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Exploring the journey of 
cultural safety and 
working with Aboriginal 
peoples 
• Samia Goudie and Gaye Doolan (ANU) 
Pascale Dettwiller(FNT) 
• Disclaimer: there is no relationships 
with commercial interests 
1
Disclosure of Commercial 
Support 
• This program has not received 
financial support from any private 
organisation or funding body. 
• There is no potential conflict of 
interests to disclose. 
2
Exploring the journey of cultural safety 
and working with Aboriginal peoples 
Samia Goudie and Gaye Doolan 
ANU Medical School 
ANU College of Medicine , Biology and Environment 
Pascale Dettwiller, Flinders NT Katherine, School of Medicine 
All Photos taken by Samia Goudie copyright used 
with permission. 
. 
Disclaimer: There maybe 
mention (or display images) 
of people who have passed 
away.
The PROCESS 
Acknowledgement of country 
Introductions of facilitators and of people who attend and why they came. 
General discussion on current approaches to “ Cultural safety 
projects and cultural immersion trainings” -led by Gaye Doolan and team. 
Move into focus groups and discuss ‘what do we do’ and ‘what do others do’. 
Questions ( slide 4) to help start conversation. 
Nominate a note taker (or work out how you want to proceed) for your small group 
and how you want to report the findings and information back. Work in small 
groups for 20 minutes and each group feedback in remaining time. 
Discuss how people would like the findings used ? 
References ( last slide ) 
Thank you to all who participated.
OUTLINE 
The design of the workshop will be to engage with critical questions 
relating to questions around the use of and terminology of ‘cultural 
safety’ and what it means on the ground and what it means to be 
imbedded within curriculums and/or other organisational structures. 
The demographic that this workshop will focus on 
Aboriginal and/or Torres Strait Islander peoples and how “cultural 
safety” is relevant to this population. 
The standpoint position and methodology 
Is located from an understanding of Aboriginal and 
Torres Strait Islander health as a whole life approach to 
that includes: The connectedness of ‘Wellbeing “: including the 
physical, emotional, mental, cultural and spiritual aspects.
Some suggestions for questions: “Yarning up “ 
1. What, if any, are the differences between ‘cultural education’, 
‘cultural sensitivity’, ‘cultural awareness’, and ‘cultural safety’. 
Are we lost in a world of definitions? 
2. How do we assess someone as being ‘culturally safe’ both 
from the student perspective and the community. What is ‘cultural 
competency’ and how can evaluate and assess this ? 
3. What advantage or disadvantage would there be in having a 
‘cultural mentor’ paid by a retainer in each community 
the students visit. 
4. How do we ensure that all students engage with the Aboriginal 
and Torres Strait Islander health curricula? And how does this 
relate on the ground with other providers etc.
References 
• Anderson, I (2007), ‘Policy Processes’, in B Carson, T Dunbark R D 
Chenhall & R Bailie (eds), Social determinants of Indigenous health, Allen & 
Unwin, NSW, pp 231-252 
• Beach, Mary C et al (2005) Cultural Competence: a Systematic Review of Health 
Care Provider Educational Interventions, medical Care, April Volume 43 – 
Issue 4 =- pp 356-373 
• Betancourt, Joseph R (2004) Cultural Competence – Marginal or Mainstream 
Movement?, New England Journal of Medicine, Septemb er 2, pp 953-955 
• Dunbar, T and Scrimgeour, M (2009) Cultural competence in Aboriginal 
education service delivery in Australia: Some lessons from the Aboriginal health 
service sector, Peer reviewed paper, AARE International Education Research 
Conference Canberra November 30 to 4 December 2009 access online at 
http://aare09.confsite.com.au/ ISSN 13245 9320 
• Eckermann, A C, Dowd, T, Chong, E, Nixon, L, Gray, R & Johnson, S (2010) 
Binan Goonj, 3rd edn, Elsevier Australia, Marrickville 
• Farrelly, Terri; Lumby, Bronwyn (2009) A Best Practice Approach to Cultural 
Competence Training, Aboriginal & Islander Health Worker Journal, 
September/October Vol 33 No 5 pp 14-22 
• GPET (2011) Guide to General Practice Training In aboriginal and Torres Strait 
Islander Health, New Millenniu Print
References (cont’d) 
• Hampton, R & Toombs M (eds) (2013) Indigenous Australians and 
Health: The Wombat in the Room, Oxford University Press, Australia 
• Hayman, N E, White, N E & Spurling, G K (2009) Improving 
Indigenous patients’ access to mainstream health services: the Inala 
experience, Medical Journal of Australia, vol 190 no 10, pp 604-606 
• Kendall, E, Miliken, J, Barnett, L & Marshall, C (2008) ‘Improving 
Practice by Respecting Indigenous Knowledge and Ways of 
Knowing’, in S Taylor, M foster & J Fleming (eds) Health Care 
Practice in Australia: Policy, Context and Innovations, Oxford 
University Press, Victoria, pp 221-238 
• Kowal, E & Paradies, Y (2005) Ambivalent helpers and unhealthy 
choices: public health practitioners’ narratives of Indigenous ill-health, 
• Maddison, S (2009) ‘Ways of Knowing, Being and Doing: a 
theoretical framework and methods for Indigenous and Indigenist 
Re-search’, Journal of Australian Studies, no 76, pp 203-215 
• Mitchell, J (2007), ‘History’ in B Carson, T Dunbar, R D Chenhall & 
R Bailie (eds), Social determinants of Indigenous health, Allen & 
Unwin, NSW, pp 41-64 
• National Health and Medical Research Council (NHMRC) (2003), 
Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and 
Torres Strait Islander Health Research, Commonwealth of Australia, 
Canberra
THANK FOR YOUR 
PARTICIPATION 
9

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Exploring cultural safety in Aboriginal healthcare

  • 1. Exploring the journey of cultural safety and working with Aboriginal peoples • Samia Goudie and Gaye Doolan (ANU) Pascale Dettwiller(FNT) • Disclaimer: there is no relationships with commercial interests 1
  • 2. Disclosure of Commercial Support • This program has not received financial support from any private organisation or funding body. • There is no potential conflict of interests to disclose. 2
  • 3. Exploring the journey of cultural safety and working with Aboriginal peoples Samia Goudie and Gaye Doolan ANU Medical School ANU College of Medicine , Biology and Environment Pascale Dettwiller, Flinders NT Katherine, School of Medicine All Photos taken by Samia Goudie copyright used with permission. . Disclaimer: There maybe mention (or display images) of people who have passed away.
