A framework to assess cultural safety in Australian public policy

Health Promotion International
Tamara MackeanFrances Baum

Abstract

The concept of cultural safety (CS) has been developed as a critical perspective on healthcare provided to Indigenous service users in neo-colonial countries such as New Zealand, Australia and Canada. Unlike other frameworks for culturally competent healthcare, a CS approach recognizes impacts of colonization and power inequalities on Indigenous peoples and asks how these may manifest in healthcare settings. It has been argued that CS thinking is suited to critical analysis of public policy, but there has been limited work in this direction. Drawing on literature on CS in Australian healthcare, we defined a CS framework consisting of five concepts: reflexivity, dialogue, reducing power differences, decolonization and regardful care. Our research examined whether and in what terms this framework could be adapted as a tool for critical analysis of Australian public policy as it affects Aboriginal and Torres Strait Islander peoples. We used a collaborative inquiry process combining perspectives of an Aboriginal researcher and a non-Indigenous researcher. We developed a thematic analysis framework to examine how the five concepts might be reflected in contemporary writings on policy by leading Aboriginal or Torres Strait Islander t...Continue Reading

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Citations

Mar 28, 2020·Australian Health Review : a Publication of the Australian Hospital Association·Elissa ElvidgeCarl Holder
Oct 3, 2019·Australian and New Zealand Journal of Public Health·Toby FreemanJohn Boffa
Oct 15, 2020·International Journal of Environmental Research and Public Health·Patricia CullenMarlene Longbottom
Sep 25, 2020·Health Promotion International·Madison ShakespeareRoland Wilson
Apr 2, 2021·The Australian Journal of Rural Health·Liz WithallAnnabelle Wilson
May 3, 2021·The Medical Journal of Australia·Kathryn BackholerSandro Demaio
Aug 22, 2021·BMJ Global Health·Harvy Joy Liwanag, Emma Rhule
Jan 12, 2022·Contemporary Nurse·S McGoughR Wilson

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