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Culturally competent care for Aboriginal

Abstract. Increasing numbers of Aboriginal women are using urban hospital settings to give birth. Culturally competent care, including an understanding of cultural, emotional, historical, and spiritual aspects of Aboriginal Peoples' experience and beliefs about health and healthcare, is important to the provision of quality care Increasing numbers of Aboriginal women are using urban hospital settings to give birth. Culturally competent care, including an understanding of cultural, emotional, historical, and spiritual aspects of Aboriginal Peoples' experience and beliefs about health and healthcare, is important to the provision of quality care. While there is a body of literature on culturally competent care, no. Aboriginal women, culturally competent care, hospital birth, obstetrics. Journal of Aboriginal Health, December 2009 25 G iving birth is a major life event for Aboriginal1 women and their families. !e experience can be positively or negatively aected by the care received

Aboriginal Cultural Competence Framework 9 There are three key government policy drivers for the development of the Aboriginal Cultural Competence Framework. Legislation The Children, Youth and Families Act 2005 (CYFA) and the Child Wellbeing and Safety Act 2005 set the broad framework for reforms in the child and family services sector Canadian health care providers need to focus more on offering culturally competent care and creating culturally safe environments for Aboriginal peoples, who tend to avoid seeking medical care because of factors such as negative stereotypes and lingering racism, according to a new report by the Health Council of Canada Culturally competent care is experienced by the patient from the moment they enter the system when they are asked if they would like to self-identify as having Indigenous ancestry, which opens the door to accessing the programs. The program includes Health and Social Liaison Workers, who do just that - they liaison with each patient: Provide. Cultural capability is a broad term that encompasses cultural awareness, cultural safety and cultural competence. Cultural capability is not achieved after one training session or at a single end-point but represents continuous learning that builds over time. Cultural Awareness Cultural awareness means being aware of, and developing sensitivity to, cultural..

Attention to culture and its impact on health care can improve the quality of care given, add to our understanding of health care among culturally diverse populations, and encourage a more holistic approach to health care within general care. Connection to culture is important to Aboriginal peoples, and integrating Aboriginal culture into general care in residential aged care facilities may. Quality Framework for Health Care and the Australian Charter of Healthcare Rights. This guideline is designed as a quick reference tool to support healthcare staff in delivering safe, clinically and culturally responsive inpatient care to Aboriginal and Torres Strait Islander patients. The guideline provide

The Characteristics of culturally competent maternity care for Aboriginal and Torres Strait Islander women. This document identifies the characteristics of culturally competent maternity care for Aboriginal and Torres Strait Islander people as required under action 2.2 of the National Maternity Services Plan Objective: To review the literature to determine the attributes of culturally appropriate healthcare to inform the design of chronic disease management (CDM) models for Aboriginal patients in urban general practice. Methods: A comprehensive conceptual framework, drawing on the Access to Care, Pathway to Care, Chronic Care, Level of Connectedness, and Cultural Security, Cultural Competency and. The Strengthening Primary Care Access report presented one potential process indicator: per cent of immigrants, vulnerable women, Aboriginal, and so on, receiving Pap test/colorectal and breast cancer screening in a culturally appropriate manner.44 This indicator is presented as a potential indicator for primary care that is 'culturally safe. The framework now specifically states that the culturally competent physician embraces Indigenous knowledge, and Indigenous health is an integral component of medical research, education, training and practice. 35. Recent encouraging initiatives have advanced cultural safety in Canadian health care 95% of Indigenous primary health care providers had a formal commitment to provide culturally safe health care in 2017-18 (AIHW analysis of Online Services Reports data 2012-13 to 2017-18). 363 Indigenous medical practitioners (0.4% of all employed medical practitioners) were employed in Australia in 2017—an increase from 234 in 2013 (AIHW.

