OT roles - week 7

culture

shared worldview of a group of people, its the ideas and social behaviour of particular people or a community, shared patterns of behaviour and understanding learned through socialisation and is complex and multifaceted

iceberg model of culture

dont make assumptions about culture based on the things you can see eg. visible: dress, holidays and flags & invisible: values, attitudes and norms

cultural identity

feeling of belonging to a group, provides a sense of self, complex interactive dimensions, important for social and emotional wellbeing and its not static as its dynamic and evolving

Influence our beliefs on health

culture shape our ideas around use of traditional medicine, causes of illnesses and preventative measures etc.

cultural safety

how care is provided rather than what care is provided - practitioners and ramsdens

cultural safety - practitioners

requires practitioners to deliver safe, accessible and responsive healthcare that is free of racism which is by recognising and responding to the imbalance of power by reflecting on their skills, biases and behaviours

cultural safety - ramsdens

develops concepts which describe and approach elements of racism and lack of cultural awareness in healthcare systems

cultural safety is not

not about being an expert in others cultures and not something you achieve its an ongoing process of reflection and self-awareness

cultural safety systemic limitations

systems developed with a western medical perspective which may clash with other cultures and thinks about values of independence versus interdependence

seven principles of cultural safety

Acknowledges that there is a power imbalance between healthcare professional and client
Stereotypes and attitude of the healthcare professional can affect health outcomes
Acknowledging the aboriginal holistic models of health
Its not just about the client feeling safe, its about respecting the person, embracing diversity and valuing the client viewpoints
It is about enabling the client to influence some power over the healthcare process
Cultural safety is determined by the care receiver, not the care giver
It is a process that requires healthcare professionals to actively engage in self-reflection, continuous learning and advocacy to improve the cultural inclusiveness of the systems that they work within

4 R’s of cultural safety

remember: historical events
reflect: leads to changes in attitudes and behaviours
recognise: strength and resilience
respond: collaboration, trust and respect in the relationship

Ramsdens process of cultural safety

cultural awareness (knowing), cultural sensitivity (accepting) and cultural safety (doing)

communication and culture

important to treat each person as an individual, take time to understand their cultural needs, be open and non-judgement, be aware of your own cultural identify and never stereotype