  • 4. The PROCESS Acknowledgement of country Introductions of facilitators and of people who attend and why they came. General discussion on current approaches to “ Cultural safety projects and cultural immersion trainings” -led by Gaye Doolan and team. Move into focus groups and discuss ‘what do we do’ and ‘what do others do’. Questions ( slide 4) to help start conversation. Nominate a note taker (or work out how you want to proceed) for your small group and how you want to report the findings and information back. Work in small groups for 20 minutes and each group feedback in remaining time. Discuss how people would like the findings used ? References ( last slide ) Thank you to all who participated.
  • 5. OUTLINE The design of the workshop will be to engage with critical questions relating to questions around the use of and terminology of ‘cultural safety’ and what it means on the ground and what it means to be imbedded within curriculums and/or other organisational structures. The demographic that this workshop will focus on Aboriginal and/or Torres Strait Islander peoples and how “cultural safety” is relevant to this population. The standpoint position and methodology Is located from an understanding of Aboriginal and Torres Strait Islander health as a whole life approach to that includes: The connectedness of ‘Wellbeing “: including the physical, emotional, mental, cultural and spiritual aspects.
  • 6. Some suggestions for questions: “Yarning up “ 1. What, if any, are the differences between ‘cultural education’, ‘cultural sensitivity’, ‘cultural awareness’, and ‘cultural safety’. Are we lost in a world of definitions? 2. How do we assess someone as being ‘culturally safe’ both from the student perspective and the community. What is ‘cultural competency’ and how can evaluate and assess this ? 3. What advantage or disadvantage would there be in having a ‘cultural mentor’ paid by a retainer in each community the students visit. 4. How do we ensure that all students engage with the Aboriginal and Torres Strait Islander health curricula? And how does this relate on the ground with other providers etc.
  • 7. References • Anderson, I (2007), ‘Policy Processes’, in B Carson, T Dunbark R D Chenhall & R Bailie (eds), Social determinants of Indigenous health, Allen & Unwin, NSW, pp 231-252 • Beach, Mary C et al (2005) Cultural Competence: a Systematic Review of Health Care Provider Educational Interventions, medical Care, April Volume 43 – Issue 4 =- pp 356-373 • Betancourt, Joseph R (2004) Cultural Competence – Marginal or Mainstream Movement?, New England Journal of Medicine, Septemb er 2, pp 953-955 • Dunbar, T and Scrimgeour, M (2009) Cultural competence in Aboriginal education service delivery in Australia: Some lessons from the Aboriginal health service sector, Peer reviewed paper, AARE International Education Research Conference Canberra November 30 to 4 December 2009 access online at http://aare09.confsite.com.au/ ISSN 13245 9320 • Eckermann, A C, Dowd, T, Chong, E, Nixon, L, Gray, R & Johnson, S (2010) Binan Goonj, 3rd edn, Elsevier Australia, Marrickville • Farrelly, Terri; Lumby, Bronwyn (2009) A Best Practice Approach to Cultural Competence Training, Aboriginal & Islander Health Worker Journal, September/October Vol 33 No 5 pp 14-22 • GPET (2011) Guide to General Practice Training In aboriginal and Torres Strait Islander Health, New Millenniu Print
  • 8. References (cont’d) • Hampton, R & Toombs M (eds) (2013) Indigenous Australians and Health: The Wombat in the Room, Oxford University Press, Australia • Hayman, N E, White, N E & Spurling, G K (2009) Improving Indigenous patients’ access to mainstream health services: the Inala experience, Medical Journal of Australia, vol 190 no 10, pp 604-606 • Kendall, E, Miliken, J, Barnett, L & Marshall, C (2008) ‘Improving Practice by Respecting Indigenous Knowledge and Ways of Knowing’, in S Taylor, M foster & J Fleming (eds) Health Care Practice in Australia: Policy, Context and Innovations, Oxford University Press, Victoria, pp 221-238 • Kowal, E & Paradies, Y (2005) Ambivalent helpers and unhealthy choices: public health practitioners’ narratives of Indigenous ill-health, • Maddison, S (2009) ‘Ways of Knowing, Being and Doing: a theoretical framework and methods for Indigenous and Indigenist Re-search’, Journal of Australian Studies, no 76, pp 203-215 • Mitchell, J (2007), ‘History’ in B Carson, T Dunbar, R D Chenhall & R Bailie (eds), Social determinants of Indigenous health, Allen & Unwin, NSW, pp 41-64 • National Health and Medical Research Council (NHMRC) (2003), Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research, Commonwealth of Australia, Canberra
  • 9. THANK FOR YOUR PARTICIPATION 9