willis, E.
Title Indigenous health care: Advances in nursing practice Type Journal Article
Year (down) 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 22 Issue 2 Pages 142-154
Keywords Cultural safety; Transcultural nursing; Cross-cultural comparison; Nursing; Education
Abstract In this introduction to a special issue on nursing with indigenous peoples, the authors affirm the need for continued application of tools and strategies for thinking critically about issues of culture, history and race. Without these things, evidence of discriminatory policies and practices in the health system remain hidden to many health professionals. Attention to socio-political structures is as essential to promoting health and preventing illness as are nurses' activities with the individual clients. To develop critical consciousness in nursing requires educational strategies and frameworks that focus on the responsibilities and implications of practicing nursing in a postcolonial context where race and power continue to create patterns of inclusion and exclusion in health care settings. The authors suggest that many contemporary nursing programmes fail to provide such strategies and frameworks, and argue that nursing must view critical analyses of these issues as central aspects of nursing education, research, theory and practice. They go on to engage with the notion of cultural safety as a means of fostering a critical political and social consciousness in nursing to create an opportunity for social transformation.
Call Number NRSNZNO @ research @ Serial 1037
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Author Arcus, K.J.; Wilson, D.
Title Choosing Whitireia as a political act: Celebrating 20 years of a nurse education at Whitireia Community Polytechnic 1986-2006 Type Journal Article
Year (down) 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 13 Issue Pages 12-24
Keywords Cultural safety; Curriculum; Nursing; Education
Abstract In 2006, Whitireia Community Polytechnic celebrates 20 years of tertiary education. Nursing was one of the first courses to start at the new Parumoana Community College in February 1986. Oral histories, gathered from the women who have been the leaders of the undergraduate nursing programme throughout these two decades, form the basis of this article.
Call Number NRSNZNO @ research @ Serial 1038
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Author Spence, D.
Title Hermeneutic notions augment cultural safety education Type Journal Article
Year (down) 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 9 Pages 409-414
Keywords Cultural safety; Nursing; Education; Transcultural nursing
Abstract In this article, the author integrates literature pertaining to the implementation of kawa whakaruruhau, or cultural safety, with the findings of a hermeneutic project that described the experience of nursing people from cultures other than one's own. It is argued that the Gadamerian notions of “horizon,” “prejudice,” and “play” can be used to facilitate understanding of the tensions and contradictions inherent in cross-cultural practice. Strategies are recommended that enable students to explore the prejudices, paradoxes, and possibilities experienced personally and professionally.
Call Number NRSNZNO @ research @ Serial 704
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Author McKinney, C.; Cassels-Brown, K.; Marston, A.; Spence, D.
Title Linking cultural safety to practice: Issues for student nurses and their teachers Type Journal Article
Year (down) 2005 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume Issue 13(1) Pages
Keywords Students; Cultural safety; Teaching methods; Nursing; Education
Abstract Student nurses rely on their teachers, both academic and clinical, to assist them to develop their capacity to practice safely. Yet, in relation to cultural safety, relatively little has been written to assist the integration of theoretical knowledge to the world of practice. This article presents the findings of a small project undertaken by lecturers whose experiences supporting students' learning during clinical placements in Auckland stimulated interest in the students' attempts to use their classroom learning to begin their journey towards culturally safe nursing practice. A qualitative descriptive approach was used to explore the experience of nursing clients from cultures other than one's own and to describe culturally safe practice from the perspective of third year students.
Call Number NRSNZNO @ research @ Serial 862
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Author Richardson, F.I.; Carryer, J.B.
Title Teaching cultural safety in a New Zealand nursing education program Type Journal Article
Year (down) 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 5 Pages 201-208
Keywords Cultural safety; Nursing; Education; Teaching methods; Feminist critique; Treaty of Waitangi; Maori
Abstract This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori and 9 were Pakeha. Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions were experienced differently by Maori and Pakeha teachers.
Call Number NRSNZNO @ research @ Serial 885
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