Culturally Safe Healthcare for First Nations: A Critical Review of Evidence-Based Practices NUR4026

Providing Culturally Safe Care for First Nation Patients

1. Introduction

The approach of providing a culturally safe care to the first nation patients ensures that indigenous communities receive high quality medical care with is focused on improving their health. Cultural safety extends beyond the cultural competence and aims to consider the cultural identities, beliefs and practices of First Nations People. A culturally safe healthcare environment is rooted on the principles of respect, teamwork and empowerment to make indigenous communities feel their values and spiritual beliefs are being respected and taken into consideration for enhancing their health (Australian Institute of Health and Welfare, 2022). By ensuring cultural safety, all the potential barriers such as mistrust and discrimination against the first nation people is significantly reduced (Ralph et al., 2023).
The approach of developing a culturally safe healthcare setting has a very positive impact on the culturally diverse or vulnerable population. Firstly, it empowers the patient to define medical safety for the interventions to be used for improving their health. It is very essential for those patients who have experienced systemic racism and cultural insensitivity in the past. Secondly, it increases the patient satisfaction levels and develops a mutual bond of trust by respecting the diversity in the cultural backgrounds of the first nation people (Moloney et al., 2023). This helps in promoting a overall well-being of the first nation patients.

2. Evidence Based Recommendation

Article 1: The emergence of cultural safety within kidney care for Indigenous Peoples in Australia

Currency: The given article was published in the year 2024. This indicates that the selected article is recent and discusses current information related to the cultural safety in indigenous Australians for kidney care. Since this article is up-to-date, it contains updated detailed knowledge regarding the recent developments and strategies for promoting cultural safety among the indigenous community of Australia.

Reliability: The given article involves performing a systematic review to retrieve relevant literature for exploring kidney care and cultural safety among the indigenous Australians (Arnold?Ujvari et al., 2024). It provides a detailed list of the search terms and databases used for retrieving relevant literature related to cultural safety in indigenous communities of Australia for kidney care. The insights obtained from the papers have been logically arranged in a time-frame which helps in determining the changes observed in providing culturally safe medical care to the first nation people. The author has provided sufficient amount of references for retrieving relevant amount of research done on cultural safety in the healthcare settings.

Authority: The authors of the given article are Melissa Arnold-Ujvari, Elizabeth Rix, and Janet Kelly. All the three authors have an expertise in nursing, healthcare and cultural studies. Melissa Arnold-Ujvari is a senior lecturer in the University of Adelaide and she is working towards exploring the role of cultural safety in healthcare settings. Elizabeth Riz is a registered nurse and a researcher who is also affiliated with University of Adelaide. Janet Kelly is a nurse researcher working on improving the healthcare outcomes for aboriginal and indigenous community and is associated with the University of Adelaide.

Purpose: The key objective was to correlate the five principle of cultural safety in providing high quality medical care to the indigenous communities of Australia for kidney care. The author is moderately biased towards the indigenous community and does not consider the racial discrimination faced by the aboriginal communities. However, the authors have a balanced opinion towards the patients and the healthcare professionals in maintaining the cultural safety in a healthcare setting. The authors are trying to highlight the importance of cultural safety in the context of kidney care especially among the indigenous community of Australia and also provides detailed knowledge of the principles

Article 2: What culturally safe cancer care means to Algonquins of Pikwakanagan First Nation

Currency: The given article is published in the year 2023. This is a recent article which contains updated information related to the perceptions of the Algonquins of Pikwakanagan, the first nations of Canada in receiving culturally safe medical service. The timeliness of this research is crucial as it identifies the different barriers involved in receiving culturally safe medical care in the first nations of the given country.

Reliability: It is to be noted that the source of the article is a peer-reviewed journal (SAGE), making it a more credible source of information. Peer review implies that maybe the research received stamp from experts in the subject area thus may imply some level of quality and research rigor. In order to collect research data from the Algonquin community, the authors choose a qualitative approach comprising of interviews and focus group discussion as their main research tools (Gifford et al., 2023). For using the same methodology, there is a need to give more details related to the sample size and the method of sample selection so as to enhance the reliability of the laid findings.

