The document discusses cultural safety in healthcare. It aims to broaden understanding of the Platinum Rule of treating others how they want to be treated and exploring cultural aspects of nursing care. It compares the Bronze, Silver, Gold, and Platinum Rules. It emphasizes that cultural safety stresses the importance of relationships, partnerships, and allowing clients to determine what is or isn't safe for them culturally. The document promotes providing holistic care that addresses both medical and social factors impacting a client's health.

1. Cultural safety in the
workplace
Home Health Aide Conference
Prince Albert October 27 -29th 2015

2. Objectives
 To broaden the understanding of the Platinum Rule.
 To describe how to apply the Platinum Rule.
 Compare the Golden and Platinum Rules.
 To explore cultural aspects of nursing care.
 To identify the unique challenges faced by care providers
working with diverse clients.

3. To broaden the understanding of Cultural Safety
To identify the unique challenges faced by peoples and the need for a balanced approach
Objectives

5. I come from a small town

6. We Don’t SeeThings AsThey Are,
We SeeThem As We Are
• “It has been well said that we do not see things as they are, but as we are
ourselves. Every man looks through the eyes of his prejudices, of his
preconceived notions. Hence, it is the most difficult thing in the world to
broaden a man so that he will realize truth as other men see it.”

7. I try to be skeptical (question things) and not cynical (dismiss ideas & find fault with them)

8. Bronze silver gold platinum rules
The culture ofWestern medicine places diagnosis as a
central goal
Aboriginal medicine, see diagnosis as less central and pay
more attention to finding a safe environment in which the
patient may recover.
For conditions such as mental disorders, this latter
approach may prove more effective than struggling to
attach a label to the disorder.

9. Bronze, Silver, Gold, & Platinum Rules

10. Bronze rule
Do unto others as they have done unto you

11. Silver
What you do not want done to yourself, do not do to others

12. Gold
Do unto others as you would have them do unto you.

13. Platinum
Do unto others as they want done unto them

14. THE PLATINUM RULE.
TREAT OTHERS
HOW THEY WANT TO BE TREATED

15. Cultural Competence is a part of the
Platinum Rule
• Cultural Awareness
• Cultural Sensitivity
• Cultural Knowledge
• Cultural Competence
• Cultural Humility
• Cultural Safety

16. Culture is a world view
• NorthAmerican culture sees health as an individual
problem, but we live in dynamic, intercultural communities.
• Culture can be a barrier to caring for our clients.
• We learn about disease models of health
• We need to focus on wellness and resilience models of
health
• Health is multifaceted with issues related to mental,
spiritual, emotional, and physical health.

17. ImbalanceCreates Illness
Holistic approach to address issues and factors that impact illness targeting
not just the disease, but also the social determinants of health and economic
circumstances.
It is recognized that the whole family (broadly defined) is as impacted by
disease and needs healing just as the individual who is ‘sick’ requires care,
treatment and support.

18. Cultural Awareness
Is really concerned about acceptance

19. Cultural Sensitivity
Is about respecting differences and often uses neutral
language, and neutral communication

20. Cultural Sensitivity
Is about respecting differences and often uses neutral
language, and neutral communication

21. Cultural Knowledge
Familiarization with selected cultural characteristics, history, values,
belief systems, and
behaviours of the members of another ethic group

23. Cultural Competence
Is about understanding, knowledge skills and attitudes, working
effectively in cross cultural and intercultural situations, this is the
application of knowledge, creates the environment of cultural safety

24. Cultural Humility
Focuses on self reflection and acknowledges power
differences, and privilege.

25. Cultural Safety
Stresses the importance of relationships and partnerships, power
shifts to the client, to decide what is safe and what is not

27. An environment that is safe for people; where there is no assault, challenge or denial of their
identity, of who they are and what they need. It is about shared respect, shared meaning, shared
knowledge and experience, of learning, living and working together
with dignity and truly listening.
(Health Q. F., 2012)
Cultural Safety

28. Physical Mental Emotional Spiritual
My perspective is that each
of these four parts can be
treated as its own body.
Each requires its own form
of sustenance and exercise
to be healthy

29. Seven Directions!
• East
• South
• West
• North
• Life Above the Earth
• Life Below the Earth
• Life on the Earth (and within ourselves)

30. • Cultural safety
stresses the
importance of
reflection &
acceptance of
differences.
• We should not treat
everyone the same.
• We do need to
recognize and
acknowledge our
blind spots.

31. Do we provide health care or
simply treat diseases?

33. Tips for Creating a HealthyWork
Environment by Kathleen
Bartholomew
• Never be a “silent witness”. Never stand by and listen while others are gossiping,
criticizing or talking badly about someone else
• Be a team player. If you see someone in need of help, offer assistance.The
greatest safety net cast is to catch mistakes and this is only as strong as your
relationships
• Speak your truth – always say what’s on your mind. Start the conversation by
sharing your perception of what happened and then what you need
• Always stay client focused and problem solving focused (personally I want a win-
win)
• Address issues directly. Ask the manager or your mentor to help role model
difficult conversations with you

34. “Ultimately we know deeply
that the other side of every
fear is a freedom.”
Marilyn Ferguson

35. Contact information
Greg Riehl RN BScN MA
Aboriginal Nursing Student Advisor
Aboriginal Nursing Student Achievement Program
Saskatchewan Polytechnic
Regina Campus
Email: greg.riehl@saskpolytech.ca
Email: gregriehl@sasktel.net
@griehl