Cultural Safety and Te Tiriti Flashcards

What does 'cultural safety' mean in New Zealand nursing practice?

Answer: Practice that recognises and respects the cultural identity of patients, with the patient determining whether care is culturally safe

Cultural safety in NZ nursing means the nurse recognises and respects each patient's cultural identity and is aware of their own cultural biases. Importantly, it is the patient — not the nurse — who determines whether the care received was culturally safe.

What is the difference between cultural safety and cultural competence in NZ nursing?

Answer: Cultural competence is knowledge about cultures; cultural safety goes further to examine power imbalances and the patient's experience

Cultural competence involves acquiring knowledge and skills about different cultures, while cultural safety goes further by examining power relationships, institutional discrimination, and the impact of colonisation, with the patient's experience being the measure of safety.

What are the three principles of Te Tiriti o Waitangi that are applied in NZ healthcare?

Answer: Partnership, Participation, and Protection

The three principles of Te Tiriti o Waitangi applied in NZ healthcare are: Partnership (working together with Māori), Participation (involving Māori in all levels of healthcare), and Protection (safeguarding Māori health interests and cultural practices).

What is the concept of whānau in NZ Māori healthcare and why is it important for nurses?

Answer: Extended family — nurses should recognise whānau involvement in healthcare decisions as integral to Māori wellbeing

Whānau (extended family) is central to Māori wellbeing and health outcomes. NZ nurses should recognise and support whānau involvement in healthcare decisions, care planning, and support, rather than limiting engagement to the individual patient alone.

What is the significance of Te Whare Tapa Whā model in NZ nursing?

Answer: A Māori health model with four dimensions: taha wairua (spiritual), taha hinengaro (mental), taha tinana (physical), and taha whānau (family)

Te Whare Tapa Whā, developed by Sir Mason Durie, uses the metaphor of a four-walled house to represent four dimensions of health: taha wairua (spiritual), taha hinengaro (mental/emotional), taha tinana (physical), and taha whānau (family). All four must be in balance for wellbeing.

Under NCNZ competencies, what is 'unsafe cultural practice' in nursing?

Answer: Any action that diminishes, demeans, or disempowers the cultural identity and wellbeing of a patient

Unsafe cultural practice is defined as any action that diminishes, demeans, or disempowers the cultural identity and wellbeing of an individual. This includes ignoring cultural needs, imposing one's own values, and failing to acknowledge cultural difference.