Culturally Competent Care for Aboriginal Women: A Case for

Culturally Competent Care for Aboriginal Wome

Improving cultural competency Providing a supportive environment and clear processes for the workforce to explore the cultural needs of Aboriginal and Torres Strait Islander patients can be a significant step towards the development of a safe and respectful organisation, where patients, their families and other community members can feel comfortable to engage with and receive care development of this document, Cultural Competence and Cultural Safety in Nursing Education: A Framework for First Nations, Inuit and Métis Nursing. Of the eight concepts developed, six are presented as core competencies and two serve as foundational structures or processes supportive of Aboriginal nursing education 6 Queensland Health | Aboriginal and Torres Strait Islander Cultural Capability Framework 2010 - 2033 2 Introduction Queensland Health's mission is 'creating dependable health care and better health for all Queenslanders'. The health system, overall, does not provide the same level and quality of care This included studies evaluating strategies to improve the cultural competency of health professionals working with Indigenous peoples, health-care programs or services delivered for Indigenous peoples, and Indigenous peoples' access to culturally competent health care; and (ii) reported on the effectiveness of the intervention strategy (i.e. Restricted access to culturally competent services, has contributed to the limited uptake of antenatal care and other health care services by Aboriginal women (Bertilone & McEvoy 2015). Comprehensive antenatal care services address a variety of factors such as maternal health issues, maternal behaviours including smoking, alcohol use and nutrition

Considering culture in Aboriginal care CMA

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  2. g environments, that recognize the importance of cultural beliefs and practices and improve cultural awareness and competency in the.
  3. Racism towards Aboriginal peoples continues to happen generation after generation. It is necessary within the social work profession to raise awareness about how our society lacks the knowledge and understanding of Aboriginal culture. If social work practice recognizes the need to be culturally competent when working with Aboriginal peoples then w
  4. Taking action to build cultural competence. Taking action to build cultural competence should be an individual, school and community priority. Reconciliation Australia's Narragunnawali program supports schools and early learning services in Australia to develop environments that foster a high level of knowledge and pride in Aboriginal and Torres Strait Islander histories, cultures and.
  5. academic and personal supports for students, and curricula which foster competence among Aboriginal and non-Aboriginal graduates in the provision of care to Aboriginal peoples. The First Nations, Inuit and Métis youth population is a significant and potential human resource to address the national and global nursing shortage
  6. It is also important in the initial nursing assessment to identify Aboriginal patients, and appropriately refer to maintain culturally competent care for Aboriginal patients, as better identification of patients ill allow nurses to plan and develop care plans that will assist the multi-disciplinary team to provide the best possible care for.

Cultural Competency in Indigenous Health Car

Aboriginal Cultural Capability - Aboriginal Cultural

  1. orities such as the American Indians/Alaska natives (AI/AN). About half of AI/AN patients reported having a personal physician or healthcare provider
  2. ation and racism) on the health and health care of Aboriginal and Torres Strait Islander people. Improving the cultural competency of health care service providers can increase Indigenous.
  3. ed by cognitive decline and.
  4. Demonstrate an understanding of, and respect for, the cultural identity of Aboriginal and Torres Strait Islander clients and families, and provide culturally safe care Consider the individual as a whole - incorporating physical, social, emotional, cultural and spiritual aspects of wellbeing - when providing care across the life spa

Providing culturally safe health care can contribute to improved health among Aboriginal people. However, little is known about how to make hospitals culturally safe for Aboriginal people. This study assessed the impact of an emergency department (ED)-based continuous quality improvement program on: the accuracy of recording of Aboriginal status in ED information systems; incomplete ED visits. Health services reporting maximum values against the four key indicators of culturally responsive antenatal care, together with maximum values in r outine antenatal care Gold elds Yes n/k 40 1 1 3 1 0 9 7 0 1 1 2 Kimberley No 10 10 1 1 3 1 1 8 7 2 1 2 2 Wheatbelt Yes 5 18 1 1 3 1 1 7 5 2 1 2 2 Grea a formal area of study and practice focussed on comparative holistic cultural care, health, and illness patterns of people with respect to differences and similarities in their cultural values, beliefs, and lifeways with the goal to provide culturally congruent, competent, and compassionate care [original in italics] (Leininger, 1997, p. 342) Providing care that acknowledges, respects and incorporates cultural and language considerations is an essential part of person-centred care. Watch the video The Importance of the Indigenous Relationship and Cultural Safety Courses to understand how these courses are relevant to all Canadians, not just healthcare providers Despite the complexities of what is necessarily lifelong learning around cultural competence, cultural educators and mentors can help GPs and GP registrars to avoid communication pitfalls and provide more culturally competent care. 12 Cultural mentoring is defined in GP education as a relationship between an Aboriginal and Torres Strait.

