The paper 'Contemporary Problem in Health Management' is a great example of a Management Case Study. The health constructs of Aboriginal and Torres Strait Islander is not only concerned with the individual physical wellbeing but also the emotional, social, as well as cultural wellbeing of the whole community. However, this concept as observed by Markwick, Ansari, Sullivan, Parsons, and McNeil (2014) a concept that is normally overlooked by mainstream health services. For this reason, gaining the trust of the indigenous population in Australia has become so challenging considering that their mental and physical wellbeing is associated with cultural and historical context.
Evidently, Aboriginal Australians are experientially, linguistically, and culturally diverse populations, and masking their health determinants is somewhat challenging. Evidently, there are inequalities in health between non-Aboriginal and Aboriginal Australians, in terms of social capital and psychosocial risk factors. The inequality and poverty that they experience is a modern reflection of how they were treated in the past and the health status inequality that they experience for decades is associated with systemic discrimination. Communication according to Shahid, Finn, and Thompson (2009) may be affected adversely by people’ s cultural, historical, and socioeconomic backgrounds.
Culture is undeniably a multifaceted phenomenon that encompasses language, myth, knowledge, customs, rules, lifestyles, habits, beliefs, attitudes, and rituals that offer a common identity to a certain population. Communication concerns between health professionals and Indigenous patients have been identified where health practitioners have been found to deliver less supportive discourse and less information to patients from indigenous populations. The case study addresses the strategic management and organizational development required to optimize cultural safety in a health organization. In view of Cox's (2013) study, I have realized that cultural safety in addition to the process undertaken by nurses so as to realize cultural safety are dominant transformative factors within the health system.
I concur with Cox and Taua (2013)that the cultural safety cornerstone is that end-users must be treated in line with their differences and unique needs and the majority of people consider this idea challenging when equality ideas are ingrained as sameness.
Brascoupé, S., & Waters, C. (2009). Cultural Safety Exploring the Applicability of the Concept of Cultural Safety to Aboriginal Health and Community Wellness. Journal of Aboriginal Health, 6-41.
Cox, L. (2013). Cultural Safety.
Cox, L., & Taua, C. (2013). Socio-cultural considerations and nursing practice. In J. Crisp, C. Taylor, C. Douglas, & G. Rebeiro, Fundamentals of nursing (4th ed.). Sydney: Elsevier.
DeSouza, R. (2008). Wellness for all: the possibilities of cultural safety and cultural competence in New Zealand. Journal of Research in Nursing, 13(2), 125–135.
Downer, T.-r., & Fernando, C. (2015). Clinical governance.
Esteban, L., Kalia, M., & Lim, V. (2015). KEY PROCESS INVOLVED IN CHANGE MANAGEMENT.
Halligan, M., & Zecevic, A. (2010). Safety Culture in Healthcare: A review of concepts, dimensions, measures and progress. The University of Western Ontario, London, ON.
Markwick, A., Ansari, Z., Sullivan, M., Parsons, L., & McNeil, J. (2014). Inequalities in the social determinants of health of Aboriginal and Torres Strait Islander People: a cross-sectional population-based study in the Australian state of Victoria. International Journal for Equity in Health, 13, 91-102.
NACCHO. (2011). Creating the NACCHO Cultural Safety Training Standards and Assessment Process. Malbourne: NACCHO Cultural Safety Training Standards.
Richardson, F., & MacGibbon, L. (2010). Cultural safety: Nurses’ accounts of negotiating the order of things. Women’s Studies Journal, 24(2), 54-65.
Salisbury, J., & Byrd, S. (2006). Why Diversity Matters in Health Care. CSA Bulletin, 90-93.
Shahid, S., Finn, L. D., & Thompson, S. C. (2009). Barriers to participation of Aboriginal people in cancer care: communication in the hospital setting. MJA, 190(10), 574-579.
Singer, S. J., & Tucker, A. L. (2006). Creating a Culture of Safety in Hospitals. Cambridge, MA: Harvard University.
Skellett, L. (2012). Cultural awareness and cultural safety. Australian Pharmacist, 382-384.
van den Berg, R. (2010). Cultural safety in health for Aboriginal people: will it work in Australia? MJA, 193(3), 136-137.