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HLT54115 Diploma of Nursing
CHCDIV002 Promote Aboriginal and/or Torres Strait Islander cultural safety
Written Assessment Student Copy

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To successfully complete the assessment requirements, you need to follow the following instructions.
Step 1
Read the study guide and the related resources.
Step 2
Read this assessment to gain an understanding of what you need to do to complete the unit. Talk to your trainer or supervisor and ask for help if you need to.
Step 3
Complete all questions in this assessment. Please write clearly in pen (not pencil). You may attach printed answers if you prefer. Do not remove any pages from this assessment.
Step 4
Complete the cover sheet and attach to this assessment. We recommend you make and keep a copy of the entire Assessment.
Step 5
Submit for assessment.

Question 1
The following website may assist with this question
http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=60129548151
Part A
Define cultural competence and cultural safety, and in your own words describe how you could implement them in an aged care setting.
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Part B
Discuss resources that are available in the nursing home and the community to promote understanding and promote partnerships?
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Part C
How are organisational policies and procedures devised and documented in the nursing home to ensure that the care provided meets the needs of the residents?
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Question 2
The following websites may assist with this question
http://australia.gov.au/about-australia/australian-story/austn-indigenous-cultural-heritage
http://www.multiculturalaustralia.edu.au/doc/shnukal_torres_strait.pdf
Aboriginal and Torres Strait Islander culture varies throughout the continent and islands, with different areas having different language, traditions, foods, ceremonies and technologies.
Part A
Research an Aboriginal culture and a Torres Strait Islander culture and identify the specific areas of cultural difference for each.
Area of cultural difference Aboriginal Torres Strait Islander
Language

Traditions

Foods

Ceremonies

Technologiesie. To acquire food, for art, for work etc.