Exploring Aboriginal aged care residents' cultural and

  1. work towards cultural competency and enable effective care of Aboriginal people. Artwork. SMHS extends sincere thanks to Phillip Narkle for his illustration Nyoongah Kalla Boodjah. Use of the term Aboriginal. Within Western Australia, the term Aboriginal is used in . preference to Aboriginal and Torres Strait Islander, in recognitio
  2. Aboriginal Family Birthing Program (AFBP): The AFBP provides culturally competent antenatal, intrapartum and early postnatal care for Aboriginal families in some parts of South Australia, with women cared for by an Aboriginal Maternal and Infant Care worker and a midwife in partnership. The Aboriginal Maternal and Infant Care worker has a.
  3. This clinical guide will become the basis of a randomized controlled trial involving webinar training for general practitioners and health providers in culturally competent approaches for the target group at Aboriginal Community Controlled Health Services in 2016
  4. appropriate health and community care for Aboriginal people. Unless mainstream rural health and community services become culturally competent, access to culturally appropriate care will remain difficult. Over the past decade, the Victorian government has implemented a number of initiatives to assis
  5. Improve outcomes for Aboriginal children, families and communities who come into contact with the child protection system. 2. Foundation Elements. Represent the conceptual foundations for the Framework that foster cultural competence when working with Aboriginal children, families and communities. 3. Guiding Principles

Cultural Competency Action Plan. Our Cultural Competency Action Plan aims to support how the ACI will implement culturally competent processes into everyday work. The plan includes objectives and initiatives such as: advocating to increase Aboriginal membership of networks and network executives and/or effective input, involvement, consultation. Cultural!Competence!of!Mainstream!Health!Services!and! Systems!Roundtable! Roundtable+to+identify+priorities+for+collaborative+research+to+develop+the+evidence+base+on

The Characteristics of culturally competent maternity care

Recent studies, as well as emerging Aboriginal maternal health policies, highlight the importance of achieving culturally responsive service delivery if perinatal outcomes are to improve.4-6 All these factors, cultural safety, cultural security and cultural responsiveness, are encapsulated in a cultural competence assessment process for. Aboriginal and Torres Strait Islander people are best placed to assess the cultural competence of a person or organisation. 8 For this reason, the researchers did not seek to assess the cultural competence of the health and community health services involved in the evaluation, only their experience of the KB-AHCC project This resource focuses on cultural competence, chronic disease and end-of-life issues. It highlights issues around end-of-life care and their implications for person-centred care and interprofessional collaborative practice. The scenario tells the story of Mr Barry, a 55 year old Aboriginal man from the Pilbara, who has been admitted to hospital. The Framework provides the foundation and guides a nationally consistent approach for building culturally responsive health care design and delivery for Aboriginal and Torres Strait Islander people, and contributes to achieving the Closing the Gap targets agreed by the Council of Australian Governments (COAG). Palmerston Association Inc. (2012) A cultural competent care system incorporates and acknowledges the cross-cultural relations assessment, the culture importance, and vigilance to the dynamics, which yield from cultural differences, the cultural knowledge expansions and the services adaption to meet unique cultural needs (Kingsley et al., 2013)

Cultural competence refers not only to interpersonal communication skills, but rather encompasses institutional and community-level practice . While often referring to inter-racial or inter-ethnic interactions, cultural competence frameworks have less frequently been applied to examine health care provision to people with disability [23, 24] Priority 2: Culturally competent maternity care. Action 2.2 of the NMSP was to develop and expand culturally competent maternity care for Indigenous Australians. Cultural competency is best comprehended as a philosophy and paradigm for transformational heath practice is it a comprehensive report on cultural competency, cultural safety, or First Nations, Inuit and Métis health. It is intended to inform students, researchers, practitioners, community leaders and the public about cultural competency and safety in Aboriginal public health and health services. As such, the environmental scan highlights a rang 8 Aboriginal Cultural Competence Framework Approach The approach of this paper is to • briefly introduce and explain the reason for developing an Aboriginal Cultural Competence Framework • outline why the lens of culture is important for Aboriginal children with reference to the Aboriginal child removal policies of the past, the current situation and how Aboriginal culture is critical to.

