Essay- Cultural safety

Assessment Task 1

Assessment name: Cultural Safety Essay Task description: The vision of the National Aboriginal and Torres Strait Islander Health

Plan 2013-2023 is:

“The Australian health system is free of racism and inequality and all Aboriginal and Torres Strait Islander peoples have access to health services that are effective, high quality, appropriate and affordable” (Australian Government, 2013, p. 7).

For health professionals to be effective agents in realising this vision they are required to be culturally safe practitioners, who are literate in the dynamics of race and racism and their impacts on well-being. Furthermore, health professionals must be knowledgeable of the historical and political influences of Aboriginal and Torres Strait Islander peoples’ well-being.

This reflective assignment requires you to first demonstrate your understanding of the key concepts associated with cultural safety, and then apply them to context of Aboriginal and Torres Strait Islander peoples’ health and well-being.

In this assessment you will be required to utilise the 5Rs Reflection Framework to discuss changes in your thoughts and feelings throughout the initial learning process. Furthermore, discuss the application of culturally safety to the Aboriginal and Torres Strait Islander peoples’ health and well-being context from a profession and individual perspective.

Learning outcomes 1. Apply the principles of cultural safety to the context of Aboriginal assessed: peoples and Torres Strait Islanders’ health and well-being to analyse and

advance your current position on the continuum of cultural safety.

2. Describe historical, social, and political issues and how they inform current experiences of health and well-being, in order to realise their significance as determinants of current health and well-being of Aboriginal peoples and Torres Strait Islanders.

3. Discover the everyday experiences of Aboriginal peoples and Torres

Strait Islanders that inform their health care and apply this knowledge to facilitate effective partnerships with individuals, families, and communities.

What you need to do: Respond to the follow assessment tasks:

Step 1

Demonstrate your understanding of the following concepts:

a) Compare and contrast personal racism and systemic/institutional

racism (200 words).

b) Briefly discuss the power dynamics associated with the whiteness of nursing (100 words).

c) Compare and contrast cultural safety and cultural awareness

training (200 words).

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Step 2 (100 words) In accordance with the 5Rs of Reflection Framework, report and respond to one (1) assumption that you became aware of through developing new knowledge and understanding from the readings, learning activities and reflective process.

Step 3 (400 words) Discuss historical (including political) factors that contributed to institutional racism and white privilege, particularly in regards to Aboriginal and Torres Strait Islander peoples’ access to health care, education and employment.

Step 4 (300 words) Discuss how culturally safe nursing practice may challenge personal and institutional racism that impact on Aboriginal and Torres Strait Islander peoples’ access to health care.

Step 5 (500 words) In accordance with the 5Rs of Reflection Framework, reflect on your reactions (feeling and thoughts) to the learning materials (required and recommended readings, videos, lectures and tutorial material). Report, respond, relate, reason and reconstruct your perception of: a) Aboriginal and Torres Strait Islander health and well-being; (250 words). b) your role in ensuring cultural safe nursing care for Aboriginal and Torres Strait Islander peoples (250 words).

Length: 1800 words +/-10% (word length includes in-text referencing and excludes your reference list and appendices).

Estimated time to 30 hours complete task:

Weighting: 40 %

Individual/Group: Individual

Presentation Your responses to the assessment tasks must adhere to the prescribed requirements: formatting.

Format of assignment: Your assignment should be written in first-person

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style and prepared as follows:

• Has a cover sheet with the assessment title, your name, student

number, tutor name and total word count. Coversheet template is

recommended and available on your Blackboard site.

• Include a ‘footer’ on each page with your name, student number,

unit code and page number.

• 3cm margins on all sides, and double-spaced text.

• Times New Roman, font size 12.

• APA style referencing

• Include a complete reference list on a new page.

• Headings can be used for each step.

• Include the word count for each step.

• What you need to One word document that contains the following items: submit:

1. Assignment Cover Sheet & your response to the assessment

tasks (above) written as per the presentation requirements

(above). Resources needed to • Week 1 – 5 required and recommended readings, complete task: videos, lectures and tutorial material. • 5Rs Reflection Framework • •

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Reflective Framework

This framework will enhance the quality of your reflections, the personal entries that you choose to elaborate on in your assessment, your thinking skills, your learning and your practice.

There are several different reflection models that can be used to guide the writing of your reflections. One of the most popular reflection models is the 5 R’s framework.

Reporting | Responding | Relating | Reasoning | Reconstructing

The table below provides exemplars that apply each of the Rs of the 5Rs Reflection Framework.

Steps Content of Exemplar

reflection Reporting What happened, what did I’ve been going to the lecture and tutorials for

the situation /issue 2 Aboriginal and Torres Strait Islander A brief descriptive involve? . It’s not what I was account of a expecting. situation/issue (i.e. the reflective trigger)

Responding Your observations, Concepts like ‘racism’ and ‘cultural safety’ Your emotional/ feelings, questions about promote ideas that are unknown to me, which the situation/ issue makes me feel that they are not real issues. As personal response to for ‘whiteness’ and ‘white privilege’, these are the situation issue etc. concepts that make me feel uncomfortable.

Relating Making connections I thought that this unit was about learning Personal and/or between the about the cultures of Aboriginal and Torres

situation/issue and your

Strait Islander peoples in order to help them theoretical

experience, skills,

better once I am a registered nurse. Instead understandings relevant to the situation/ issue knowledge and there is consistent emphasis on learning my

understanding

own culture. I didn’t think that my culture was an important factor to consider.

