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Cultural Safeness: An analysis


Cultural safeness is relatively new idea in New zealand. Over the last couple of years it passed the national boundaries and gained international focus on acheieve a social justice. It really is an ethno ethnical practice which heighlight the necessity of critical thinking against the inequalities whcich persists in medical care system. In this article i'd like to spell it out about two susceptible group in the contemporary society such as elderly and impairment, their characeristics, the way they vary and discriminated against. Accompanied by the discription regarding the postion of ability, personal worth and ther negative and positive influences. Furthermore this essay points out the concept of cultural protection and the Maori health strategy.

Old age

Aging is the normal procedure for time related changes. It begins in delivery and persists throughout life. Design strategies and rendering care for the elderly are challenging to the health professionals. Old age is the period of changeover from adulthood to the second childhood when individuals undergo the cellular and extra cellular changes. It triggers changes in physical appearance and function. This group of men and women change from others in lots of ways. the most noticeable change is in the appearance, it shows slender and wrinkled epidermis and loss of elasticity. Furthermore hair become grey or white. Cognitive impairement can be an other attribute of older people. There could be short-term changes in the cognitive capability while admitted to hospital as a result of unfamiliar environment (C. Smeltzer & G. Bare, 2004). The meals intake become less during elderly when compare to other age group and the life span style become sluggish paced and relxed. They feel loneliness, frustation, sociable isolation and difficulty in coping. They have more interest to become a part in the get-togethers and revel in well. During this time period most of the elderly turn to spiritual life and spend additional time in prayers and reading religious books. This is the time they recall thier past incidents and stories. Most families provide a good position to older people plus they have the energy to help make the decisions in thier family as a eder citizen. They may have the power to influence the decision of others though this traditions erode nowaday. Old people are consideres as the assest of the residences. They are able to make good decisions from the light of the experiences. They can guide their younger generation in a successful way. They can cultivate the moral values with their young ones and they act as a liason to copy their cultures to another generation. Whereas many people feel that elderly are needy, unhappy, inactive and senile. They cannot learn new things and they're not useful for his or her youner counterparts. Many seniors don't have adequate medication coverage in the contemporary society. They are usually puzzled with the growing technologies. Their viewpoints and ideas are considered as insignificant in the society. Many elderly are put into nursing homes and helped living for their frail health. Insufficient proper communication make them to suffer from malnutrition as well as face overlook from those who imagine to take care of them. Many elderly are abused by thier children by firmly taking the money from their accounts. Though they can be weak the members of the family take advantage of them and rob their properties ("how the elderly, " 2009). Because they require more health care members of the family shows unwillingness to care for them.


A disabled person is the main one who was limited or struggling to carry out his day to day activities anticipated to congenital or permanent disabilities. Disabilities can be of varoius types like the disabilities in viewing, hearing, speaking, thighs, hands, other physical disabilities and mental disability. Impairment is a complex phenomenon where the person have the limiatation or difficulty in carry out the duties, have impairement in body functions, and also have participation restriction while including in life situations. Disabilities can be physical, psychological, mental, cognitive, sensory or the blend of these ("Impairment, " 2012). People who have disabilities are facing many obstacles to lead a healthy life. Compare to other folks they have got poorer health, less access to healthcare, less insurance plan, they skipp medical care because of higher price and they engage in harmful behaviours including physical inactivity and smoking. The people who have disabilities can be discriminated in many ways such as thoughtlessly, intentionally, prejudicially, economically, accidently, architecturally, innocently and hostilely. The handicapped have equal privileges in the culture as same as other people. However in the present scenario people who have disabilities are subjected many direct and indirect discrimination. Immediate discrimination occurs in the areas such as education, work, training, access to general population premises, provision of facilities and services, accommodation, account and activities in clubs and purchasing lands. Indirect discrimination occurs when the people not recognise or react to the need of the disabilities ("Disability discrimination, " 2012).