Successful chronic disease care for Aboriginal Australians

  1. Traditional medicines must be integrated into health care for culturally diverse groups May 30, 2019 3.50pm EDT Josephine Agu , University of Technology Sydne
  2. National Centre for Cultural Competence. The NCCC was established at The University of Sydney in 2014 and became active in 2015. The centre built its philosophy upon cultural competence from an Indigenous standpoint, with the primary aim of improving the knowledge of all Australians about First Peoples who have cared for and sustained this continent for at least 65,000 years
  3. There has been widespread support for cultural safety's implementation across the health system. The National Safety and Quality Health Standards includes a standard in cultural competence in caring for Aboriginal and Torres Strait Islander consumers. Providing culturally safe care that is free from racism should be a normal expectation
  4. Cultural competence has been broadly described as 'the ability of systems, organizations, professions and individuals to work effectively in culturally diverse environments and situations'. 6 Cultural competence is an important building block in clinical care and, while not the solution to reduce health care disparities, is nonetheless a.
  5. The new report issued by the Health Council of Canada on cultural competency and cultural safety for Aboriginal People in urban health care is a welcome addition to what is hopefully a broader renaissance in how health care services are provided in this country. This report presents the outcomes of regional roundtable sessions across the country focusing on an issue that lies at the nexus of.
  6. The Canadian Constitution recognizes 3 groups of Aboriginal people - First Nations, Métis and Inuit. View the Indigenous Peoples and Health Care in Canada fact sheet for more information. With 220,700 Albertans self-identifying as Indigenous, Alberta is home to the third largest Indigenous population in Canada

Cultural competence is the ability of nurses to apply knowledge and skill appropriately in cross-cultural situations. Having cultural sensitivity or awareness is an essential component of cultural competence. Culturally competent care goes beyond culturally sensitive care by adapting care to meet the patient's cultural needs and preferences culturally competent care: The provision of health care with tolerance and respect for people of all ages, nationalities, races, beliefs, and customs. See also: care Cultural Competence In The EYLF. The EYLF describes cultural competence as, much more than an awareness of cultural differences. It is the ability to understand, communicate with, and effectively interact with people across cultures. Cultural competence encompasses: being aware of one's own world view. developing positive attitudes. Aboriginal Health edical Research Council of NSW 5 1. Vastly improve the cultural competency of staff in mainstream health settings. Policy issue: Despite having poorer health, many Aboriginal people do not access the health care they need in mainstream settings due to a lack of cultural competency and/or racism among staff. Thi If we are to close the gap in health outcomes for Aboriginal people, we need to develop and staff culturally competent health-care services. from shutterstock.co

How to measure cultural competence when evaluating patient

The IHCC Program develops education tools and resources for Emergency Medicine (EM) physicians designed to enhance culturally competent communication and overall care for Aboriginal, Torres Strait Islander, Māori and other culturally and linguistically diverse patients. About IHCC education from ACEM Digital Media on Vimeo. About IHCC education online program on cultural competency for health care providers who work with Aboriginal patients. 37 Table 1. Proposed Principles to Address Cultural Safety in ED Care Principle Possible Actions The patient's way of knowing and being is valid ∙ Recognizing there are many ways of understanding and supporting health and well-being

Aboriginal and Islander Child Care A Place for Culture? Exploring Aboriginal and Torres Strait Islander Cultural Competence in the National Quality Standard DECEMBER 2013 ! culturally!competent!early!childhood!education!and!care!regulatory!system.!!! Recommendations$$ $ RECOMMENDATION!ONE:!The!Government,!in!partnership!with!Aboriginal!and. o Designing culturally appropriate and evidenced based models of care o Employing culturally competent workers They told us they are improving services by: o Ensuring appropriate referral pathways between services o Working closely with other Aboriginal and Torres Strait Islander organisations o Providing resources in Aboriginal language Defining cultural competency and cultural safety In lay terms, cultural competency is about creating a health care environment that is free of racism and stereotypes, where Aboriginal people are treated with empathy, dignity, and respect. Culturally competent health care providers are more likely to recognize the effects of history on Aboriginal providing cultural competence education for front line health providers could reduce the power imbalance and positively affect attitudes towards health care engagement by Aboriginal people. Similarly, DeSouza (2008) demonstrated that cultural competency is a plausible strategy to help with collaborative relationships for capacity building wit

Cultural safety. The goal of cultural safety is for all people to feel respected and safe when they interact with the health care system. Culturally safe health care services are free of racism and discrimination. People are supported to draw strengths from their identity, culture and community focus on developing competent practice in relation to Aboriginal and Torres Strait Islander cultural heritage and people, and that is the focus of these protocols. The Library's vast collection also includes cultural content from other First Nations communities, primarily from other nations of the South Pacific

