Cultural Competence and Cultural Safety for Health Service Professionals. Audrey Lawrence & Cheryl Teeter FNHMA Conference November 2011

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1 Cultural Competence and Cultural Safety for Health Service Professionals Audrey Lawrence & Cheryl Teeter FNHMA Conference November 2011

2 Achieving Perspective

3 Background Attrition rates % loss in nursing schools 2007 meeting with A.N.A.C., CASN, CNA and representatives from national and regional, Aboriginal, First Nation, Métis and Inuit organizations work done by IPAC 2008/09 Funding for Framework Development by FNIHB of Health Canada 2009/11 school projects and work with CHA distance learning course.

4

5 Why: Students need support Friendly website Ease of Application Funder support System change - Bridging Culture Safety Cohort recruiting Community visits Community and Elder Support

6 Goal: Cultural Safety Cultural Awareness Cultural Sensitivity Cultural Competency Cultural Safety

7 Cultural Safety - Move beyond Awareness Developed by Maori Nurses (1980s) as response to discontent of Maori clients with nursing care Now Internationally Used! Cultural safety involves shifting the attention from the culture of the other to the culture of health care, social inequities and power relationships. - Dr. Victoria Smye (UBC)

8 Can be small changes

9 Aboriginal Student Centres Elders used as Counselors Cultural safety Environment Supportive curriculum and environment Involvement with Aboriginal health facilities/communities Or, systemic oriented

10 Aboriginal Nursing Students Association Sault College

11 What Helps! Understanding of intersectionality and impact on Aboriginal peoples Structured Social Supports Training (Aboriginal values, background) Curriculum Modification Distance Learning

12 Challenges/ Opportunities Reaching target Audience: Using Framework Competencies Deeper focus on cultural safety (not just surface) Ensure cultural safe learning environments Support recruitment and retention of Aboriginal and minority health care student professionals Support cultural safety needs of health workers under the direction of nurses Association of Canadian Community Colleges and the Association of Continuing Care Educators Report

13 Curriculum Principles with CHA Incorporates all competencies in Framework in credit courses (also Health Director Competencies in CHA course) Have Aboriginal writer and reviewers in course development Ensure that regional community is inclusive (i.e. include info on Métis and Inuit in additional to regional First Nation communities) Emphasis on Cultural Safety and Constructivist Understanding of Culture

14 Work Done! CHA Course on Cultural Safety and Modern Management Module Ongoing Work with schools of nursing, Accreditation Canada, CIHI

15

16 Who are we? The Canadian Healthcare Association (CHA) is Canada s only federation of provincial and territorial health associations and organizations. Through its members, CHA represents a broad continuum of services, including acute care, home and community care, long term care, public health, mental health, palliative care, addiction services, children, youth, and family services, and housing services. These services are provided through regional health authorities, hospitals, and other facilities and agencies that serve all Canadians and are governed by trustees who act in the public interest.

17 Our Mission CHA is a leader in developing, and advocating for, health policy solutions that meet the needs of Canadians.

18 CHA Learning CHA Learning is dedicated to providing education opportunities to Canadian health service professionals, regardless of their geographic locations.

19 Each year hundreds of students expand their knowledge base and improve their career possibilities with CHA Learning s distance education programs.

20 CHA Learning s Commitment to Students To help students succeed, CHA Learning is committed to: Providing timely student support using phone, and online communication tools Recruiting and selecting qualified Education Consultants (EC) Assigning EC s to meet student needs Reviewing program content on a yearly basis Including the most up-to-date information available Working closely with its Advisory Committees to maintain the quality of the programs Maintaining appropriate partnerships with professional healthcare organizations

21 Programs Offered Programs Modern Management Health Services Management Long Term Care Management Risk Management & Safety in Health Services Continuous Quality Improvement for Health Services Cultural Competence and Cultural Safety in Health Services NEW Food Service & Nutrition Management Health Information Management Short Courses Nutrition & Diet Therapy Refresher Course Medical Terminology Short Course UPDATED HIM Practice Test NEW

22 The Cultural Competence and Cultural Safety in Health Services program is designed for health service professionals who work in aboriginal settings and with First Nation, Inuit and Métis peoples. The course offers health service providers at all levels, from frontline staff to supervisors and managers, the knowledge that will help them integrate cultural safety and cultural competence in all healthcare settings.

23 Cultural Competence and Cultural Safety in Health Services Program Components: 1. Seven home study units 2. A major paper or project 3. Four-day intramural session in Ottawa The program is completely online. There is no final exam. Students are able to set their assignment due dates in consultation with their EC.

24 Cultural Competence and Cultural Safety in Health Services Seven Study Units: 1. Introduction 2. Postcolonial Understanding 3. Communication 4. Inclusivity 5. Respect 6. Indigenous Knowledge 7. Mentoring and Supporting Students for Success

25 Future Plans What s next?

26 For More Information: Cheryl Teeter Director, Learning & Conferences Canadian Healthcare Association 17 York St. Ottawa, ON K1N 9J6 Tel ext

27 Cultural Safety in my community is: Vision Now Step 3 Resources Step 4 Building Strength Step 5 Indicators of the Vision Step 2

28 Questions? Thank you! Merci! Meegwetch! Audrey Lawrence Cheryl Teeter Why do we do this? For today and for the next generation Can we meet the challenge? 28

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