Healing Mainstream Health: Building Understanding and Respect for Indigenous Knowledges

Rix, Liz; Rotumah, Darlene

doi:10.1007/978-981-15-5362-2_10

Cited by 8 publications

(9 citation statements)

References 45 publications

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“…We all yarned that our lessons from our professional practice and research have clearly shown that First Nations Peoples in Australia may choose to not seek healthcare because racism within healthcare services is experienced as being worse than their health challenges. This is discussed extensively through our own research and the work of others [ 9 , 20 , 58 , 59 , 60 , 61 ].…”

Section: Lessons From Yarning With a First Nations Health Researchermentioning

confidence: 99%

BlackLivesMatter in Healthcare: Racism and Implications for Health Inequity among Aboriginal and Torres Strait Islander Peoples in Australia

Gatwiri

Rotumah

Rix

2021

IJERPH

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Despite decades of evidence showing that institutional racism serve as significant barriers to accessible healthcare for Aboriginal and Torres Strait Islander Peoples, attempts to address this systemic problem still fall short. The social determinants of health are particularly poignant given the socio-political-economic history of invasion, colonisation, and subsequent entrenchment of racialised practices in the Australian healthcare landscape. Embedded within Euro-centric, bio-medical discourses, Western dominated healthcare processes can erase significant cultural and historical contexts and unwittingly reproduce unsafe practices. Put simply, if Black lives matter in healthcare, why do Aboriginal and Torres Strait Islander Peoples die younger and experience ‘epidemic’ levels of chronic diseases as compared to white Australians? To answer this, we utilise critical race perspectives to theorise this gap and to de-center whiteness as the normalised position of ‘doing’ healthcare. We draw on our diverse knowledges through a decolonised approach to promote a theoretical discussion that we contend can inform alternative ways of knowing, being, and doing in healthcare practice in Australia.

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Section: Lessons From Yarning With a First Nations Health Researchermentioning

confidence: 99%

BlackLivesMatter in Healthcare: Racism and Implications for Health Inequity among Aboriginal and Torres Strait Islander Peoples in Australia

Gatwiri

Rotumah

Rix

2021

IJERPH

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“…As a result, terminology can become the focus for nurse educators, managers and those in positions of power within healthcare institutions. This is another barrier to understanding and teaching cultural safety (Rix & Rotumah, 2020b). Critical reflection and working in a person‐centred way with other cultures have been embedded within nursing curricula for decades (Burnard, 1988).…”

Section: Accomplices: Standing Alongside Indigenous Peoples In Their ...mentioning

confidence: 99%

“…We, however, ask: how can nurse education embrace cultural safety without a clear understanding of what it is, why it is so important and how to understand the pragmatics of owning safe practice? The majority of white nurse educators have a limited concept of what cultural safety really is, or the harm that their lack of knowledge, ongoing systemic bias and inherent power imbalances inflict on Indigenous students, patients and communities (Doran et al, 2019; Rix & Rotumah, 2020b). Mandating cultural safety/competence into undergraduate nursing and midwifery curricula is futile without ensuring the commitment of all non‐Indigenous academics to decolonise their own lenses and teaching (CATSINaM, 2020).…”

Section: Decolonising Nursing Educationmentioning

confidence: 99%

“…Despite the emergence of BlackLivesMatter conversations across the globe bringing the antiracism movement back into prominence in 2020 (Rix & Rotumah, 2020a), and recent nationwide outrage and protests after an Indigenous teenager was murdered while walking home from school (Dudgeon, 2022), ongoing injustices and inequities for Indigenous Peoples are usually overlooked:

Against the quietude of the Australian health system on racism are the powerful voices of Aboriginal and Torres Strait Islander peoples, on television screens, on public streets and in our spreadsheets, speaking the truth about how little Black lives seem to matter. (Bond et al, 2020, p. 248)…”

Section: Introductionmentioning

confidence: 99%

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Decolonisation for health: A lifelong process of unlearning for Australian white nurse educators

Rix,

Doran,

Wrigley

et al. 2023

Nursing Inquiry

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Indigenous nurse scholars across nations colonised by Europeans articulate the need for accomplices (as opposed to mere performative allies) to work alongside them and support their ongoing struggle for health equity and respect and to prioritise and promote culturally safe healthcare. Although cultural safety is now being mandated in nursing codes of practice as a strategy to address racism in healthcare, it is important that white nurse educators have a comprehensive understanding about cultural safety and the pedagogical skills needed to teach it to undergraduate nurses. We open this article with stories of our journeys as two white nurses in becoming accomplices and working alongside Indigenous Peoples, as patients and colleagues. Our lived experience of the inertia of healthcare and education organisations to address systemic and institutional resistance to the practice of cultural safety underpins the intention of this article. We understand that delivering this challenging and complex topic effectively and respectfully is best achieved when Indigenous and white educators work together at the cultural interface. Doing so requires commitment from white nurses and power holders within universities and healthcare institutions. A decolonising approach to nurse education at individual and institutional levels is fundamental to support and grow the work that needs to be done to reduce health inequity and increase cultural safety. White nurse accomplices can play an important role in teaching future nurses the importance of critical reflection and aiming to reduce power imbalances and racism within healthcare environments. Reducing power imbalances in healthcare environments and decolonising nursing practice is the strength of a cultural safety framework.

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“…For Aboriginal and Torres Strait Islander peoples living with kidney disease and after transplantation, the health system must embed true partnership, engagement and, most importantly, real change from existing verbal feedback that is backed by evidence. Our health systems need to be empowered to embrace, accept and work with (and not against) Indigenous knowledges 7‐9 …”

mentioning

confidence: 99%

From talk to action: Indigenous Reference Groups drive practice change in kidney transplantation care

Owen,

Cundale,

Hughes

et al. 2023

Medical Journal of Australia

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12 Balla P, Jackson K, Quayle AF, et al. "Don't let anybody ever put you down culturally … it's not good …": creating spaces for Blak women's healing. Am J Community Psychol 2022; 70: 352-364. 13 Central Adelaide Local Health Network. Organ Smoking Ceremony part of healing for recently transplanted patients. Adelaide: CALHN, 2020. https://centr alade laide.health.sa.gov.au/organsmoki ng-cerem ony-part-of-heali ng-for-recen tly-trans plant edpatie nts/ (viewed Aug 2023). ■

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Healing Mainstream Health: Building Understanding and Respect for Indigenous Knowledges

Cited by 8 publications

References 45 publications

BlackLivesMatter in Healthcare: Racism and Implications for Health Inequity among Aboriginal and Torres Strait Islander Peoples in Australia

BlackLivesMatter in Healthcare: Racism and Implications for Health Inequity among Aboriginal and Torres Strait Islander Peoples in Australia

Decolonisation for health: A lifelong process of unlearning for Australian white nurse educators

From talk to action: Indigenous Reference Groups drive practice change in kidney transplantation care

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