Nurses are the person who cares the average person in various levels including birth, fatality, illness and recovery. So if the nurse don't have any knowledge regarding their own as well as their patients, it is impossible to allow them to provide an expected and effective nursing care. Till the finish of ninteenth century the prevailing values of nursing attention were self sacrifice, benevolence, compliance, faithfulness, serious-mindedness, compassion and humanity. But in today's scenario the normal person vlaues which have by the nurse includes looks, altruism, equality, professional competency, justice, sensitivity and truth (Ersoy & Altun, 1998).

Professional competency

Professional competency is the skill and potential to practice safely and securely and effectively without the need of direct supervision ( Rutowski, 2007). The Medical Council of New Zealand defines nursing competence as the combination of knowledge, skill, ideals, attitudes and skills that underpin effective performance as a nurse ( Medical Council of New Zealand, 2008). A competative nurse is capable of doing the task more skillfully and efficiently and it immediately influences to increase the progress of the patient. Though we cannot find any negative influences peripherally, more competativeness make the nurse to be more concentrate on aquiring knowledge and skills alternatively than to be versatile with the necessity of the patient. It can produce a negative patient outcome.


Equality is the attitude of the nurse to treat the individual against get older, gender, disability, marital status, motherhood, religion, race, opinion and intimate orientation (Irwin, 2011). Equality says as because they're human they are really similar. Possessing equality to the patients help the patients to feel a confidence and dignity towards themselves and it can help in the fast restoration from illness. However in some conditions, the folks from high communal backgrounds may well not adjust with the concept. They may feel inferiorty while they treat as same as other low cultural classess. This may produce disharmony and disputes.


Altruism is generally thought as the practice of concern for the welfare of others. Altruism is solely defined as the sacrifice of something for an individual without expecting anything from them ("Altruism, " 2012). Altruism help the nurse to ventilate her empathy and compassion skills and provides a recovery environment to the patient. It certainly create a positive health end result. But, at exactly the same time the is more opportunity for the nurse to be exploited by the individual in the aspect of altruism.


In medical sensitivity identifies the ability of the nurses to identify the needs of the patients and take neccessary measures to satisfy the needs. However the interventions which are taken by the nurse must be within the range of nursing practice and is an integral part of the nursing process("Nursing very sensitive patient outcomes, " 2004). The nurse who have got awareness can identify the reason why behind their behavior, and their ability to aniticipate these reasons easier definitly help them both. Recieves attention from a nurse who is hypersensitive to the needs of the patient definitly fasten the recovery (Gorman, 2002). But sometimes, the individual may take benefits from this.

In my personal perspective medical is the vocation where the personal values have got a great importance. I follow the beliefs like respect, real truth, honesty, altruism, humaneness and justice while making care. The care which we provide to the patient should be safe and comfortable to them. It'll create a postive end result.

Power nurses have in their roles when delivering medical care

In today's scenario demand nurse or rn contain the recognisable authority and they are well outfitted with management and control skills. The rn is the central to the product quality, security and standard of care. Her management and command style decides the culture of the ward ("Power to worry, " 2012). The nurse who employs evidence structured practice and read literature increases their knowledge and expertise their skills. It strengthens their routines and help these to influence the activities of others. Hence it boosts the patient good care. This is the power of a nurse and which is ideal for the good of all (Parker, 2007). For instance, the nurse may have the power to make decision, capacity to utilize the time effectively, power to advocate, power to breach the code of conducts, code of ethics, and code of protection under the law.


Beneficience is thought as the means of prooting good or doing good. It identifies taking the positive action to help others. Determination to beneficience help guide diificult decision. A child immunization may cause discomfort during administartion however when it free from disease it outweigh the temprory discomfort.

Non maleficience

It is an oblligation never to deliberately harm others. It is the avoidance of harm or hurt. In nursing ethics similar emphasis had directed at avoid harm also to do good. But to create the good effect can give a little pain to the individual. But for case, repeated pricking of the individual to get an iv gain access to is the misuses of the power.


