Table 2.
Yarning data synthesis of caregivers’ experience of culturally safe care and associated risk
Cultural safety Principle | Definition | In-Practice examples | Caregiver’s experience at holistic time points and associated level of risk | ||||
---|---|---|---|---|---|---|---|
crisis | help | confront | sustain | home | |||
Reflexivity | Reflect on practice, mutual respect | Respectful interactions | low | low | med | med | med |
Dialogue | True engagement and consultation | Build rapport and dialogue with family alongside consideration of kinship arrangements and decision-making structures, particularly as they relate to children | low | low | med | med | med |
Power imbalances | Minimise power differentials and maintain human dignity | Including Indigenous health workers in multidisciplinary teams | low | med | med | med | med |
Decolonisation | Acknowledging the key role of colonising history in contemporary health outcomes for Aboriginal and Torres Strait Islander peoples | Ensuring equity in healthcare to achieve equity in health outcomes | low | med | med | high | high |
Regardful care | Provide care that is regardful of culture and challenges the status quo of providing care that is regardless of culture | Patient-centred care; where the context for the child and their family drives care decisions | low | low | high | high | high |