Exploring how Australian general practice registrars define cultural safety with Aboriginal and Torres Strait Islander patients: a mixed method study

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Abstract

Background

Understanding how the general practice medical workforce defines cultural safety may help tailor education and training to better enable community-determined culturally safe practice. This project seeks to explore how Australian general practice registrars define cultural safety with Aboriginal and Torres Strait Islander patients and alignment with an Australian community derived definition of cultural safety.

Methods

This mixed method study involved a survey considering demographic details of general practice registrars, questionnaire, and semi-structured interviews to explore how general practice registrars defined cultural safety and a culturally safe consultation.

Results

Twenty-six registrars completed the survey. Sixteen registrars completed both the survey and the interview.

Conclusion

This study shows amongst this small sample that there is limited alignment of general practice registrars’ definitions of cultural safety with a community derived definition of cultural safety. The most frequently cited aspects of cultural safety included accessible healthcare, appropriate attitude, and awareness of differences.

Related collections

Most cited references 29

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A hands-on guide to doing content analysis

Christen Erlingsson, Petra Brysiewicz (2017)

There is a growing recognition for the important role played by qualitative research and its usefulness in many fields, including the emergency care context in Africa. Novice qualitative researchers are often daunted by the prospect of qualitative data analysis and thus may experience much difficulty in the data analysis process. Our objective with this manuscript is to provide a practical hands-on example of qualitative content analysis to aid novice qualitative researchers in their task.

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Cultural safety in nursing: the New Zealand experience.

E Papps, I Ramsden (1996)

The concept of cultural safety arose from the colonial context of New Zealand society. In response to the poor health status of Maori, the indigenous people of New Zealand, and their insistence that service delivery change profoundly, nursing has begun a process of self examination and change in nursing education, prompted by Maori nurses. Nursing and midwifery organizations moved to support this initiative as something which spoke truly of nursing and New Zealand society. Cultural safety became a requirement for nursing and midwifery courses in 1992. But its introduction into nursing education has been controversial. It became highly publicized in the national media, and the role and function of the Nursing Council of New Zealand was questioned. This paper discusses the New Zealand experience of introducing cultural safety into nursing education.

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Integrating cultural humility into health care professional education and training.

E-Shien Chang, Melissa Simon, XinQi Dong (2012)

As US populations become increasing diverse, healthcare professionals are facing a heightened challenge to provide cross-cultural care. To date, medical education around the world has developed specific curricula on cultural competence training in acknowledgement of the importance of culturally sensitive and grounded services. This article proposes to move forward by integrating the concept of cultural humility into current trainings, in which we believe, is vital in complementing the current model, and better prepare future professionals to address health challenges with culturally appropriate care. Based on the works of Chinese philosophers, cultural values and the contemporary Chinese immigrants' experience, we hereby present the QIAN (Humbleness) curriculum: the importance of self-Questioning and critique, bi-directional cultural Immersion, mutually Active-listening, and the flexibility of Negotiation. The principles of the QIAN curriculum reside not only between the patient and the healthcare professional dyad, but also elicit the necessary support of family, health care system as well as the community at large. The QIAN curriculum could improve practice and enhance the exploration, comprehension and appreciation of the cultural orientations between healthcare professionals and patients which ultimately could improve patient satisfaction, patient-healthcare professional relationship, medical adherence and the reduction of health disparities. QIAN model is highly adaptable to other cultural and ethnic groups in multicultural societies around the globe. Incorporating its framework into the current medical education may enhance cross-cultural clinical encounters.

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Author and article information

Contributors

Kay Brumpton: k.brumpton@griffith.edu.au

Journal

Journal ID (nlm-ta): BMC Prim Care

Journal ID (iso-abbrev): BMC Prim Care

Title: BMC Primary Care

Publisher: BioMed Central (London )

ISSN (Electronic): 2731-4553

Publication date (Electronic): 16 May 2024

Publication date PMC-release: 16 May 2024

Publication date Collection: 2024

Volume: 25

Electronic Location Identifier: 166

Affiliations

[1 ]Griffith University, ( https://ror.org/02sc3r913) Gold Coast Campus, Southport, Australia

[2 ]Rural Medical Education Australia, 190 Hume Street, East Toowoomba, QLD 4350 Australia

[3 ]James Cook University, ( https://ror.org/04gsp2c11) Townsville, Australia

[4 ]The University of Adelaide, ( https://ror.org/00892tw58) Adelaide, Australia

[5 ]University of Southern Queensland, ( https://ror.org/04sjbnx57) Toowoomba, Australia

Article

Publisher ID: 2422

DOI: 10.1186/s12875-024-02422-4

PMC ID: 11097438

PubMed ID: 38755553

SO-VID: 28faff65-5f9b-4294-9566-13f5d02cb2e9

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 9 November 2023

Date accepted : 7 May 2024

Funding

Funded by: FundRef http://dx.doi.org/10.13039/501100001142, Australian College of Rural and Remote Medicine;

Custom metadata

Keywords: general practice,registrars,indigenous,cultural safety,definition

Data availability:

Keywords: general practice, registrars, indigenous, cultural safety, definition