Cultural Safety in Aged Care Principle 5 All

Cultural Safety in Aged Care Principle 5. All aged care staff work towards cultural competence

Acknowledgement of Country We would like to acknowledge the traditional owners of the land on which we meet and pay our particular respects to the Elders past and present, as well as acknowledging the Aboriginal and Torres Strait Islander people in the room.

Principle 5. Cultural Competence Principle 5 All aged care staff work towards cultural competence

Principle 5. Cultural Competence “A set of congruent behaviours, Policies attitudes and policies that come together in a system, agency or Attitudes Structures among professionals that enable them to work effectively in crosscultural situations” Source: Cross et al (1989) Practices

Principle 5. Cultural Competence What is cultural competence? • Cultural competency is a key strategy for reducing inequalities in access to care and improving the quality and effectiveness of care for Aboriginal and Torres Strait Islander peoples • It is more than cultural awareness • Integration of individual competencies and organisations’ practice, policies and culture

Principle 5. Cultural Competence Source: National Collaborating Centre for Indigenous Health https: //www. nccih. ca/en/

Principle 5. Cultural Competence What did we learn from Aboriginal Elders about their cultural safety needs in aged care? “Don’t come with an attitude problem. Just don’t knock on my door with an attitude problem of any sort, particularly discrimination against black fellows” “Don’t make judgements on my home, and how I live”.

Principle 5. Cultural Competence What are the benefits for aged care organisations? • Improved service delivery through increased understanding, communication and relationships between clients and care providers • Increased access to services • Improved health and wellbeing outcomes • Skilled and confident staff • Compliance with aged care standards

Principle 5. Cultural Competence What are the opportunities for aged care organisations? • Integrate cultural competence into continuous quality improvement efforts • Monitor and evaluate cultural competency strategies • Provide ongoing cultural competency training to all staff • Partner with Aboriginal and Torres Strait Islander communities

Principle 5. Cultural Competence What can organisations do? • Integrate and assess cultural competency strategies aimed at both individual (employee) and the organisation as a whole • Provide cultural competence training for all staff that is developed in collaboration with local Aboriginal and Torres Strait Islander communities, including content relevant to those communities • Develop strategies to partner with local communities to gain feedback on and improve cultural competency • Incorporate culturally specific requirements into recruitment processes, including for Aboriginal and/or Torres Strait Islander people • Include cultural competence as part of workforce performance review processes Source: Australian Commission on Safety and Quality in Health Care. (2017)

Principle 5. Cultural Competence Source: National Aboriginal and Torres Strait Islander Health Standing Committee of the Australian Health Ministers’ Advisory Council. 2016.

Discussion • How would you describe the cultural competence of your organisation? • What does your organisation do well? • What are the challenges for improving cultural competency? • What do you need to address these challenges?

Suggested readings and helpful resources Resources Creating the NACCHO Cultural Safety Training Standards and Assessment Process: A background paper. 2011. National Aboriginal Community Controlled Health Organisation. http: //www. csheitc. org. au/wp-content/uploads/2015/11/CSTStandards. Background. Paper-NACCHO. pdf Cultural Competency in Health: A guide for policy, partnership and participation Australian Government. 2005. National Health and Medical Research Council. https: //www. mhahs. org. au/images/cald/Cultural. Competency. In. Health. pdf Cultural respect framework 2016– 2026 for Aboriginal and Torres Strait Islander Health. 2016. National Aboriginal and Torres Strait Islander Health Standing Committee of the Australian Health Ministers’ Advisory Council. https: //www. sahealth. sa. gov. au/wps/wcm/connect/06651271 -647 f-4 ac 5 -a 3 a 74 ceaebb 0 f 13 a/National+Cultural+Respect+Framework+for+Aboriginal+and+Torres+Strait+Isl. . pdf? MOD=AJPERES&CACHEID=ROOT WORKSPACE-06651271 -647 f-4 ac 5 -a 3 a 7 -4 ceaebb 0 f 13 a-m. MA 1 Cp. Cultural safety framework. 2016. National Aboriginal and Torres Strait Islander Health Workers Association https: //www. natsihwa. org. au/sites/default/files/natsihwa-cultural_safety-framework_summary. pdf Cultural safety in health care: monitoring framework. 2019. Australian Institute of Health and Welfare https: //www. aihw. gov. au/reports/indigenous-australians/cultural-safety-health-care-framework/contents/summary

Suggested readings and helpful resources Implementation plan for the national Aboriginal and Torres Strait Islander health plan 2013 -2023. 2015. Australian Government Department of Health. http: //www. health. gov. au/internet/main/publishing. nsf/Content/indigenous-implementation-plan National Safety and Quality Health Service Standards. User guide for Aboriginal and Torres Strait Islander Health. 2017. Australian Commission on Safety and Quality in Health Care. https: //www. safetyandquality. gov. au/sites/default/files/migrated/National-Safety-and. Quality-Health-Service-Standards-User-Guide-for-Aboriginal-and-Torres-Strait-Islander-Health. pdf Readings Brascoupé, S. and Waters, C. 2009 Cultural safety: Exploring the applicability of the concept of cultural safety to Aboriginal health and community wellness. International Journal of Indigenous Health, 2009. 5(2): p. 6. Bainbridge, R. , Mc. Calman, J. , Clifford, A. , & Tsey, K. 2015. Cultural competency in the delivery of health services for indigenous people (Issues paper no. 13). Produced for Closing the Gap Clearinghouse Canberra & Melbourne: Australian Institute of Health and Welfare & Australian Institute of Family Studies https: //www. aihw. gov. au/getmedia/4 f 8276 f 5 -e 467 -442 e-a 9 ef-80 b 8 c 010 c 690/ctgcip 13. pdf. aspx? inline=true Cross, T. , Bazron, B. , Dennis, K. , & Isaacs, M. 1989. Towards a Culturally Competent System of Care, Vol. 1. Georgetown University Child Development Centre, Washington DC. https: //spu. edu/~/media/academics/school-ofeducation/Cultural%20 Diversity/Towards%20 a%20 Culturally%20 Competent%20 System%20 of%20 Care%20 Abridged. ashx Dudgeon, P. Wright, M. , & Coffin, J. (2010). Talking it and walking it: Cultural Competence. Journal of Australian Indigenous issues, vol. 13, no. 3, pp 29‑ 44

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