(NURBN 2025) indigenous community health assignment on improvement of nursing care needs for indigenous communities.

Question

Task: how can young professionals use indigenous community health assignment research strategies to improve their indigenous community nursing care needs?

Answer

Complete the following sections according to the case study instructions.
Section 1:How do you ensure you are committed to a journey of cultural safety?
Understanding the situation of Annie and her fear of hospitals it is very important to confirm culturally safe patient care using indigenous community health assignmentresearch methods without accommodating any discrimination due to her background of being aboriginal. The National Agreement On Closing The Gap is designed for overcoming the inequality among aboriginal and Torres Strait Islander people to achieve equal life outcomes for Australians. Considering the same, it would be better for the nurse to share effective decision-making during the process of intervention with the adequate partnership with medical practitioners. It is further important to share access to data and information for each involved stakeholder. Regular follow-up of the condition even needs to be condemned as well as that needs to betracked and record it properly to make it transparent enough to accommodate cultural practice (Hassen et al. 2021). The fear of the hospital in Annie can be a big difficulty for the entire intervention. Thereby the first important thing is to make her feel comfortable in the healthcare setting with proper behavior. Proper greeting, smiling, behavior, effective communication - well listening would be more and speaking would be less as per requirement, shared decision making and most importantly making her involved and active during the period can be the best strategy to exercise. In order to remove the issue of unstable feet, it would be better for the nurse to opt for some exercises. As per the indigenous community health assignment case her background confirms that she is a patient with diabetes and hypertension. Exercise would be much more effective for medical case history as well (Khalil, 2019). It would help her to be fit physically and mentally. Arabic exercises like working, and resistance exercises can help her to balance and prevent falls. It would be helpful for her during the post-treatment period as she alone takes care of herself without any supporting staff for walking or mobility.

While her admission into the world, it is very important to greet her as well as asking her about background details to make her feel comfortable can be effective. During communication, maintaining eye contact would be very important. The indigenous community health assignment research shows exercising communication regarding her fear and welcoming behavior to remove her fear would be the initial things to do (Lin et al. 2018).

Her background is conveying that she is a lonely yet flexible, extrovert, active person. Apart from her granddaughter, she does not have anyone to communicate and often she feels lonely though she involves herself with the little one by singing the song and even misses her community. These things convey her flexible, extrovert, active nature easily. In such a context it would be very important for the nurse to exercise effective communication so that she would not feel lonely anymore. Another important consideration is her ear infection which can be a barrier to effective communication. Understanding her case with all the background details it would be even more important to exercise patience during communication. The nurses would be the responsible person to understand if she is getting all the points properly so that transparency would not be a problem. The indigenous community health assignment findings also show the service gap needs to be minimized so that during shift change nothing would be miss communicated or left out. For the same, proper reporting and tracking maintenance is much important (Mithen et al. 2021). Apart from her issue, she is even suffering from mobility issues. Thereby physical assistance needs to be offered every time so as not to endanger her and to avoid an ethical issue like non-maleficence. She needs to be accompanied or supported by the nurse every time whenever she needs to walk. complete assistance needs to be confirmed with effective communication to justify a culturally safe environment for her treatment.

Section 2: Addressing culturally unsafe practice.
Medical practice can be culturally unsafe in several ways. Due to improper or wrong beliefs, the medical practice can be even culturally unsafe (O'Brien et al. 2021). Most of non-indigenous people believe that only one aboriginal culture in Australia is there which is completely wrong as there are several aboriginal cultures and accordingly their communication styles, beliefs, and attitude are different. Due to such type of wrong beliefs, the nurses fail to sustain effective communication which eventually gets followed by culturally unsafe care. Apart from communication, there are other issues as well. Most of the nonindigenous people believe that aboriginal people do not have any value and they are always involved with drinking, taking drugs, etc. It is not the case that aboriginals do not have such type of behavior, though it can't be generalized. Such type of belief even gets followed by cultural care as the generalized belief makes the nurses biased or discriminative to offer unequal practice during the intervention. Another important thing to be followed in culturally safe care is the unequal attitude of non-indigenous nurses. Due to generalized beliefs and values,identified on these indigenous community health assignment non-indigenous nurses often offer indifferent attitudes toward the aboriginal people where they do not confirm effective communication or shared decision-making in the care plan which immediately attracts unsafe cultural practice for the care intervention. Nurses use their power differentials while treating patients depending on their background, race, origin, etc. Nonindigenous nurses often disrespect the tradition, culture, and background of aboriginal people by making generalized beliefs, values, or attitude that are mostly wrong. By power differentials, they often neglect effective communication (O'Brien et al. 2021).They completely reject share decision making and they even practice several ethical issues during the period due to shared disrespect and inequality they carry as their beliefs or attitude towards aboriginal people. Nurses are the key power holder in the relationship between nurse and patient. Due to their discriminated behavior, attitude, or values, the patients suffer a lot. Indifferent, discriminated,and unequal attitudes eventually get followed by culturally unsafe practices (Sivertsen et al. 2020). In the patient-nurse relationship, the power position is been held and exercised by the nurses through their skills and professional knowledge to be reliable for the patient's well-being. They even have more influence and authority over the healthcare system however when their personal belief, value, or attitude starts to play an active role to discriminate offersunequal service to the patients then culturally unsafe practice takes the part in the entire intervention.

