Gugurr yan.guwan dhadhadya: Keep on walking strong

What we learned at the conference

James Gerrard

Section Editor

James is a podiatry graduate who has worked in public and private settings in Victoria, New South Wales and Tasmania, and he now lectures at La Trobe University within the discipline of podiatry. James is also a current University of Newcastle PhD candidate, involved in research giving First Nations voice to foot health education, and the developing, delivering, and evaluating of cultural safety education for undergraduate podiatry students.

Section editor James Gerrard summarises the Indigenous conference stream’s highlights from this year’s Australian Podiatry Conference.

“…we are more than capable of becoming a leader in culturally safe healthcare delivery in this country”

 

This year’s Australian Podiatry Conference saw the inaugural Indigenous conference stream unfold; with conversations appearing to centre around how successful it was, how overdue it was, and how long it may continue. This kind of passion reminds me that we are more than capable of becoming a leader in culturally safe healthcare delivery in this country. 

 

What is cultural safety?

If you are unsure as to what culturally safe healthcare is, you’re not alone. This conversation was common amongst attendees, with discussion around where such tools and resources exist. If you can relate refer to ‘More information’ at the end of this article, which discusses cultural safety in more detail.

 

The requirement for culturally safe healthcare led to the development of a cultural safety strategy, launched in 2020 by the Australian Health Practitioner Regulation Agency (Ahpra), aiming to address inequitable health outcomes for Aboriginal and Torres Strait Islander Peoples. On the topic of cultural safety, a cultural safety training provider was announced by the Australian Health Practitioner Regulation Agency  in 2019, and the Podiatry Board of Australia wrote about this topic with an update in their recent June 2021 newsletter

 

A conference snapshot

Overall, the conference topics were diverse with keynote presentations from Kaurna man Associate Professor James Charles, Murrawarri man Dr Brett Biles, and Māori woman Belinda Ihaka. Speakers then carried out a live Q&A session and contributed to a live panel discussion with Associate Professor Caroline Robinson. You can check out what Associate Professor Cylie Williams, Chair of the Podiatry Board of Australia thought of the session in her tweet here.  

 

Useful resources

 

If you missed any of this content, here is a summary of some resources shared at this year’s conference. 

 

 

Online learning

As individuals, we can access the same cultural safety education provider working with Ahpra through  Griffith University First Peoples Health e-learning Initiative; ‘Safer Healthcare for Australia’s First Peoples’. This is an online professional development activity that centres on learning to provide safer healthcare for Aboriginal and Torres Strait Islander Peoples. It does this by developing your cultural safety and it gives evidence-based insight into how colonisation can affect the health of Australia’s First Peoples.

 

This course explores five cultural capabilities (from the Aboriginal and Torres Strait Islander Health Curriculum Framework) which are Respect, Communication, Safety and Quality, Reflection and Advocacy.

 

The course features Professor Gregory Phillips, from the Waanyi and Jaru peoples and member of Ahpra Aboriginal and Torres Strait Islander Health Strategy Group, and blends opinion, targeted resources, moderated forums, and a variety of topics covered into an informative and engaging learning resource – recommended duration is six hours study over two weeks.

 

The course runs regularly and costs $80.00, and you can register via this link. This experience gives you permanent access to invaluable resources and evidence of program completion in hard copy.

 

Further links

Personal development in this space overlaps professional. Inspiring, thought-provoking, and informative readings around personal development, given the recent Indigenous conference stream and NAIDOC week, are linked below.

 

 

In summary

I believe we are in the business that must be the most inclusive of all – health. Our podiatry profession is the sum of all its parts, all of us collectively as a group of individuals, from board members to clinicians to teachers and researchers. With continual individual improvement, we are moving our entire profession incrementally closer to proudly leading in cultural safety.

Cultural safety: the ongoing critical reflection of health practitioner knowledge, skills, attitudes, practising behaviours and power differentials in delivering safe, accessible and responsive healthcare free of racism

More information

 

What is cultural safety?

The National Scheme’s Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020–2025 released through Ahpra defines cultural safety today as ‘the ongoing critical reflection of health practitioner knowledge, skills, attitudes, practising behaviours and power differentials in delivering safe, accessible and responsive healthcare free of racism’.9 It is judged by the recipient of care, Aboriginal and Torres Strait Islander Peoples.9

 

Cultural safety is a concept developed by Dr Irihapeti Ramsden, Ngāi Tahu/Rangitāne,10,11 a Māori nurse and nursing educationalist.12 Dr Irihapeti Ramsden’s work questions power relations between health practitioners and recipients of care, focusing on practitioner approach, sentiments, behaviour, biases and worldview13. Becoming ever more prominent in health service delivery,10,11 Ramsden’s cultural safety framework addresses colonised health care methods and their impacts by providing a lens for health practitioners to gaze inwardly at themselves, whilst establishing ‘a mechanism which allows the recipient of care to say whether or not the service is safe for them to approach and use’.13

 

Why is cultural safety important in podiatry?

Whilst Ahpra currently mandates culturally safe practice as a requirement for registration for some health professionals,14 the recent release of the National Scheme’s Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020–2025 targets health inequity experienced by Aboriginal and Torres Strait Islander Peoples through nationally consistent standards, codes and guidelines across all practitioner groups within the National Scheme.9

 

Release of the National Scheme’s Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020-2025; the impacts for podiatry in Australia: a commentary.

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