Authority: The authors of the article such as, Wendy Gifford, Peggy Dick, Catherine Larocque, Shokoufeh Modanloo, Liquaa Wazni, Zeina Al Awar and Maggie Benoit have substantial experience working in Indigenous health and issues related to cultural safety. These include the fact that they are all nurses, with some training in public health, and many of them clearly involved with communities. Nonetheless, the authors of the article are established scholars; the article would be enhanced by offering more specific data on the background of the authors so that the readers should be in a position to judge their expertise in respect of the content of the article.

Purpose: The main rationale for the study is to review the idea of culturally safe cancer care as viewed by the Algonquin Band of Pikwakanagan. The authors purpose is to focus on the end of the cultural preferences of indigenous population concerning the cancer care and state that indigenous values and practices must be included as the key elements of the health care delivery for indigenous people. Thus, this article is very clear and straightforward in its goal to promote the need to address the healthcare disparities for the Indigenous peoples through honoring their cultural selves. However, the authors can enrich a discussion of some aspects of the work by indicating some potential sources of bias or conflicts of interest may affect the outcome of the study.

Article 3: Translating evidence into practice: Implementing culturally safe continuity of midwifery care for First Nations women in three maternity services in Victoria, Australia

Currency: The article was published in 2022 and is up to date for those who need recent information on the First Nations womens maternal health and cultural safety, especially in Australia. This includes the recent publication to make sure that the findings & discussion are current and depict issues and practices of midwifery and culturally safe health care in the present time. This timeliness is important in helping to address the current practices and policies in Maternal and Infant health for indigenous people.

Reliability: The study adopts a prospective, non-randomized research translational design, which is considered adequate for evaluating the levels of implementation of health interventions. The article gives information on the effectiveness of culturally tailored caseload midwifery in the three large metropolitan maternity services and, in detail, the provision of the model by First Nations women (McLachlan et al., 2022). Consequently, the superiority of the findings is underscored by indicators of statistical measurement which include the proportion of women who accepted and were enrolled in caseload midwifery. However, the results of the study can be generalized with caution, because some limitations of the study may influence the results, for example, lack of a possibility to implement the model in the fourth site more because of the staff crisis.

Authority: The authors of the article namely Helen L. McLachlan, Michelle Newton, Fiona E. McLardie-Hore, Pamela McCalman to name a few are from several prestigious organizations like La Trobe University, Murdoch Children Reearch Institute, etc. The authors competence in midwifery, public health, and Indigenous health provides the study credibility. Nevertheless, the authors provided a limited information regarding their credentials as well as expertise to write the article. In addition to this, the engagement of first Nations health units and community organizations in the design of the study equally add credibility to the study in terms of research.

Purpose: The main aim of the article is to evaluate the readiness of maternity services in Victoria state in providing a culturally safe Caseload Midwifery for indigenous women. The authors intended message is to call for effective culturally sensitive care systems and discuss enablers and barriers_presenting the data on maternal and infant health. Overall, the article is nicely presented where the authors specifically call for the consideration of First Nations peoples involvement in the provision of health care services. Nevertheless, the authors can enrich the discussion section, pointing out at possible contingencies or self-interests that might in some way colour the results.

3. Conclusion

The analysis of these articles underscores the crucial role of culturally safe care in improving health outcomes for First Nations people. Each study, from exploring kidney care in Australia to assessing cancer care perceptions and midwifery practices, emphasizes the importance of integrating cultural safety into healthcare services. Recent publications and robust methodologies enhance their reliability, though the need for transparency in potential biases and conflicts of interest is evident. Collectively, these studies advocate for culturally respectful and tailored care, highlighting both progress and ongoing challenges in addressing health disparities within Indigenous communities.

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