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Translating Cultural Safety to the UK
Amali U Lokugamage1,2, Elizabeth Liz Rix3, Tania Fleming4
1Department of Clinical and Professional Practice, University College London Medical School, London, UK.
Journal of Medical Ethics
|July 20, 2021
Summary
The COVID-19 pandemic revealed health inequities for ethnic minorities in the UK. Implementing
Area of Science:
- Public Health
- Health Equity
- Anti-racism in Healthcare
Background:
- COVID-19 pandemic highlighted significant health disparities in UK ethnic minority populations.
- The 'Black Lives Matter' movement underscored the role of structural racism in health inequities.
- Cultural Safety, originating in New Zealand, addresses systemic racism in healthcare for Indigenous peoples.
Purpose of the Study:
- To explore the concept and application of 'Cultural Safety' in healthcare.
- To examine how New Zealand and Australia integrate Cultural Safety into medical education and practice.
- To identify strategies for implementing Cultural Safety in the UK to reduce healthcare racism.
Main Methods:
- Literature review on Cultural Safety in New Zealand and Australia.
- Analysis of existing healthcare practices and educational models.
- Consideration of UK-specific challenges and opportunities for implementation.
Main Results:
- Cultural Safety is an anti-racist, decolonising approach to healthcare.
- New Zealand and Australia provide models for integrating Cultural Safety into professional training and practice.
- Key elements for UK implementation include listening to minority ethnic voices and fostering reflexivity.
Conclusions:
- Cultural Safety offers a framework to dismantle systemic racism in UK healthcare.
- Incorporating Indigenous perspectives and decolonising practices is crucial for health equity.
- Care must be taken to avoid cultural appropriation when adopting these innovations.
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