Cultural competence is a stance taken toward culture, not a discrete status or simple mastery of particular knowledge and skills. A culturally competent evaluator is prepared to engage with diverse segments of communities to include cultural and contextual dimensions important to the evaluation. Culturally competent evaluators respect th Cultural competence indicates the awareness and incorporation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes by incorporating the patient's views, personal value base and beliefs [].Cultural competence in nursing reflects the nurse's ability to provide individualized culturally sensitive patient care with a respect and an. Increasing culturally competent maternity care; and; Developing dedicated programs for Birthing on Country. In 2017, a $1.1 million NHMRC grant was awarded to the Birthing on Country project. It followed a call in 2016 from three peak bodies for radical reform to maternity care services for Aboriginal and Torres Strait Islander women across. Education to prepare culturally competent nursing care-a content analysis of student responses. Nurse Education Today, 30(1), 54 - 60. Gebru, K., Khalaf, A., & Willman, A. (2008). Outcome analysis of a research-based didactic model for education to promote culturally competent nursing care in Sweden-a questionnaire study Culturally competent maternity care provision to Aboriginal and Torres Strait Islander women was identified as a priority area by Australia's National Maternity Services Plan in 2011. While midwifery programs responded by including core Indigenous content and community placements in curricula, little is known about whether knowledge learned, and insights gained in response to these.

CSIRO PUBLISHING | New South Wales Public Health Bulletin

Cultural Safety and Providing Care to Aboriginal patients

Aboriginal cultural awareness training aims to build a culturally responsive workforce, however research has found the training has limited impact on the health professional's ability to provide culturally safe care. This study examined cultural awareness training feedback from healthcare professionals working with high Aboriginal patient caseloads in the Top End of the Northern Territory of. Aboriginal Cultural Competence Framework 9 There are three key government policy drivers for the development of the Aboriginal Cultural Competence Framework. Legislation The Children, Youth and Families Act 2005 (CYFA) and the Child Wellbeing and Safety Act 200 5 set the broad framework for reforms in the child and family services sector. A foundational component of CYFA is the Best Interests. The Southern Saskatchewan/Urban Aboriginal Health Coalition is an interdisciplinary, intersectoral team of researchers and communities dedicated to exploring culturally respectful care in Aboriginal communities. Through a community-based research approach, the communities and the Coalition used sharing circles to determine the key elements that 2 Saskatchewan Aboriginal communities see as.

Cultivating an inclusive environment for Aboriginal andFree Multicultural Awareness Cliparts, Download Free Clip

Culturally safe health care for Indigenous Australians

A broad conception of cultural competency akin with Juli Coffin's model of cultural security does not occur just in the parts of an organisation responsible for Aboriginal and Torres Strait Islander policy and service delivery. Creating true cultural competency is an organisation-wide process. I Aboriginal culture is central to health. It is value based, built on social roles, cultural obligations and responsibilities which differs to the dominant western health system. During clinical interactions these opposing worldviews collide leaving the patient no wiser on their disease management or follow up plan. So, what does a culturally competent model of self-managemen

Guidance for Culturally Competent Approaches to Smoking

Ensure that all resources used are culturally sensitive and appropriate. If in doubt, consult with Aboriginal people/advisors in your local community or the Reconciliation NSW. Integrate other aspects of Aboriginal art and culture, such as the oral story telling traditions, the performing arts, music, and dance wherever possible Cultural safety differs from the following concepts. Cultural Awareness: An attitude that includes awareness about differences between cultures. 3 Cultural Sensitivity: An attitude that recognizes the differences between cultures and that these differences are important to acknowledge in health care. 3 Cultural Competency: An approach that focuses on practitioners' attaining skills. Cultural safety in health care aims to address the inequity of the distribution of power in the health care setting. For example, providing community members a safe environment to express their concerns about culturally risky practices in health care is a way to identify areas for improving services Cultural Competence Culturally competent care Cultural competence and the Old age homes The basic knowledge in nursing or medical studies in itself is not enough. As Watson puts it, there is need to instill the humanistic aspect into the career or the profession

Cultural competency in the delivery of health services for

The National Quality Framework (NQF) provides the foundation for culturally competent practice in education and care. One of the guiding principles is that Australia's Aboriginal and Torres Strait Islander cultures are valued Cultural competence and culturally effective care are critical for improving health outcomes, patient safety and patient satisfaction. Exploring the applicability of the concept of cultural safety to Aboriginal health and community wellness. J Aboriginal Health 2009;5(2)6-41 Cultural competency is a key strategy for reducing inequalities in healthcare access and improving the quality and effectiveness of care for Indigenous people. Cultural competence is more than cultural awareness—it is the set of behaviours, attitudes, and policies that come together to enable a system, agency, or professionals to work.

