Why cultural safety rather than cultural competency is required to achieve health equity : (Record no. 6485)

MARC details
000 -LEADER
fixed length control field 03863nab a22003257a 4500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250625151519.0
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fixed length control field 200116b2019 -nz||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AFVC
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Curtis, Elana
9 (RLIN) 8772
245 ## - TITLE STATEMENT
Title Why cultural safety rather than cultural competency is required to achieve health equity :
Remainder of title a literature review and recommended definition
Statement of responsibility, etc Elana Curtis, Rhys Jones, David Tipene-Leach, Curtis Walker, Belinda Loring, Sarah-Jane Paine and Papaarangi Reid
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Name of publisher, distributor, etc BMC,
Date of publication, distribution, etc 2019
500 ## - GENERAL NOTE
General note International Journal for Equity in Health, 2019, 18: 174. Online
520 ## - SUMMARY, ETC.
Summary, etc Background: Eliminating indigenous and ethnic health inequities requires addressing the determinants of health inequities which includes institutionalised racism, and ensuring a health care system that delivers appropriate and equitable care. There is growing recognition of the importance of cultural competency and cultural safety at both individual health practitioner and organisational levels to achieve equitable health care. Some jurisdictions have included cultural competency in health professional licensing legislation, health professional accreditation standards, and pre-service and in-service training programmes. However, there are mixed definitions and understandings of cultural competency and cultural safety, and how best to achieve them.<br/><br/>Methods: A literature review of 59 international articles on the definitions of cultural competency and cultural safety was undertaken. Findings were contextualised to the cultural competency legislation, statements and initiatives present within Aotearoa New Zealand, a national Symposium on Cultural Competence and Māori Health, convened by the Medical Council of New Zealand and Te Ohu Rata o Aotearoa – Māori Medical Practitioners Association (Te ORA) and consultation with Māori medical practitioners via Te ORA.<br/><br/>Results: Health practitioners, healthcare organisations and health systems need to be engaged in working towards cultural safety and critical consciousness. To do this, they must be prepared to critique the ‘taken for granted’ power structures and be prepared to challenge their own culture and cultural systems rather than prioritise becoming ‘competent’ in the cultures of others. The objective of cultural safety activities also needs to be clearly linked to achieving health equity. Healthcare organisations and authorities need to be held accountable for providing culturally safe care, as defined by patients and their communities, and as measured through progress towards achieving health equity.<br/><br/>Conclusions: A move to cultural safety rather than cultural competency is recommended. We propose a definition for cultural safety that we believe to be more fit for purpose in achieving health equity, and clarify the essential principles and practical steps to operationalise this approach in healthcare organisations and workforce development. The unintended consequences of a narrow or limited understanding of cultural competency are discussed, along with recommendations for how a broader conceptualisation of these terms is important. (Authors' abstract). Record #6485
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element CULTURAL ISSUES
9 (RLIN) 177
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HEALTH
9 (RLIN) 283
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element MĀORI
9 (RLIN) 357
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element WORKFORCE DEVELOPMENT
9 (RLIN) 4320
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element HAUORA
9 (RLIN) 281
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name as entry element RANGAHAU MĀORI
9 (RLIN) 5532
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Jones, Rhys
9 (RLIN) 8773
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Tipene-Leach, David
9 (RLIN) 8774
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Walker, Curtis
9 (RLIN) 8775
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Loring, Belinda
9 (RLIN) 8776
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Paine, Sarah-Jane
9 (RLIN) 8777
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Reid, Papaarangi
9 (RLIN) 4554
773 0# - HOST ITEM ENTRY
Title International Journal for Equity in Health, 2019, 18: 174. Online
830 ## - SERIES ADDED ENTRY--UNIFORM TITLE
Uniform title International Journal for Equity in Health
9 (RLIN) 8815
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-019-1082-3">https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-019-1082-3</a>
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Journal article
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
    Dewey Decimal Classification     Vine library Vine library 16/01/2020   Online ON20010007 16/01/2020 16/01/2020 Access online