Specific location in Australia

Part B
How would you and your colleague support effective partnerships between you and the two cultures?
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Question 3
The following websites may assist with this question
http://www.community.nsw.gov.au/__data/assets/pdf_file/0017/321308/working_with_aboriginal.pdf
http://www.australia.gov.au/about-australia/australian-story/austn-indigenous-cultural-heritage
Part A
Due to the diversity within and between Aboriginal cultures and Torres Strait Islander cultures, protocols will vary and community care workers are encouraged to be aware of the sensitivity surrounding these issues and to consult with appropriate local Aboriginal community members and Torres Strait Islander community members to discuss any matters that arise.
List five or more cultural practices and issues that are sensitive to Aboriginal peoples and Torres Strait Islander peoples.
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Part B
Identify cultural safety issues and practices in the nursing home. Discuss the strategies that are implemented to ensure cultural safety and build effective partnerships between staff, Aboriginal and/or Torres Strait Islander people and their communities.
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Question 4
The following website may assist with this question
https://www.dss.gov.au/our-responsibilities/settlement-and-multicultural-affairs/publications/connections-an-employers-guide
It is recognised and accepted that a suitably supportive and stable working environment for Aboriginal and Torres Strait Islander people is likely to help redress the social injustices, exploitation and socio-economic and employment inequities especially affecting Aboriginal and Torres Strait Islander people. Outline how you can support culturally diverse workers.
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Question 5
The following website may assist with this question http://sielearning.tafensw.edu.au/MCS/9362/Sterilisation%20disk%203/lo/7374/7374_00.htm
All people have the right to be treated with dignity and respect. When working in a health care setting there is potential for cultural conflict and misunderstandings to occur which may result in a person in need of assistance not accessing that assistance.
Part A
Identify ways that you as an Enrolled Nurse can prevent cultural conflict or misunderstandings occurring.
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Part B
Who would you involve to evaluate and document the interventions?
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Part C
How would you evaluate and document the interventions?
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Question 6
The following website may assist with this question
https://childaustralia.org.au/Documents/IPSP-Section/Resource-Centre-Docs/cultural-book-complete-WEB.aspx
You come out from the whitefella world, with your mind, and you going into a different country, like Bali. Indigenous community like that. You gotta have that expectation – different culture, different people, live in a different world. Like when you go on a holiday, you don’t rush, rush, rush. You relax and enjoy yourself. Then you learn. Then people can accept you. Indigenous early childhood educator.
Enrolled nurses need to be aware that their own values and beliefs can be passed on to co-workers and others through language, interaction and the curriculum. Discuss how nurses can have an understanding and show respect, diversity and cultural competency in the health sector.
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Question 7
The following websites may assist with this question
http://www.mmigp.org.au/resources
http://www.healthinfonet.ecu.edu.au/key-resources/organisations?oid=1471
https://www.sa.gov.au/topics/community-support/resources-for-aboriginal-people
Enrolled nurses must ensure that Aboriginal and Torres Strait Islander people are partners in their health care.
Research some resources / services in the community that can be used to assist Aboriginal or Torres Strait Islander families in the community.
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Question 8
The following website may assist with this question
http://www.redcross.org.au/aboriginal-and-torres-strait-islander-peoples.aspx
Some Aboriginal and Torres Strait Islander families need additional support for a variety of reasons. Outline the support that workers can provide and organisations can implement.
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Question 9
The following website may assist with this question
http://www.carersaustralia.com.au/storage/2011Working%20with%20Aboriginal%20People%20and%20Communities.pdf
“She just has this thing about her”
Indigenous Parent
Part A
Reflect on your studies to date. Describe the characteristics that you believe would be important when working with Aboriginal and Torres Strait Islander clients, families, children and colleagues.
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Part B
There may be times that a health care setting may require the expertise of external services. Outline when you would use
1) A language interpreter
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2) A cultural interpreter
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3) A translator
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Part C
It is important to evaluate and measure programs against desired outcomes. How would you evaluate and measure the success of using an interpreter?
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Question 10
The following websites may assist with this question
http://www.csu.edu.au/__data/assets/pdf_file/0004/409459/Guide-for-Working-with-Indigenous-Australian-Staff_-WEB.pdf
Even when we are thoroughly aware of all the barriers to effective cross-cultural communication and make use of available aids and tools to assist us in communicating with people from cultural and linguistic backgrounds different to our own, misunderstandings will occur.
“What do you do?”
In the dominant culture of Australia and indeed in Western cultures more generally, there is a tendency to associate a person’s social value and worth with their occupation and to socially position them accordingly. “What do you do?” is often one of the first questions asked in social situations.
“Who you is?”
When an Aboriginal person in Wilcannia asks ‘who you is?’ of another Aboriginal person, the response being sought locates a person relationally—for example: ‘I’m X’s nephew’ or ‘my Mother is A’ or ‘Y is my cousin’. In responding to questions such as this, Aboriginal people explore kin relationships and social networks across towns and cities. This serves to socially and geographically locate the people being met, thereby positioning them within recognised frameworks and the kind of social intercourse that may or may not be entered into.
For many Aboriginal people, work and its rewards sit uneasily with the upholding of a distinct identity. They recognise that regular employment affords some of the material things that many would like to have, but are not prepared to forfeit other culturally perceived and culturally attributed values, social obligations and desires (as well as the time to fulfil these). Family illness, Nana’s need to do some shopping, the arrival of family or friends from out of town or an unexpected occurrence of interest continue to be some of the causes of much non-attendance at ‘work’.
Discuss how a health care service can support Aboriginal and Torres Strait Islander people to fulfil all needs of cultural, family and work obligations.
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Question 11
The following website may assist with this question
http://www.winnunga.org.au/
As an Enrolled Nurse in an inner city suburb you notice that more Indigenous families are attending the community care centre than ever before. This has occurred because the community care centre manager has actively engaged the Indigenous community and has employed several Indigenous community care workers, and has now an external Indigenous stakeholder group to refer to if needed and on an ongoing basis. There is a need for relevant Indigenous resources to address cultural realities, and to support effective service delivery. What are some ways that would contribute to meeting these needs?
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Question 12
The following website may assist with this question http://www.carersaustralia.com.au/storage/2011Working%20with%20Aboriginal%20People%20and%20Communities.pdf
A new Indigenous community care worker has just started and during her orientation she observes the community care centre receptionist speaking disrespectfully to an Indigenous cleaner. She is unsure what to do as she really needs the job and does not want to put her job at risk or create a big problem. After some weeks when she understands her colleagues better, she confides in you as the Enrolled Nurse, and asks what she should do. How would you approach this problem?
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Question 13
To provide culturally safe nursing practice, it is important to have an understanding of historical and cultural backgrounds of Aboriginal and Torres Strait Islanders in Australia. Research events from European invasion and discuss the impact of same on Aboriginal and Torres Strait Islander people.
Part A
From research, outline the events and how they may have impact client’s social, emotional, physiological and physical wellbeing.
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Part B
Considering your clients, what are the most common diseases experienced.
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Part C
How do you involve your clients in the planning and delivery of their health care?
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