Reasoning Explaining the situation/ I hadn’t thought about how powerful the Your explanation of the issue in terms of the medical profession is in Australia and how significant factors, much their perspective influences nursing and situation/ issue relevant theory and/or what I will have to do at work (Willis & Elmer

experience 2011).

Reconstructing Your deeper level of Apparently my culture and that of biomedicine Drawing conclusions understanding about the and the health care system has strong impacts situation/issue that is on people’s health outcomes (Willis & Elmer and developing a future used to 2011). Importantly, Aboriginal and Torres action plan reframe/reconstruct your Strait Islander peoples are often

future practice and further disadvantaged by these due to the inherent develop your systemic/institutional racism (Sherwood & understanding of Geia, 2014). When I think about it I can see professional practice that the system is set up and benefits those who control it and have the most power within it.

Adapted from NSB102 Assignment 1 (Cox, 2017). Source of the 5 Rs: Bain, J.D., Ballantyne, R., Mills, C., and Lester, N. C., (2002). Reflecting on practice: Student teachers' perspectives. Post Pressed, Flaxton, Qld.

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Task 1 Rubric

Name: Cultural Safety Essay Learning outcomes assessed:. Weighting: 40 %

Criteria 7 6 5 4 3 2 - 1

Theoretical Demonstrates Demonstrates a strong Demonstrates a sound Demonstrates an adequate Demonstrates partial Demonstrates limited to no understanding

comprehensive understanding of key understanding of key understanding of key concepts understanding of key understanding of key Weighting: 30%

understanding of key concepts genuinely based concepts based on learning based on learning material. concepts and little use of concepts and showed little concepts genuinely on learning material. material. the learning material. evidence of completing LO: 1,2.

based on learning and utilising any of the material. learning material.

Application of Demonstrate Demonstrate strong Demonstrate sound Demonstrate adequate Made general about the Demonstrate limited to no knowledge

comprehensive understanding of the understanding of the understanding of the application of key understanding of the Weighting: 30%

understanding of the application of key application of key concepts to application of key concepts to concepts to the application of key application of key concepts to the Aboriginal the Aboriginal and Torres the Aboriginal and Torres Aboriginal and Torres concepts to the Aboriginal LO: 1,2,3.

concepts to the and Torres Strait Islander Strait Islander peoples’ health Strait Islander peoples’ health Strait Islander peoples’ and Torres Strait Islander Aboriginal and Torres peoples’ health context. context. context. health context. peoples’ health context. Strait Islander peoples’ health context.

Demonstrate Demonstrated critical Demonstrated deep Demonstrated sound Demonstrated adequate Partially demonstrate self- Demonstrated limited to reflection on your

reflection on one reflection on one personal reflection on one personal reflection on one personal reflection. no reflection on learning learning and the personal assumption assumption that was assumption that was assumption that was

Made general and implication for

implications for that was emphasised or emphasised or challenged emphasised or challenged by emphasised or challenged by practice. observations in response practice

challenged by new by new knowledge gained new knowledge gained in this new knowledge gained in this to the assessment tasks. knowledge gained in this in this unit. unit. unit. Weighting: 30% unit. Demonstrated deep Demonstrated sound Demonstrated adequate LO: 1,2,3.

Demonstrated critical reflection on personal reflection on personal reflection on personal reflection on personal perceptions of: perceptions of: perceptions of: perceptions of:

• Aboriginal and Torres • Aboriginal and Torres • Aboriginal and Torres Strait

• Aboriginal and Torres

Strait Islander peoples’ Strait Islander peoples’ Islander peoples’ health and Strait Islander health and well-being; health and well-being; and, well-being; and, peoples’ health and and, • the individual role in • the individual role in delivery well-being; and, • the individual role in

delivery culturally safe care culturally safe care to • the individual role in

delivery culturally safe to Aboriginal and Torres Aboriginal and Torres Strait delivery culturally safe care to Aboriginal and Strait Islander peoples. Islander peoples. care to Aboriginal and Torres Strait Islander Torres Strait Islander peoples. peoples.

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Communication in • Accurately met all • Met most aspects of • Met several aspects of • Met few aspects of • Met limited aspects of • Ignored presentation writing incorporating presentation presentation presentation requirements. presentation requirements. presentation requirements, and expected information requirements. requirements. • Mostly used professional • Sometimes used requirements. APA referencing literacy standards • Consistently used • Almost always used non-discriminatory professional non- • Rarely used conventions.

•

Weighting: 10% professional non- professional non- language. discriminatory language. professional non- Rarely used discriminatory discriminatory • Generally correctly applied • Sometimes applied discriminatory professional non-

language. language. APA style of APA style of referencing language. discriminatory •

•

• language. Consistently and Almost always applied referencing. correctly. Rarely applied

•

accurately applied APA style of • Mostly expressed ideas • Expressed ideas clearly. APA style of APA style of referencing. referencing correctly. clearly. • Sound spelling and

referencing. •

• Ideas were not clearly

Expressed ideas clearly •

• Mostly accurate spelling grammar.

•

Expressed ideas and fluently. expressed. Attempted to and grammar. • Kept to word limit.

clearly, concisely and •

• Was under or over the communicate your Almost always accurate

• Kept to word limit.

fluently with accurate ideas in writing. spelling and grammar. required word limit. spelling and grammar. •

• Kept to word limit.

Was significantly under •

Kept to word limit. or over the required word limit.

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