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Four principles of cultural safety
• Cultural safety aims to improve the health status of New Zealanders and applies to all relationships through • Cultural safety aims to enhance the delivery of health and disability services through a culturally safe nursing workforce by • Cultural safety is broad in its application • Cultural safety has a close focus on
Indicator for cultural safety principle 1
an emphasis on health gains and positive health outcomes
indicator for cultural safety principle 2
preparing nurses to understand the diversity within their own cultural reality and the impact of that on any person who differs in any way from themselves
indicator for cultural safety principle 3
accepting the legitimacy of difference and diversity in human behaviour and social structure
indicator for cultural safety principle 4
balancing the power relationships in the practice of nursing so that every consumer receives an effective service
What is patient and whanau in the meihanna model
the patient identifies as Maori whanau are their support network
What is Hinengaro
the psychological and emotional well-being of a patient
What is Wairua and Tianna
Wairua is the belief regarding connectedness and spirituality Tianna is the physical functioning of the person
What is Iwi Katoa and Taiao
Iwi Katoa is part of the clinical assessment that identifies whether the patient/whanau has appropriate access to services and systems within the health environment. Taiao is the physical environment of the patient/whanau
What are the four principles of the Treaty of Waitangi
• Tino rangatiratanga enables Māori self-determination over health, recognizes the right to manage Māori interests, and affirms the right to development • Partnership involves nurses working together with Māori with the mutual aim of improving health outcomes for Māori • The nursing workforce recognizes that health is a taonga and acts to protect it • The nursing workforce recognizes the citizen rights of Māori and the right to equitable access and participation in health services and delivery at all levels
indicator for the Treaty of Waitangi principle 1
enabling Maori autonomy and authority over the heath
indicator for the Treaty of Waitangi principle 2
acting in good faith as Treaty of Waitangi partners
indicator for the Treaty of Waitangi principle 3
recognising that maori health is worthy of protection to achieve positive health outcomes and improvement in health status
indicator for the Treaty of Waitangi principle 4
pursing equality in health outcomes
What is whakawhanaungatonga
making a connection with the patient/whanau
What is Poroporoaki
concluding the encounter with the patient/whanau
What is Kaupapa
attending to the main purpose of the encounter
What is the mihi
initial greeting and engagement with the patient/whanau
What is involved in the introduction of cultural safety?
Health Practitioners Competence Assurance Act 2003 Nursing Council of New Zealand Code of Health and Disability Services Consumers Rights 2009 Cultural safety
What is involved in the introduction of the Treaty of Waitangi
the treaty of Waitangi Maori as tangata whenua district health boards ensure positive health outcomes and gains crown agents demonstrate principles