Cultural Safety In Aotearoa NZ

In Cultural Safety in Aotearoa New Zealand, editor Dianne Wepa has brought together the expertise of a range of experienced educators who are active in cultural safety education, research and practice, and has created a text that will be a valuable resource for students, tutors, managers, policy analysts and others involved in the delivery of health care.

Cultural safety is a New Zealand term unique to nursing education. It was born from the Maori experience of poor health care and evolved over twelve years against a backdrop of bicultural development. The Treaty of Waitangi provides the framework for its progression, which emphasises shifting power in the health care arena from nurses and midwives to those receiving care. Once this transfer of power has occurred, the recipients of care are empowered to define what culturally safe practice is.

To set the scene, Cultural Safety in Aotearoa New Zealand begins with an historical overview of kawa whakaruruhau/cultural safety. This is followed by a theoretical section and an explanation of the founding principles of cultural safety. The focus of the text then moves to the application of cultural safety in practice. Each chapter in the third part of the book offers ways of working with a wide variety of people.

Preface
by Marion Clarke, CEO of the Nursing Council of New Zealand

Introduction
Dianne Wepa

Acknowledgements

Part I Setting the scene

Chapter 1 Towards cultural safety
Irihapeti Ramsden

Chapter 2 Cultural safety: daring to be different
Elaine Papps

Part II The foundations of cultural safety

Chapter 3 Culture and ethnicity: what is the question?
Dianne Wepa

Chapter 4 Te Tiriti o Waitangi or The Treaty of Waitangi: what is the difference?
Caroline McKinney and Naumai Smith

Chapter 5 Exploring prejudice, understanding paradox and working towards new possibilities
Deb Spence

Chapter 6 Ethical considerations in health care when working cross-culturally
Donald Evans

Chapter 7 Culturally safe research
Robin Kearns and Isabel Dyck

Part III Fields of practice

Chapter 8 Child, youth and family health care
Ruth Crawford

Chapter 9 Mental health and cultural safety: a practice story
Rose McEldowney, Thelma Puckey and Fran Richardson

Chapter 10 Midwifery
Jean Te Huia

Chapter 11 Working with refugees and migrants 
Ruth DeSouza

Chapter 12 Working with the aged: lessons from residential care
Liz Kiata and Ngaire Kerse

Chapter 13 Sex, gender and sexual orientation: the heterosexual matrix
Sallie Greenwood

Chapter 14 Maori health initiatives
Denise Wilson and Mereana Roberts

Chapter 15 Spirituality and cultural safety
Derek McCarthy

Useful websites

About the contributors

Index

• Key terms and concepts are highlighted at the beginning of each chapter.
• For reflection sections help the reader to think about and assimilate ideas that have been introduced in the text.
• Practice examples provide material from health care workers everyday experience to illustrate the application of cultural safety.
• Each chapter contains a reference section so that readers can explore the topic further.

Editor: Dianne Wepa B.S.W., C.Q.S.W., Pgrad Dip (Swk), MPhil (Swk), MANZASW.

Dianne is of Ngati Kahungunu descent. She has worked in mental health for several years and has maintained her counselling skills as a family court counsellor. She has been involved in many local, regional and national organisations in the field of social work, community work, domestic violence, mental health and Maori health. She has taught Kawa Whakaruruhau / cultural safety for the past seven years and co-ordinates several teaching teams in the area of Hauora, mental health and cultural safety within the faculty of Health and Sport Science, Eastern Institute of Technology, Hawkes Bay. Dianne has presented at cultural safety and transcultural nursing conferences throughout New Zealand and in the USA. She has published articles in several journals overseas and New Zealand. She is a current member of Wharangi Ruamano (Maori Nurse Educators Network).

Also available:

Cinical Supervision in Aotearoa/New Zealand

Edited by Dianne Wepa