Demonstrating Reflective Practice Skills and Cultural Self-Awareness - Nursing Assignment Help

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Demonstrating Reflective Practice Skills and Cultural Self-awareness

Reflective practice and cultural self-awareness are the critical foundations for achieving cultural safety in the context of nursing practice in Australian Indigenous healthcare. Self-awareness of my health and cultural beliefs, my views are more aligned with natural remedies and a holistic approach. According to my life develop experience, I noticed that Traditional Chinese Medicine (TCM) treatment not only treat disease but also prevent illness. TCM seems to work well in the long-term healthcare and entire wellbeing, while Western Medicine treatment is more for acute or short term treatment and focuses mainly on treating disease. Therefore, my worldview combines Eastern and Western medicine. The biomedical model of health as well as natural remedies which aligns with the holistic approach. Furthermore, derived from my professional development and personal cross-cultural experience with supporting culturally and linguistically diverse people, including Indigenous peoples, my unconscious biases and cultural conflicts are decreasing. For example, as I grew up in a remote location, I developed with like-minded people living in a region that culture was critical, and that cultural conditioning becomes ingrained in who I am in the least diverse communities. For instance, my cultural belief is that the best place to visit for medical treatment is the biggest and most prestigious hospital, no matter the illness, severity, or degree to the professional view of the healthcare system to the rural culture, remote health and the Indigenous peoples. Indigenous peoples are part of the minority in Australia, and this would also be the case. The Indigenous health culture is where they see health as the social, environmental, cultural, and spiritual wellbeing of the whole community. Their culture tied to their land and spiritual beliefs and this impacts their world view.  

Demonstrating Cultural Awareness 

According to my cultural heritage and my multicultural working experiences, I observed that there are apparent differences between the experiences of Indigenous and non-Indigenous people across all indicators of quality of life. Compared to the non-Indigenous, Indigenous people disadvantaged across a range of socio-economic factors. They experience systemic racism in health system, poorer educational outcomes, over-representation in the criminal justice system, lower incomes, higher rates of unemployment, and lower rates of homeownership, all of which can impact on a person's health and wellbeing (Gruenstein, 2008; Helme, 2007; Helme & Lamb, 2011). The unemployment rate for the Indigenous population was sixteen percent higher than non- Indigenous people (Ibid). The rates of alcoholism, unemployment, imprisonment, and domestic violence are extremely high (Ibid). Indigenous people represent a significantly higher number of violent crimes and suicide committed than non-Indigenous people (Ibid). Evidence also shows that Colonisation has caused discrimination, dehumanising, and detrimental treatment within the healthcare system towards Indigenous Australians (Mohamed, 2016). In Aboriginal communities, there is minimal health care, education and support services, community development, and employment choices. Systemic racism in the healthcare system directly impact in Australia quality of and access to health care (Ibid). Taking into consideration this information, it is apparent that there is an enormous difference in the health of Indigenous and non-Indigenous Australians (Ibid).  In 2019, Aboriginal life expectancy was around eight point six years lower than the Australian population (AIHW, 2019). Indigenous Australian is eight times more likely to experience kidney-related issues, ranging from chronic to end-stage, than the general population (Rix, Barclay, Stirling, Tong, & Wilson, 2014, 2015). Cultural differences and barriers to access, resulting in the delivery of quality health services to rural Indigenous people with mental illness and physical disease, are challenging (Rix et al., 2014, 2015). As a result, with limited resources and lack of protection of Indigenous cultures and rights, my future nurse role, will be providing patient-centred and family-centred and culturally accommodating healthcare systems to Aboriginal patients. My cultural education to young Aboriginal and Torres Strait Islander people will be very useful and empowering. 

Applying the Cultural Safety and Professional Practice to my future nursing practice

There are many considerations when interacting with people from a multicultural background. According to Ethics and Laws for Australian nurses, the nurse working exercises their moral responsibility when delivering their healthcare to patients with respect, without prejudice and ensuring cultural safety, a risk to patients will be significantly reduced and improve healthcare quality (Atkins, De Lacey, Ripperger, & Britton, 2020). Adhering to these guidelines, the overall future for Aboriginal health will develop (Atkins, et al., 2020). The best ways to reduce unconscious bias and cultural conflicts toward Indigenous peoples and to achieve cultural safety and applying a patient-centric approach in healthcare for Indigenous peoples are developing appropriate and competent communication skills for working with Aboriginal and Torres Strait Islander peoples, and appreciate the distinctions in linguistic and cultural aspects of interactions (Cass, Cunningham, & Wang, 2001). For example, I have had experience with several Indigenous clients who had drug and alcohol dependence and mental health issues at schools, disability services, aged care, correctional services, and psychological services in rural areas. Some of them did not speak English as their first language, and others spoke English in different dialects such as Aboriginal English and Torres Strait Creole, Kriol. I am cautious about using traditional languages and not using complicated words and jargon and explain why I ask questions. When I provided empathy, cultural understanding, active listening, and effective communication to my Indigenous clients, they appeared to have a beneficial treatment outcome. They were more likely to feel culturally safe and receive ongoing healthcare. Besides, my Indigenous clients seem to feel more culturally safe when surrounded by family members or their key people. Aboriginal people have their own cultural and health beliefs, the limitation or barriers, an unsatisfactory experience with mainstream medical facilities, often results in avoidance (Laverty, McDermott, & Calma, 2017). If they feel culturally unsafe, they are more likely to self-discharge from the hospital. Therefore, cultural safety and enhancing clinical safety which builds more trust and confidence in receiving health care. 

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