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Cultural Safety in the Workplace

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We see things as we are, not as they are. Workplace safety is more than just physical safety,I would argue that the culture of safety and cultural safety is even more important.

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Cultural Safety in the Workplace

  1. 1. Cultural safety in the workplace Home Health Aide Conference Prince Albert October 27 -29th 2015
  2. 2. Objectives  To broaden the understanding of the Platinum Rule.  To describe how to apply the Platinum Rule.  Compare the Golden and Platinum Rules.  To explore cultural aspects of nursing care.  To identify the unique challenges faced by care providers working with diverse clients.
  3. 3. To broaden the understanding of Cultural Safety To identify the unique challenges faced by peoples and the need for a balanced approach Objectives
  4. 4. I come from a small town
  5. 5. We Don’t SeeThings AsThey Are, We SeeThem As We Are • “It has been well said that we do not see things as they are, but as we are ourselves. Every man looks through the eyes of his prejudices, of his preconceived notions. Hence, it is the most difficult thing in the world to broaden a man so that he will realize truth as other men see it.”
  6. 6. I try to be skeptical (question things) and not cynical (dismiss ideas & find fault with them)
  7. 7. Bronze silver gold platinum rules The culture ofWestern medicine places diagnosis as a central goal Aboriginal medicine, see diagnosis as less central and pay more attention to finding a safe environment in which the patient may recover. For conditions such as mental disorders, this latter approach may prove more effective than struggling to attach a label to the disorder.
  8. 8. Bronze, Silver, Gold, & Platinum Rules
  9. 9. Bronze rule Do unto others as they have done unto you
  10. 10. Silver What you do not want done to yourself, do not do to others
  11. 11. Gold Do unto others as you would have them do unto you.
  12. 12. Platinum Do unto others as they want done unto them
  13. 13. THE PLATINUM RULE. TREAT OTHERS HOW THEY WANT TO BE TREATED
  14. 14. Cultural Competence is a part of the Platinum Rule • Cultural Awareness • Cultural Sensitivity • Cultural Knowledge • Cultural Competence • Cultural Humility • Cultural Safety
  15. 15. Culture is a world view • NorthAmerican culture sees health as an individual problem, but we live in dynamic, intercultural communities. • Culture can be a barrier to caring for our clients. • We learn about disease models of health • We need to focus on wellness and resilience models of health • Health is multifaceted with issues related to mental, spiritual, emotional, and physical health.
  16. 16. ImbalanceCreates Illness Holistic approach to address issues and factors that impact illness targeting not just the disease, but also the social determinants of health and economic circumstances. It is recognized that the whole family (broadly defined) is as impacted by disease and needs healing just as the individual who is ‘sick’ requires care, treatment and support.
  17. 17. Cultural Awareness Is really concerned about acceptance
  18. 18. Cultural Sensitivity Is about respecting differences and often uses neutral language, and neutral communication
  19. 19. Cultural Sensitivity Is about respecting differences and often uses neutral language, and neutral communication
  20. 20. Cultural Knowledge Familiarization with selected cultural characteristics, history, values, belief systems, and behaviours of the members of another ethic group
  21. 21. Cultural Competence Is about understanding, knowledge skills and attitudes, working effectively in cross cultural and intercultural situations, this is the application of knowledge, creates the environment of cultural safety
  22. 22. Cultural Humility Focuses on self reflection and acknowledges power differences, and privilege.
  23. 23. Cultural Safety Stresses the importance of relationships and partnerships, power shifts to the client, to decide what is safe and what is not
  24. 24. An environment that is safe for people; where there is no assault, challenge or denial of their identity, of who they are and what they need. It is about shared respect, shared meaning, shared knowledge and experience, of learning, living and working together with dignity and truly listening. (Health Q. F., 2012) Cultural Safety
  25. 25. Physical Mental Emotional Spiritual My perspective is that each of these four parts can be treated as its own body. Each requires its own form of sustenance and exercise to be healthy
  26. 26. Seven Directions! • East • South • West • North • Life Above the Earth • Life Below the Earth • Life on the Earth (and within ourselves)
  27. 27. • Cultural safety stresses the importance of reflection & acceptance of differences. • We should not treat everyone the same. • We do need to recognize and acknowledge our blind spots.
  28. 28. Do we provide health care or simply treat diseases?
  29. 29. Tips for Creating a HealthyWork Environment by Kathleen Bartholomew • Never be a “silent witness”. Never stand by and listen while others are gossiping, criticizing or talking badly about someone else • Be a team player. If you see someone in need of help, offer assistance.The greatest safety net cast is to catch mistakes and this is only as strong as your relationships • Speak your truth – always say what’s on your mind. Start the conversation by sharing your perception of what happened and then what you need • Always stay client focused and problem solving focused (personally I want a win- win) • Address issues directly. Ask the manager or your mentor to help role model difficult conversations with you
  30. 30. “Ultimately we know deeply that the other side of every fear is a freedom.” Marilyn Ferguson
  31. 31. Contact information Greg Riehl RN BScN MA Aboriginal Nursing Student Advisor Aboriginal Nursing Student Achievement Program Saskatchewan Polytechnic Regina Campus Email: greg.riehl@saskpolytech.ca Email: gregriehl@sasktel.net @griehl

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