Cultural safety strategies for rural - BMC Palliative Car

Custom. Cultural competence in nursing promotes individual-centered care, and it enables a focused assessment of patients' culture, social, and linguistics needs. Most healthcare organizations have incorporated cultural competence in nursing staff orientation program. Cultural competent organizations invest in diversity training and promote. Culturally valid understandings must shape the provision of services and guide assessment, care and management of Aboriginal and Torres Strait Islander peoples' health problems generally and mental health problems in particular.8(p6) For Aboriginal people mental health is holistic, bound up in the social, emotional, spiritua The challenge for mental health nurses in ensuring culturally secure systems of care and supporting recovery is to provide nursing care that truly meets the needs of Aboriginal and Torres Strait Islander Australians The literature suggests that specific principles assist in the delivery of culturally appropriate palliative care for Aboriginal and Torres Strait Islander people, including: equity of access (i.e. equal opportunity for accessing care) empowerment and autonomy, including shared decision making; building a respectful and trusting relationshi

Aboriginal and Torres Strait Islander post-school

Action 1.21: Improving cultural competency Australian ..

Cultural competence is a developmental process that evolves over an extended period. Both individuals and organizations are at various levels of awareness, knowledge and skills along the cultural competence continuum. Source: The National Center for Cultural Competence (NCCC) Cultural Competence and Cultural Safety in Nursing Education: A Framework for First Nations, Inuit and Métis Nursing effective collaboration with both Aboriginal and non- Aboriginal health care professionals, traditional / medicine 4.2 COMPETENCY peoples / healers in the provision of effective health care for First Nation, Inuit, and. How culturally safe nursing practice address personal and institutional racism that impact on Aboriginal and Torres Strait Islander peoples' access to health care The concept of cultural safety is currently gradually being accepted in many fields of service provision and policy that impact on the aboriginal population in Australia 3. Service delivery: Culturally secure health care hinges upon having both a culturally competent non-Aboriginal workforce and strong participation by an appropriately trained Aboriginal workforce. 4. Recruitment and employment: Measuring the actual status of the Aboriginal healt Dr. E online shares important Aboriginal health information and follows Dr. Evan Adams as Deputy Provincial Health Officer (DPHO) for British Columbia. Vanco..

Cultural competency—Canada's history and today's physician

Aboriginal Cultural Competence . Understanding Culture . Cultural Competence . Cornerstones of Aboriginal Cultural Competence 4 .4 Conclusion 6 . Leading a Culturally Competent Organisation 4 . Introduction 4 . Governance and Strategic Planning 4 . Expectations of Staff - Code of Conduct 44 .4 Truth- Telling About Australian History 4 A tool for assessing cultural competence training in dental education. J Dent Educ. 2013;77:990-997. Evans L, Hanes PJ. Online cultural competency education for millennial dental students. J Dent Educ. 2014;78:867-875. Campinha-Bacote, J. The process of cultural competence in the delivery of healthcare services: A model of care This resource kit aims to assist health care workers in the Hume region of Victoria to provide culturally competent health care to Indigenous peoples. The kit includes: posters, an audit tool kit, information about working with Aboriginal clients and organisations, information about 'using an Aboriginal health promotion framework through an.

Cultural Sensitivity and Understanding in the MedicalAbout Us

In another systematic review, a lack of evidence was found for cultural competency interventions and their impact on healthcare for indigenous populations.27 Clifford A, McCalman J, Bainbridge R, Tsey K. Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic. (AHMAC) commissioned research to identify the characteristics of culturally competent maternity care for Aboriginal and Torres Strait Islander people (Kruske, 2012) as an action under the National Maternity Services Plan (NMSP) (AHMAC 2011). Using a literature review and stakeholder consultations, Kruske identified1 This study explored the views of key stakeholders on cultural appropriateness of primary health care (PHC) services for Aboriginal people. A total of 78 participants, including healthcare providers, administrative team members (n=24, ~30% of study sample) and Aboriginal community members (n=54, ∼70% of study sample) living in remote North West Queensland participated in the study. Outcome. The research also took the approach that cultural competence, along with its contributory elements of cultural security and cultural responsiveness are one way to create a culturally safe environment for Aboriginal and Torres Strait Islander women and that cultural competence is a developmental process that evolves over an extended period Cultural competence is the ability to understand, communicate with and effectively interact with people across cultures. Cultural competence encompasses: being aware of one's own world view. developing positive attitudes towards cultural differences. gaining knowledge of different cultural practices and world views 8. Becoming a culturally competent disability service A culturally competent disability service is based on culturally competent governance, planning, monitoring and service delivery. The Aboriginal Cultural Competence Fr amework (2008) provides a set of standards by which disability services can consider and develop their organisation to ensure that it is accessible, responsive and safe for.

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