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1NSB202-Cultural Safety EssayASSIGNMENT 1.
2Step 1a)Personal Vs Systemic/Institutional RacismThomas states that ‘Racism issystemicand aboutimbalanced power dynamicsthat can be correlated with socially constructed racial categories’ (2017). The Australian Justice System is often seen as contributing to systemic racism with cases such as the Don Dale Youth Detention Centreabuse and mistreatment of Aboriginal youth case from 2014, (ABC 4 Corners,2016). This abuse of power, where prison guards used tear gas (on one child, deemed a ‘riot’), cable ties, spit hoods and restraint chairs was finally escalated to a Royal Commission in 2016, yet still has seen no real change to this day. According to The Guardian article written May 2019, Allam states‘There are 24 children – 22 boys and two girls – in detention in the NT and they are all Aboriginal’. The Australian Government has thrown money around to rebuild detention centers in the Territory, yet should more money go into training the staff regarding cultural safety, awareness and sensitivity? And perhaps a more stringent psychological screening on staff is appropriate? ‘On an individual level, racism refers to the beliefs and attitudes that members of certain groupshave of their superiority in relation to other groups who are regarded as inferior, based on race, ethnicity or cultural background’(Sanson, A. 1998 p.161). This can be described as a person’s
3racial ideas and assumptions of others, often believing they aren’t being racist as it’s seen as ‘personal opinion’. Step 1b)Power dynamics within healthcare attributing to whiteness can, and have directly influenced access and quality of healthcare to the Indigenous community in many ways; health reporting, following up health issues, accessing available support systems and general trust in the providers has shown to affect the general outcomes of many Aboriginal people. Paradies suggests ‘racism explained one-third of the prevalence of depression and poor self-assessed health status among Indigenous Australians’ (Paradies 2006). And with this depression and lack of self-worth, the vicious cycle continues into possible coping mechanisms i.e. smoking and alcohol, stress, and lack of confidence to self-report health concerns and lack of trust in providers.Without education and training about cultural sensitivity, awareness and safety, this power dynamic will continue to exist. The Australian Government have developed a vision statement for a National Aboriginal and Torres Strait Islander Health plan 2013-2023, this plan involves ‘Australian health system free of racism and inequality’. With the government proactively addressing these issues, providing information and education for healthcare practice within Australian healthcare, thus coming down to the institutions to educate nursing practitioners.
4Step 1c)The Nursing and Midwifery Board (NMBA) along with the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) have developed a Code of Conduct for Nurse and midwives to adhere to. The code lists 6 main requirements for cultural safety in the nursing