Aboriginal and Torres Strait Islander Health-Related Issues

Cultural humility definition

Lifelong commitment to self evaluation and critique, to redressing power imbalanced and to developing mutually beneficial and non paternalistic partnerships with communities on behalf of individual and defined populations

Reflexivity

Examination of one’s own beliefs, judgements and practices during the research process and how they may have influenced - questioning own assumptions and acknowledging own role

Understanding First Nation’s perspectives

Maintaining approach of cultural humility and being culturally responsive - requires being open to new knowledge, reflection on knowledge biases and own lived experiences, then act on knowledge in collaboration with patient

Knowing (key concepts about Aboriginal and Torres Strait Islanders)

Relationships they have with other entities

Being (key concepts about Aboriginal and Torres Strait Islanders)

Respectful, responsible and accountable

Doing (key concepts about Aboriginal and Torres Strait Islanders)

Lived expression of relationship and relatedness

Truth telling

Telling the facts openly, honestly and unambiguously

Uluru statement from the heart and truth telling

Calls for truth telling about history of ATSI peoples - central to reconciliation

Historical acceptance

Australians recognise, understand and accept wronging’s of the past and the impact of these wronging’s on First Nations Peoples

AHPRA’s ASTI cultural health and safety strategy

Aims to achieve cultural safety for clients and practitioners, close the gap in Indigenous healthcare and eliminate racism from healthcare systems

Language protocols

Use of culturally appropriate and informed language and an understanding of how to use it

Privilege in healthcare

Unearned advantage or entitlement that only one person or group of people has, usually because of their position or because they are rich, attributed to dominant social groups that hold political power or are of ethnic or religious majority in society

White privilege

institutional, absence of suspicion, prejudice, other negative behaviours that people who are objects of racism experience

Self-determination theory

Motivation is driven by the need to grow and gain fulfilment

External motivation for SDT

Reward systems, grades, evaluations and other peoples opinions

Internal motivation for SDT

Interests, curiosity, care and core values