The nurses of the next shift as reluctant to provide culturally safe practice, hence it becomes important responsibility for the concerned nurse to confirm the safe practice of or safe environment for Annie. In order to advocate a safe environment for Annie, it is important to offer a voice to the patient. The nurse is expected to be communicative enough so that the patient can even convey her positive and negative without any hesitation. It is further important that the nurses of the next shift need to be educated regarding culturally safe practices in healthcare and their importance as well as patients' rights (Smylie et al. 2018). If they will be properly conveyed about patients' rights, then they might be responsible to abide by the same. The nurses even need to share effective decision-making and communication so that communication with the patient would not be a problem as the type of initiative would even help to confirm cultural safety for Annie.

Section 3: indigenous community health assignment - Promoting Cultural safety
The nurse unit manager, however, needs to be reported for such unfair and safe practices as well as it is even important to convey some proper team-based strategies to avoid such type of unsafe practices in the care intervention for any patient of any background. In order to do so, anti-racist intervention needs to be initiated whereas power differentials need to be minimized. The research done on this indigenous community health assignment show in order to accelerate anti-racist intervention, the most important team-based strategy can be offering training (Harrison et al. 2019). Training can help the nurses to be educated about cultural diversity and exercise required activities as per different cultures without having any people's beliefs, values, or attitudes that are generalized or wrong. Training can even help the nurses to take care of the patients like Annie in a better way due to a sole understanding of cultural differences and acknowledgment regarding taking care of such patients differently offering enough value, and respect to their culture (Gwynne, Jeffries, and Lincoln, 2018). Nurses and decision-makers in the healthcare setting are responsible to exercise anti-racist action to improve the sustainability and success of their efforts through foundation and principles and strategies. Through training, nurses even need to accommodate ethical principles of nursing like beneficence, non-maleficence, authority, informed consent, etc to protect the right of the patients in all terms. Training regarding effective communication with different communication styles can even help the nurses to be more effective in their role specifically for the patients like Annie to accommodate culturally safe care practice. In order to minimize the power differentials of the nurses, proper acknowledgment regarding their role and the importance of the sector with human rights is important (Gadsden et al. 2019). If the nurses would be informed enough about all such associated factors then the power differentials would be minimized eventually.

References
Gadsden, T., Wilson, G., Totterdell, J., Willis, J., Gupta, A., Chong, A., Clarke, A., Winters, M., Donahue, K.,
Posenelli, S. and Maher, L., 2019. Can a continuous quality improvement program create culturally safe emergency departments for Aboriginal people in Australia. A multiple baseline study. BMC health services research, indigenous community health assignment19(1), pp.1-15. https://link.springer.com/article/10.1186/s12913-019-4049-6
Gwynne, K., Jeffries, T. and Lincoln, M., 2018. Improving the efficacy of healthcare services for Aboriginal Australians. Australian Health Review, 43(3), pp.314-322. https://www.publish.csiro.au/ah/ah17142
Harrison, K.H., Lee, K.K., Dobbins, T., Wilson, S., Hayman, N., Ivers, R., Haber, P.S., Conigrave, J.H., Johnson, D., Hummerston, B. and Gray, D., 2019. Supporting Aboriginal Community Controlled Health Services to deliver alcohol care: protocol for a cluster randomised controlled trial. BMJ open, 9(11), p.e030909. https://bmjopen.bmj.com/content/9/11/e030909.abstract
Hassen, N., Lofters, A., Michael, S., Mall, A., Pinto, A.D. and Rackal, J., 2021. Implementing anti-racism interventions in healthcare settings: a scoping review. International journal of environmental research and public health, indigenous community health assignment 18(6), p.2993. https://mdpi-res.com/d_attachment/ijerph/ijerph-18-02993/article_deploy/ijerph-18-02993-v2.pdf version=1615884078
Khalil, H., 2019. Successful implementation of a medication safety program for Aboriginal Health Practitioners in rural Australia. Australian Journal of Rural Health, 27(2), pp.158-163. https://onlinelibrary.wiley.com/doi/abs/10.1111/ajr.12494
Lin, I.B., Bunzli, S., Mak, D.B., Green, C., Goucke, R., Coffin, J. and O'Sullivan, P.B., 2018. Unmet needs of Aboriginal Australians with musculoskeletal pain: a mixed method systematic review. Arthritis Care & Research, 70(9), pp.1335-1347. https://onlinelibrary.wiley.com/doi/abs/10.1002/acr.23493
Mithen, V., Kerrigan, V., Dhurrkay, G., Morgan, T., Keilor, N., Castillon, C., Hefler, M. and Ralph, A.P., 2021. Aboriginal patient and interpreter perspectives on the delivery of culturally safe hospital based care. Health Promotion Journal of Australia, indigenous community health assignment 32, pp.155-165. https://onlinelibrary.wiley.com/doi/full/10.1002/hpja.415
O'Brien, P., Bunzli, S., Lin, I., Bessarab, D., Coffin, J., Dowsey, M.M. and Choong, P.F., 2021. Addressing surgical inequity for Aboriginal and Torres Strait Islander people in Australia's universal health care system: a call to action. ANZ Journal of Surgery, 91(3), pp.238-244. https://onlinelibrary.wiley.com/doi/abs/10.1111/ans.16557
Sivertsen, N., Anikeeva, O., Deverix, J. and Grant, J., 2020. Aboriginal and Torres Strait Islander family access to continuity of health care services in the first 1000 days of life: a systematic review of the literature. BMC health services research, 20(1), pp.1-9. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05673-w
Smylie, J., O’Brien, K., Xavier, C.G., Anderson, M., McKnight, C., Downey, B. and Kelaher, M., 2018. Primary care intervention to address cardiovascular disease medication health literacy among Indigenous peoples: Canadian results of a pre-post-design study. Canadian Journal of Public Health, indigenous community health assignment109(1), pp.117-127. https://link.springer.com/article/10.17269/s41997-018-0034-9