Cultural Safety Exemplar by Gayani Kodippili 30/05/2016
The purpose of cultural safety in nursing education extends beyond the description of practices, beliefs and values of ethnic groups, I have learned the treaty principles of partnership, protection and participation in the classroom but I have seen the treaty principles applied in everyday clinical practice. In particular, I have observed that nurses no longer ‘do procedures’; rather they explain, describe, then gain the client’s consent to carry out their work.
In my clinical practice, I took care of a resident with Parkinson’s disease with input from her daughter, General Practitioner, dietician, physiotherapist, other nurses, caregivers and unit manager. She had a history of fall injury …show more content…
The physiotherapist was encouraging the client to stand up and use a walking frame to shift and use the toilet. Next day I went her early morning and I sat in front of her. She held my hand and said,” I need time; still I am not familiar with this environment”. I took the time to listen to her feelings and I encouraged her to get up out of bed. Finally, she asked me to have a shower. She looked more independent on that day. Through a process of discussion and explanation of the possible complications of being on total bed rest, balanced with her desire to stay in bed, it was agreed by all health care professionals involved in client’s care that she should encourage in a chair, unless she wished to get up. This was documented in her notes. As a concession to personal grooming, resident agreed to have one shower a week so that her hair could be washed.
The outcome of this agreement meant that client’s care was different from that of other residents. She expected more emotional support from others. As a team of healthcare providers, we worked together to prepare a plan of nursing care that provided safe and effective nursing care and that the client was happy with culturally
The purpose of cultural safety in nursing education extends beyond the description of practices, beliefs and values of ethnic groups, I have learned the treaty principles of partnership, protection and participation in the classroom but I have seen the treaty principles applied in everyday clinical practice. In particular, I have observed that nurses no longer ‘do procedures’; rather they explain, describe, then gain the client’s consent to carry out their work.
In my clinical practice, I took care of a resident with Parkinson’s disease with input from her daughter, General Practitioner, dietician, physiotherapist, other nurses, caregivers and unit manager. She had a history of fall injury …show more content…
The physiotherapist was encouraging the client to stand up and use a walking frame to shift and use the toilet. Next day I went her early morning and I sat in front of her. She held my hand and said,” I need time; still I am not familiar with this environment”. I took the time to listen to her feelings and I encouraged her to get up out of bed. Finally, she asked me to have a shower. She looked more independent on that day. Through a process of discussion and explanation of the possible complications of being on total bed rest, balanced with her desire to stay in bed, it was agreed by all health care professionals involved in client’s care that she should encourage in a chair, unless she wished to get up. This was documented in her notes. As a concession to personal grooming, resident agreed to have one shower a week so that her hair could be washed.
The outcome of this agreement meant that client’s care was different from that of other residents. She expected more emotional support from others. As a team of healthcare providers, we worked together to prepare a plan of nursing care that provided safe and effective nursing care and that the client was happy with culturally