Assessment of cultural safety in a post–Objective Structured Clinical Examination (OSCE) era

Brumpton, Kay; Gupta, Tarun Sen; Evans, Rebecca; Ward, Raelene

doi:10.31128/ajgp-08-21-6120

Cited by 2 publications

(4 citation statements)

References 20 publications

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“…As such, a culturally safe GP can play a crucial role to closing the gap in health outcomes for Indigenous peoples [ 27 ]. We argue that development of cultural safety in GP registrars is a priority for general practice training [ 28 ]. Logically, the development of cultural safety should occur early in postgraduate training as reflected by the recent inclusion of the AHPRA definition of cultural safety into the Australian GP curricula by the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM) [ 29 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

“…Logically, the development of cultural safety should occur early in postgraduate training as reflected by the recent inclusion of the AHPRA definition of cultural safety into the Australian GP curricula by the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM) [ 29 , 30 ]. The AHPRA consensus statement, along with recent educational developments (for example, revision of Australian Medical Council graduate outcomes [ 31 ], and assessment changes by the RACGP [ 28 ]), provides opportunity to reassess the health professional educational response to teaching and assessment of cultural safety.…”

Section: Introductionmentioning

confidence: 99%

“…As cultural safety must be determined by Aboriginal and Torres Strait Islander individuals, families and communities, these parameters must be derived and endorsed by the Aboriginal and Torres Strait Islander community. Ensuring Indigenous ownership adds additional complexity to the design and delivery of the assessment of cultural safety when the Aboriginal and Torres Strait Islander community, although viewed as a collectivist society, is a heterogenous society [ 43 ] and when it is normative for all patients to impose their individual bias on consultations [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

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Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study

et al. 2023

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Background Assessment of cultural safety in general practice consultations for Indigenous patients is a complex notion. Design and development of any assessment tool needs to be cognizant that cultural safety is determined by Indigenous peoples and incorporates defined components of cultural safety and current educational theory. Consideration of how social, historical, and political determinants of health and well-being impact upon the cultural safety of a consultation is also important. Given this complexity, we assume that no single method of assessment will be adequate to determine if general practice (GP) registrars are demonstrating or delivering culturally safe care. As such, we propose that development and assessment of cultural safety can be conceptualised using a model that considers these variables. From this, we aim to develop a tool to assess whether GP registrars are conducting a culturally safe consultation, where cultural safety is determined by Aboriginal and Torres Strait Islander peoples. Methods This protocol will be situated in a pragmatic philosophical position to explore cultural safety primarily from the Australian Aboriginal and Torres Strait Islander patients’ perspective with triangulation and validation of findings with the GP and GP registrar perspective, the Aboriginal and Torres Strait Islander community, and the medical education community. The study will integrate both quantitative and qualitative data through three sequential phases. Data collection will be through survey, semi-structured interviews, an adapted nominal group technique, and a Delphi questionnaire. We aim to recruit approximately 40 patient and 20 GP participants for interviews, conduct one to five nominal groups (seven to 35 participants) and recruit fifteen participants for the Delphi process. Data will be analysed through a content analysis approach to identify components of an assessment of cultural safety for GP registrars. Discussion This study will be one of the first to explore how cultural safety, as determined by Indigenous peoples, can be assessed in general practice consultations. This protocol is shared to stimulate awareness and discussion around this significant issue and prompt other studies in this area.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study

et al. 2023

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“…While self-assessment tools are a prevalent method of assessing cultural competency (Jongen et al, 2018), assessing cultural competency and cultural safety is complex (Brumpton et al, 2022). Generally, self-assessment tools are utilised within the health industry with the aim of providing a learner-centred approach to assessing professional skills and promoting professional autonomy and engagement (Stenov et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Self-assessment tools for assessing cultural competency: a rapid review of literature

Ganeshananthan

Brumpton

et al. 2022

AlterNative: An International Journal of Indigenous Peoples

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Established tools that assess cultural competency in the health workforce could contribute to providing culturally safe care to First Nations peoples. Using a rapid review approach, we searched several databases to evaluate the characteristics of self-assessment tools used to assess cultural competency and ascertain the context and outcomes of their use. Out of 529 documents, six articles fitted the study’s inclusion criteria. The main capabilities assessed by self-assessment tools ranged from knowledge, interest, and familiarity with First peoples’ history and culture to providing cultural support, application, and behaviour. Data were limited on outcomes of cultural competency and safety as determined by the health care recipient. Overall, the tools showed significant variability in characteristics and how cultural competency and culturally safe practice was assessed. However, data were lacking to confirm whether the enhanced cultural competency and culturally safe practice demonstrated using these self-assessment tools improved health outcomes for First Nations peoples.

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Assessment of cultural safety in a post–Objective Structured Clinical Examination (OSCE) era

Cited by 2 publications

References 20 publications

Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study

Assessing cultural safety in general practice consultations for Indigenous patients: protocol for a mixed methods sequential embedded design study

Self-assessment tools for assessing cultural competency: a rapid review of literature

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