Question 1

One of the prime reasons for culturally safe practices in healthcare is that the actions and beliefs of the healthcare profession will impact the care behavior and service provision to the clientele (Brown et al., 2016). It has been found that the acknowledgment of the impact of biases, attitudes, beliefs, and values on behavior in health and general interaction particularly rain forces the idea that the concept of cultural safety is referred to as the process of effective or counting communication cultural self-awareness, self-reflection, and a lifelong process (Edmondson & Williams, 2022, pp. 5469). Cultural safety is about generating an environment that is safe for the people of Aboriginal and Torres Strait Islander communities. This implies that there will be no challenges, denial, or assault of their experiences and identity. The case scenario states that Rosie belongs to an Aboriginal community and she has a health condition that needs regular care. Her experience with previous practitioners is not good and that is the reason she is nervous about seeing a new practitioner and discussing care that is safe culturally. Cultural safety is considered a fundamental right of every human being (Department of Health Victoria, 2023). It is a legislative need for public agencies to offer safety. Moreover, cultural safety also provides an equitable and fair society that is free from discrimination and racism.

Notable disparities have been found in the outcomes of health between non-indigenous and Indigenous Australians. It has often been found that the Indigenous population experiences disruption to self-awareness as clinicians have limited experience, knowledge, and skills to work with Aboriginal people. Along with this, fluctuating emotions were found to be a common experience that is reported by the healthcare professionals and this includes anxiety fear shame, feeling defeated, and sadness (DeSouza, 2008). They also mention that there is a lack of trust between Aboriginal people and healthcare professionals. These trust issues developed due to their past experience with the professionals. When a healthcare professional becomes a culturally safe practitioner, it helps them to be self-assured in managing the issues experienced by the Aboriginal people. Moreover, with the help of culturally safe practices, healthcare professionals will be able to develop skills and empathy in offering care that is appropriate culturally. Without changing their behavior and insights toward Aboriginal people, they will also be able to provide enhanced health services to the Aboriginal community. Insights into the provision of cultural safety within the help setting may be promoted by greater collaboration with families who belong to the Aboriginal communities as this will enable them to understand the priorities and requirements of Aboriginal people (McGough et al., 2018). In addition to this, including cultural safety practices in healthcare will help to feel Rosie comfortable in acquiring her regular care which will be safe culturally (Australian Institute of Health and Welfare, 2023). This will consequently enhance her health outcomes and she will not feel nervous to discuss culturally safe care.

Question 2

As Rosie feels uncomfortable around the healthcare professionals, it is extremely important to communicate with her in a culturally safe manner. Good communication with the Aboriginal and Torres Strait Islanders includes checking that both parties understand each other's requirements. Poor communication often results in various issues like making the patient feel culturally unsafe or uncomfortable (Tiwary et al., 2019). It is also important to gain a comprehension of what is valued in legal, physical, and relational permanently in different cultures. This is due to the fact that there are several differences in culture between remote and regional areas, of community and language groups. While communicating with Rosie, the healthcare professional can opt for providing time and space for using silence. It has been found that in our original culture, the extended silence period during conversation might be considered a norm and is valued as a chance for reflection (Mushin & Gardner, 2009). For instance, silent pauses might be used to listen conscientiously or show respect. Silence itself might be a part of their reaction and must be allowed to take its course. Moreover, it is important to be mindful not to fill the silence just to overcome the uncomfortableness. It has been found in earlier research that aboriginal speakers of the traditional languages frequently feel quite comfortable with lengthy silence in conversations particularly when significant methods are discussed. Silences are not being interpreted by the Aboriginal interlocutors implying communication has broken down. Silence might also occur in space between terms. In some cases, the silent mind implies a slow down or hits in the timing of the turning transition while in other cases it might also reflect reluctance for the participant to take the floor.

Poor communication can lead to several negative outcomes patient dissatisfaction, improper use of resources, and declined adherence to treatments. Moreover, this can also lead to medical errors as well as patient injury. Appropriate and culturally safe communication during medical interaction between help practitioners and patients has a significant role in generating a positive health impact which includes future decision-making on various interventions and modifying the behaviors of the health of the patient. Poor communication has been found to increase the cost burden along with poor outcomes of health (Tiwary et al., 2019). With regard to the case scenario, Rosie is not comfortable discussing culturally safe care with the healthcare professionals which might result in poor communication. This will impact her need for regular care and consequently, this will impact her health outcome. Speakers are likely to address specific participants and these are considered as continuous and non-dyadic (Mushin & Gardner, 2009). This feature describes the process of taking turns which is random or less chaotic.

Question 3

Respecting the spiritual beliefs of Rosie

In order to gain wholesome spirituality, a requirement is to explore the way spirituality as a concept and term starts to emerge and form historically. Spiritual health is much more important to the way an individual feels and how well they will heal than their mental and physical health. It is not usual for caregivers, family members, and patients to feel this comfort or physical pain that comes from spiritual disconnection or disease. Hence, it is important to consider spirituality as an important aspect while providing care to an Aboriginal patient. Patients who are strong spiritually might use their belief in popping with pain life stresses and illness. It has been indicated in some of the studies that people who are spiritual are likely to have a more positive outlook and better life quality. Moreover, considering the case scenario, respecting the spiritual beliefs of Rosie can help her to cope with the disease. A study revealed that study of patients of heart transplants that patients who participated in religious activities and stated that their beliefs significantly complied in a better manner with the follow-up treatments and they had enhanced physical functioning at 12-month follow-up visits. Along with this, they have high self-esteem levels and less anxiety with fewer worries about health (Puchalski, 2001). Considering the above discussions, it can be concluded that the spirituality of Rosie will enable her to worry less bout patients and will live in the present moment. Spirituality beliefs also help people to have the power of hope as well as positive thinking. Along with this the convictions of religion might also affect decision-making in health care.

Accommodating and understanding the needs and preferences of the patient

When the health care planners, physicians, and nurses knew about the health-related preferences of the patients, it was found that care would be more effective and closer and cheaper to the desires of the individual. In order for the preferences of patients to be efficiently used in the delivery of healthcare, it is significant that patients will be able to express and formulate preferences and this statement will be helpful to inform the care activities in a meaningful manner. With the help of understanding the preferences and needs of the patient, health informatics and decision theory provide promising strategies for eliciting subjective values and making that information accessible in clinical encounters in a way that drives the choices of health (Brennan & Strombom, 2018). Preferences of patients result from the deliberation regarding certain elements like anticipated treatment or outcomes of health. The preferences of the patient are referred to the evaluation of individual dimensions of the health outcomes and are considered as one of the large preferences that might influence the choices of Health Care. With regards to the case scenario, it is important for the healthcare practitioner to know about the needs and preferences of Rosie as this will help her to feel safe culturally, and also, she will be able to talk about her issues regarding her requirement of regular care. This will also help to establish trust between Rosie and her healthcare professional.

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