Roots from New Zealand
A Cultural Safety foundation, which holds strong, without which will not support the rest of the tree. |
Trunk of transformation
Symbolic of the connection between roots and leaves which is a conduit to nourish from the ground through to the leaves. |
Branches/leaves/flowers /fruit
Pre-existing UK discussions about improving healthcare that would translate into the Cultural Safety model.
These could blossom and bear fruit. |
| 1. Person-centred experience of care (subjective) | Nurturing principles |
NHS patient experience framework. Patient/user led initiatives to highlight structural blind spots. Coproduction of initiatives. Person-centred care. Engaging and enabling voices of ethnic minorities. Availability of interpreters. Access to carers/health staff from a similar cultural background. Continuity of care.
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| 2. Staff self-reflexivity | Healthcare human rights |
Transformational learning. Colonial history and inequality. Impact of power and privilege. Racism as a social determinant of health. Intersectionality. Mandatory Cultural Safety education of health and managerial staff. Professional reflective practice. Decolonising ideas of healing: respect for homeostatic/ecological principles of indigenous/traditional healing ideas.
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| 3. Structural reflexivity | Institutional commitment to review structural knowledge, biases and assumptions |
Allowing reverse innovation within structures. Lay bare epistemic knowledge bias. Improve training in diagnosis in darker skin tones, for example, cyanosis and skin conditions. Finding a way to enable access to education and advancement to become healthcare professionals for minorities (and NZ/Australian First Peoples), ensuring zero racism policies and other aspects of ‘inclusion’ within education. Address staff burnout that can lead to compassion deficit – respectful working conditions for staff.
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