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As a nursing student and a future registered nurse, it is significant to ensure Indigenous cultural respect within the clinical environment by reflecting the REM framework. Firstly, it is important for me to practice cultural humility in the respect component, which is a lifelong process of self-evaluation, reflection, and learning to advance a deeper understanding of how an individual’s life experiences influence their understanding and interaction with others (Yeager and Wu 2013). Moreover, cultural humility is a significant step to equalize the imbalance of power inherent in relationships between professionals and patients and aims to advance partnerships with people and groups advocating for others (Waters and Asbill 2013). Institutionalized discrimination in the healthcare system directly impacts access to and outcome of healthcare for Indigenous Australians (Australian Indigenous Doctors’ Association nd). Discrimination in the healthcare setting can directly result in poorer self-reported health status, postponement of seeking care, social mistrust, distrust of healthcare providers, and evasion of healthcare setting. Furthermore, discrimination has been considered a vital health determinant of Indigenous Australians involved in a high prevalence of psychological distress, which is a risk factor for anxiety and depression, and escalates the commitment to unhealthy behaviors (Marwick et al. 2014). Therefore, personal, cultural, and institutionalized discrimination leads to poorer healthcare outcomes and inequalities. Hence, as a registered nurse after graduating, I will try to provide cultural respect to all people, especially the Indigenous people by active listening, hearing, valuing, and tolerating Indigenous perspectives; demonstrating respect in being heard and in the sharing of their knowledge, being, and doing.
Secondly, I will use person-centered care (PCC) which is respectful of and responds to, the preferences, needs, and values of patients and consumers to ensure cultural safety(Tucker et al. 2011). Through empowering clients to share their needs, cultural values, and preferences related to health care; healthcare professionals can be aware and responsive to cultural sensitivity through involvement in attitudes and behaviors and advancing clinic features and policies recognized as significant by culturally diverse patients (Tucker et al. 2011). Thus, patients and their families can cooperate with healthcare workers to improve healthcare outcomes in a culturally sensitive manner (Purdue Northwest 2017). Furthermore, by using the PCC approach to patient cultural respect, nurses can ease patients’ anxiety about negative health experiences, build stronger therapeutic relationships, and advance trust with patients and their families (Purdue Northwest 2017). Thus, patients will be satisfied with provider care and interact well with healthcare workers, which positively impacts patients’ possibility of following recommended treatment plans directly influencing health outcomes (Tucker et al. 2011).
As a registered nurse, it is significant for me to concentrate on the Indigenous patient’s needs, preferences, and culture. Indigenous Australians have preserved cultures in many different ways than non-Indigenous Australians. This cultural distinction has effects on both policy and practice. Therefore, practitioners need to engage Indigenous clients in the planning and implementation of the care service and identify clients’ pressing needs through effective communication, such as thoughtful listening and sharing (Robertson and McDonald 2011). Furthermore, it is critical for healthcare professionals to efficiently equalize consultation with implementation. Additionally, practitioners have to certify cultural competence while providing healthcare services to Indigenous clients. Moreover, practitioners should apply cultural awareness and cultural sensitivity and not concentrate on their own personal construct of identity and well-being while providing care services to clients (Robertson and McDonald 2011).
There are several philosophies for working through partnerships, such as empowerment, independence, humanity, equity, trust, and respect. It is significant for partners to respect each other in partnership. Through respecting each other, healthcare professionals can work collaboratively, build trust and strengthen relationships with clients, and maximize the accomplishment of partnership working association. Furthermore, through the empowerment philosophy, clients can be empowered to actively participate in the decision-making process, emphasize their needs, cultural preferences, strengths, and abilities, as well as advance their self-efficacy and hope. Thus, healthcare workers can identify the strengths and expertise of clients which are the principles of strengths-based strategies to facilitate optimal health (Sustaining Community 2016). In terms of independence and equity philosophies, clients have autonomy to decide the treatment care plan and self-regulate their necessities, as well as have opportunities for well-being and accessibility to health services. Hence, by working through partnership, healthcare workers can identify clients’ needs, cultural identities and preferences, strengths, and capacities to develop and implement specific strength-based strategies for the client to meet their needs, and likewise work with and maintain their strengths, and assist them in developing new strengths.
As change agents, nurses have to concentrate on three major roles visionary such as communicating, advising, coaching, and providing feedback to bring changes to the healthcare setting; facilitator educating people on what change is needed; and ideal person bringing change, helping solving problems and research.
Nurses can empower patients and build confidence by being fully transparent with patients, such as explaining the drug and its rationale. The open conversation helps build a therapeutic relationship.
Nurses should engage patients in decision-making by introducing, eye contact making, effective communication, active listening, and ensuring their choice and respect.
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