1. Culturally safe practice in the Australian context A view, not a prescription…

2. Australia, circa 0000 or so

3. Ref: Centre for Aboriginal Economic Policy Research, 2007

4. Australia, circa 2000 or so

5. History Medicine and Surgery have been around for a long time. But they have only recently come together. Astrologers, philosophers and barbers are our antecedents

6. History “I shall desire you of more acquaintance, Good Master Spider Web. If I cut my finger I shall make bold with you...”

10. Culture Many definitions, and much talk about there being no standard definition. Culture: The system of shared beliefs, values, customs, behaviours, and artefacts that the members of society use to cope with their world and with one another, and that are transmitted from generation to generation through learning. Ref: University of Manitoba

11. What is Indigenous identity? An Aboriginal person or a Torres Strait Islander person is a person of Aboriginal or Torres Strait Islander descent who identifies as an Aboriginal or Torres Strait Islander and is accepted as such by the community in which he or she lives

12. Cultural safety Common sense? Ethnicity or Indigeneity? Check list of what not to do’s? Being polite? Asking the Indigenous question in the hospital Having some posters on the wall?

13. Headlines Lack of respect will not help indigenous children - SMH More languages are at risk of extinction in Northern Australia than any other place in the world – AGE people think that maintaining their language and culture is an important part of keeping their society together

14. Headlines Ampe akelyernemane meke mekarle: Little children are sacred 97 recommendations 320 pages of painstaking consultation, representation of the facts and thought-out conclusions

15. Safety How safe is it for our families and communities, our students, our patients, and others in our world, even our teachers and academics? How safe are we in our own futures, our own ability to place our feet on the ground, and to feel our place through our feet to our soul? How safe are we in conducting our business, our way?

16. Safety How safe is it for our families and communities, our students, our patients, and others in our world, even our teachers and academics? How safe are we in our own futures, our own ability to place our feet on the ground, and to feel our place through our feet to our soul? How safe are we in conducting our business, our way?

17. Cultural safety Cultural safety is important, nay vital to us, no matter our role in Australia's society

18. Cultural safety Cultural safety is important, nay vital to us, no matter our role in Australia's society

19. Cultural safety Cultural safety is important, nay vital to us, no matter our role in Australia's society “If I cut your finger I shall make for you what’s best...”

20. Cultural safety Cultural safety is important, nay vital to us, no matter our role in Australia's society “If I cut your finger I shall make for you what’s best...” “I shall desire you of more acquaintance, Good Peoples of this Land…”

21. Cultural safety Recipient care Reflection on self Enhances care Does not diminish, disempower Gives power Recognises inequalities

22. Cultural safety What is the background of this person? How will this affect the way I will interact with this individual, their family and community? How will this lead my behaviours in dealing with this person? What are the special relationships (power laden…culturally dyadic) in this interaction? Where are the human rights implications?

23. Where to next We need to have the discussion on Cultural Safety. Right here, in Australia, as a group Individuals and organisations should not do this in isolation We need to come together and get it happening

24. Conclusion Cultural awareness is not enough What is needed is broad institutional reform Ensure knowledge, skills and attitudes of all staff are aligned with any area of new endeavour Restructure power-sharing, decision making and resource arrangements to include Indigenous people -Tom Calma

25. Thank you l.pulver@unsw.edu.au 0404 859 989