Translating Cultural Safety to the UK

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Lokugamage, AU
Rix, E
Fleming, T
Khetan, T
Meredith, A
Hastie, CR
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2021
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Abstract

Disproportional morbidity and mortality experienced by ethnic minorities in the UK have been highlighted by the COVID-19 pandemic. The 'Black Lives Matter' movement has exposed structural racism's contribution to these health inequities. 'Cultural Safety', an antiracist, decolonising and educational innovation originating in New Zealand, has been adopted in Australia. Cultural Safety aims to dismantle barriers faced by colonised Indigenous peoples in mainstream healthcare by addressing systemic racism. This paper explores what it means to be 'culturally safe'. The ways in which New Zealand and Australia are incorporating Cultural Safety into educating healthcare professionals and in day-to-day practice in medicine are highlighted. We consider the 'nuts and bolts' of translating Cultural Safety into the UK to reduce racism within healthcare. Listening to the voices of black, Asian and minority ethnic National Health Service (NHS) consumers, education in reflexivity, both personal and organisational within the NHS are key. By listening to Indigenous colonised peoples, the ex-Empire may find solutions to health inequity. A decolonising feedback loop is required; however, we should take care not to culturally appropriate this valuable reverse innovation.

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Journal of Medical Ethics

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© The Author(s) 2021. This is the author-manuscript version of this paper. It is posted here with permission of the copyright owner(s) for your personal use only. No further distribution permitted. For information about this journal please refer to the publisher’s website or contact the author(s).

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Sociology

Law reform

Applied ethics

Public health

Medical ethics

Te whenua, ahurea me te tuakiri o te Māori (Māori land, culture and identity)

Aboriginal and Torres Strait Islander culture, language and history not elsewhere classified

Nursing

Midwifery

Medicine, nursing and health curriculum and pedagogy

applied and professional ethics

education for health care professionals

minorities

quality of health care

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Lokugamage, AU; Rix, E; Fleming, T; Khetan, T; Meredith, A; Hastie, CR, Translating Cultural Safety to the UK, Journal of Medical Ethics, 2021

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