It defined as the truthfulness. It needs the nurse in all honesty with the patient. It may well not be hard to be honest, but it is difficult tod determine how to tell the truth. But when truth does greater harm than good, then it is strongly recommended to hide the reality.

Principles of ethnical safety

Cultural safety is accessible beyond cultural awareness and cultural sensitivity. It provides capacity to the consumers to touch upon the methods and add their involvement in attaining positive result of health insurance and experiences. The council defines cultural safety is at conditions of effective medical pratcice and it is detrmined by that one person or family. Council also stresses that culture not excludes the age, sex, sexual orientation, occupational position, socio economic track record, ethinicity, religious beliefs and disability.

Cultural safety uses four ideas. The first rule describes that social safety mainly aims at improving the health status and marriage among New Zealanders. it given emphasis on health benefits and outcomes also emphasises that know the values and pratcices of different group. The second concept states that ethnic safety enhances the quality of health and disability services. This rule mainly concentartes on four aspects including ability of the nurse, safeness of the patient, nurse`s ability to understand the diversity of the culture and the use of social knowledge in nursing practice. Third principle emphasizes the extensive nature of social security. It concerns about the inequalities in health care interactions, recognition of cause and result relationship, approval of diversity in behaviours, approval of the procedures and attitudes in impairment services and also about the product quality improvement services. Fourth concept identifies its close target. The council added the ethnical basic safety education in the undergraduate program so that the personnel can gain knowledge from the essential level itself and can deliver an effective service which is culturally safe. It mainly focus on the impact on th nurse`s own culture, nurse`s task, balancing the reationships and the recognition of ability imbalanes (Nursing Council Of New Zealand, 2005).

Health strategy

The Maori health strategy made by the Ministry of health targeted to support the Maori individuals and to help them to achieve the optimal health and wellbeing. The expected benefits of this strategy are the physical, mental, spititual and mental well being, much longer and better quality life and dynamic partcipation of Maoris in the New Zealand modern culture. The central priciples of the strategy are Partnership, Participation and Coverage. Maori health strategy has one goal, two guidelines, three key threads and four pathways. Both directions are the Maori and Crown dreams and efforts. Three key threads are rangatratanga, building on increases in size and reducing the inequalities and the four pathways comprised of community development, Maori participation, effective service delivery and work across industries (Ministry of health &, 2002).

How well the strategy meet up with the guidelines

Cultural protection is the effective medical pracice provided by the nurse to an individual or family from differnt culture, however the effctiveness will be determined by the individual or family. Unsafe cultural practices will reduce the cultural id and wellbeing of the individual. Maori health strategy evidently is aimed at the support of maori family and the provision of better quality life. Inside the cultual safety suggestions, they emphasise that the nurse should acknowledge the rituals, procedures and beliefs accompanied by differnt teams includes the minorities and disabilities. Maori is a group of folks have their own culture, and customs. So, cultural safeness guidelines demand the nurse should have the knowldge about their routines while rendering good care. In addition the cultural protection guidelines emphasizes that the nurse should be mindful about her own cultural reality and its own impact on others culture. She should react to the diverse need of folks and provide services which they feel safe. As just as the Maori health strategy explain that the Maori should recieve the same health care as like the Non Maori and they shouldn't feel any inequalities. In addition, it suggests the health professional should protect the culture, value and routines of Maori and participate them in decision making, planning and development. ethnic safety rules meet this declaration by handling that the nurse should acknowledge the diversities and be matter about the grade of services provided. It ought to be safe also to be accepted by the folks from an other culture. Altogether the cultural safety guidelines meet the goals of the Maori Health Strategy. Although guidelines covers different aspects it possessed given a great importance for the provision of equal and quality health care to the people like Maori.


Cultural safety can be an important aspect of health care. Inequalities should be eroded from the field of health care. More appropriate and relevant care should be arrange for older people and the disabled. Power and personal principles should be utilize in an effective way to produce the speedy restoration and positive result for the individual. The cultutal security guidelines provide a clear picture to the nurses to handle a highly effective and culturally safe nursing practices.

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