Assessing cultural safety in Aboriginal and Torres Strait Islander Health.

Abstract

OBJECTIVE\nThe aim of this study was to explore how nurses and midwives (trained at Flinders University in Adelaide) from rural, remote and urban locations view the impact of cultural safety training on their practice and the extent to which they incorporated cultural safety principles into their practice.\n\n\nDESIGN\nqualitative research study.\n\n\nSETTING\nrural, remote and urban locations across Australia.\n\n\nPARTICIPANTS\nNurses and midwives who had undertaken cultural safety training at Flinders University as part of their undergraduate degree.\n\n\nMETHODS\nParticipants were recruited for semi-structured interviews. Interviews were recorded and transcribed verbatim. Transcripts were coded independently by members of the research team.\n\n\nMAIN OUTCOME MEASURES\nThe use of cultural safety principles in participants practice, and the extent to which they were applied, was determined. Barriers and enablers to enacting cultural safety in the workplace were also identified.\n\n\nRESULTS\n10 individuals participated in an interview (7 nurses and 3 midwives). The Modified Monash Model was used to classify participant location with the following observed: MM1, six; MM2, two; MM5, one; MM6, one. 3 participants were from the Northern Territory and 7 from South Australia. Participants were at varying stages in their journey of cultural safety, ranging from early stages to those able to embody the Cultural Safety Principles and negotiate barriers to provide culturally safe care. Educational strategies for participants to progress their cultural safety journey were also identified.\n\n\nCONCLUSION\nThe extent to which cultural safety principles are applied in practice is diverse amongst the nurses and midwives that participated in this study, demonstrating that cultural safety is a journey and ongoing support is needed.