Connection between health and culture examined.EDMONTON
The quest to find out if there can or should be a global strategy to resolve modern, medical ethical dilemmas brought scientists, health care providers, sociologists and other interested parties to a four-day conference hosted by the Canadian Bioethics bioethics, in philosophy, a branch of ethics concerned with issues surrounding health care and the biological sciences. These issues include the morality of abortion, euthanasia, in vitro fertilization, and organ transplants (see transplantation, medical). Society in Edmonton at the end of October. Prof. Madeleine Dion Stout, a member of Kehewin First Nation northeast of Edmonton, who teaches at Carleton University Carleton University, at Ottawa, Ont., Canada; nonsectarian; coeducational; founded 1942 as Carleton College. It achieved university status in 1957. It has faculties of arts, social sciences, science, engineering, and graduate studies, as well as the Centre for , was a keynote speaker.
"Expanding the boundaries of ethics" was the theme bringing experts from around the world to discuss controversial issues from mental health service delivery to euthanasia and commercialization of body parts. Protecting everybody's rights while incorporating leading edge biotechnology into the practice of medicine underpinned the presentations.
Vicki Smye, a PhD student at the University of British Columbia's School of Nursing, addressed a mental health topic that is still new in Canadian mainstream medical circles, yet it directly bears on the delivery of health services health services Managed care The benefits covered under a health contract to Aboriginal people.
Her presentation, "Justice, Culture and Aboriginal Health," addressed the concept of "cultural safety," which is said to exist when health care providers deliver services in accord with people's social and physical environment, cultural values and history. Smye said New Zealand/Aotearoa is where cultural safety was first written about in the early 1990s, in a nursing education environment.
Where it goes beyond a mere cultural awareness exercise is in the intensity and time practitioners put into self-examination, into examining the issues at the political level, and in practical terms supporting the health of minorities through a delivery system me client defines as acceptable.
Smye, who says she has 30 year's experience in the mental health arena, is non-Aboriginal. She said at the outset she was "not speaking from a First Nations, Metis Metis (mē`tĭs), in astronomy, one of the 39 known moons, or natural satellites, of Jupiter.
goddess of caution and discretion. [Rom. Myth.: Wheeler, 242]
See : Prudence or Inuit perspective, but rather from a point of inquiry."
She favors "a theory of justice" that supports Aboriginal people's right to determine their own health care needs and practices. "Aboriginal people," Smye said, "should feel their Indigenous worth is reflected in health care provision. Improved [mental] health status for Aboriginal peoples is dependent on social policies which reflect the moral and political values of their particular societal cultures."
Nevertheless, Dr. Cora Voyageur voy·a·geur
n. pl. voy·a·geurs
A woodsman, boatman, or guide employed by a fur company to transport goods and supplies between remote stations in Canada or the U.S. Northwest. , a sociologist who attended the presentation, said, "I thought the issues were dealt with very superficially. I don't think you can deal with education, justice and health in 25 minutes and if we're going to talk about Aboriginal issues I think we need to have Aboriginal people speaking about them, or at least there be an attempt to have Aboriginal people speaking about them."
Voyageur, a member of Athabasca Chipewyan First Nation who works at the University of Calgary, says she knows Aboriginal medical doctors and academics who would be qualified to speak to the topic.
"She [Smye] was very nice. What she had to say was very good and whatnot what·not
1. A minor or unspecified object or article.
2. A set of light, open shelves for ornaments.
pron. , but I don't think she should have been the only person dealing with that particular issue.... The work that she's doing is very good and very needed, but at the same time organizers need to know that there are Aboriginal people out there and they don't have to bring people in from the U.S., because we have our own experts."
Smye talked about critical differences in the way health is defined by Aboriginal and mainstream cultures.
"Mental health programs and services designed in keeping with dominant culture (biomedical bi·o·med·i·cal
1. Of or relating to biomedicine.
2. Of, relating to, or involving biological, medical, and physical sciences. ) views of mental health and illness," Smye said, "ignore the unique cultural identities and histories of Aboriginal peoples, putting them at risk of not having their health care needs recognized and met." She cited sources that say "wellness" from the Aboriginal point of view can be contingent upon Adj. 1. contingent upon - determined by conditions or circumstances that follow; "arms sales contingent on the approval of congress"
contingent on, dependant on, dependant upon, dependent on, dependent upon, depending on, contingent people's connections with family and with the land.
She also compared New Zealand's Maori people's experiences since colonial contact with those of Canada's Aboriginal people. She gave numerous examples of how both groups have been marginalized and subordinated by the dominant society and how, until recently, their holistic world-view has been denigrated.
As in Canada, early colonizers ignored and belittled be·lit·tle
tr.v. be·lit·tled, be·lit·tling, be·lit·tles
1. To represent or speak of as contemptibly small or unimportant; disparage: a person who belittled our efforts to do the job right. the belief systems of New Zealand's Indigenous people and set up a health care system that reflected the colonizers' values exclusively. But now health care providers are moving away from the idea that health is merely the absence of disease. The past few years, the Years, The
the seven decades of Eleanor Pargiter’s life. [Br. Lit.: Benét, 1109]
See : Time Nursing Council of New Zealand The Nursing Council of New Zealand (NCNZ) are the professional body responsible for the registration of nurses in New Zealand, setting standards for nursing education and practice.
The council was established in 1902. has required nursing schools to incorporate the obligations imposed by the country's founding and only treaty, the Treaty of Waitangi The Treaty of Waitangi (Māori: Tiriti o Waitangi) is a treaty signed on February 6, 1840 by representatives of the British Crown, and Māori chiefs from the North Island of New Zealand. , when designing curricula.
The accommodation of Aboriginal beliefs into health service delivery in New Zealand New Zealand (zē`lənd), island country (2005 est. pop. 4,035,000), 104,454 sq mi (270,534 sq km), in the S Pacific Ocean, over 1,000 mi (1,600 km) SE of Australia. The capital is Wellington; the largest city and leading port is Auckland. more completely than in Canada may reflect important differences between the two countries, Smye pointed out. Significantly, Maoris comprise 20 per cent of the population of New Zealand compared to Canada's four per cent, and they don't live on reserves. More of them are urbanized and they have more national political representation in a unitary government. They have one treaty, contrasted with numerous, treaties administered by our federal system of government. Maoris also have one Aboriginal language and culture; whereas in Canada, there are "at least 11" Aboriginal language groups, and several distinct Aboriginal cultures, Smye said.
These factors may explain why, since 1991, New Zealand's nursing council has insisted 20 per cent of the national nursing examination be targeted to cultural safety. Beyond that, nursing candidates have to demonstrate ethical, legal and cultural "safety" in addition to standard academic knowledge and clinical skills. In other words Adv. 1. in other words - otherwise stated; "in other words, we are broke"
put differently , student nurses must show they understand how their own values and beliefs about racism, perceptions of class differences, and healing and wellness may determine the outcome for the person seeking health services. They are also taught that the health care service the Maori receive is not as good as New Zealanders This is a list of well-known people associated with New Zealand.
Smye concludes that cultural safety is dependent upon ethical policy making. She makes it clear cultural safety will only occur in this country when Canadians re-examine re·ex·am·ine also re-ex·am·ine
tr.v. re·ex·am·ined, re·ex·am·in·ing, re·ex·am·ines
1. To examine again or anew; review.
2. Law To question (a witness) again after cross-examination. their attitudes and adhere to the principles of respect outlined in laws such as our Multiculturalism Act.