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NUR133 Professional Nursing Practices Report 3 Sample

This task will introduce you to develop your reflective skills necessary to develop foundations of critical thinking and clinical reasoning. Reflection is about questioning and learning through experiences regardless of if they are positive or negative. This Reflective Journal is a good resource to refer to as the Nursing and Midwifery Board of Australia (NMBA) National competency standards for the registered nurse highlight that nurses reflect on their practice. Aboriginal and Torres Strait Islander health is a unique area of health care and this unit will help to establish the building blocks for you as a nursing student to provide culturally safe care.

Learning Outcomes:

1. Explain the impact of historical, social and political processes on the health of Aboriginal and Torres Strait Islanders and demonstrate understanding of the social justice implications and impact on health outcomes.

2. Demonstrate and compare a strengths-based versus a deficit model of nursing practice in relation to Aboriginal and Torres Strait Islander health care.

3. Identify the diversity of health-related knowledge and practices within Aboriginal and Torres Strait Islander communities and the impact of these on health-related choices, including traditional medicine.

4. Explain the principles and concepts of cultural safety in clinical practice and outline the impact of power dynamics between health care professional and client on nursing care delivery within Aboriginal and Torres Strait Islander communities.

Solution

Refection using the Gibbs reflective Cycle

Introduction

This reflective journal will be developed in accordance with the key concept of Gibbs’ reflective model.

Figure 1: Key components of Gibbs reflective cycle.
(Source: Cooke, Greenway & Schutz, 2021.p.104857).

In addition, each on the learning outcomes will be attained referring to the key components of Gibbs’ reflective theory for better understanding (Cooke, Greenway & Schutz, 2021.p. 104857).

1. Impact of Historical, Social, and Political Processes on Aboriginal and Torres Strait Islander Health

Answer:

Description

In my course, I understood how the historical, social and political factors influenced the Aboriginal and Torres Strait Islander health status. Colonisation affected the health of Indigenous people (Yashadhana et al. 2021. 114230). The social inequalities had affected health. Displacement and exclusion have had long term effects.

Feelings

On perceiving these factors, I felt a kind of shock and a kind of sorrow that hit me for the first time. I had not realized just how deep-rooted historical prejudice is that affects Indigenous people to this day. I always wondered why colonial policies continued to echo current disparities in healthcare.

Evaluation

I was privileged to learn a lot on the connection between “social justice” and “health” as a result of the learning experience. One good feature was the detailed analysis of how some policies have led to exclusion in the provision of health care service due to absence of culturally sensitive services.

Analysis

It is imperative to demonstrate that Aboriginal and Torres Strait Islander health outcomes can be influenced by historical, social and political processes. The colonization process dislocated indigenous people. It is suggested that Indigenous Australians have higher prevalence of chronic diseases and mental health disorders and shorter life expectancy.

Conclusion

This reflection for the assignment helpline has helped me learn better how history and politics affect health. I have gained knowledge about the social justice and the colonization of Indigenous peoples. Knowledge on such aspects will enable me to be more emphatic, culturally-responsive to such unique history.

Action Plan

In future, I will practice the importance of finding out the history and social backgrounds of this community. This will contribute to the enhancement of the cultural safety in healthcare settings.

2. Strengths-Based vs Deficit Model of Nursing Practice

Answer:

Description

I learned about the comparison between the strengths and weakness paradigms of a nursing model for Aboriginal and Torres Strait Islander peoples. The first one is the Deficit Model that concerns with the missing or the damaged part in the patients’ health. The second one is Strengths-based model that highlights patient’s potential, capabilities and assets (Lavoie-Tremblay et al. 2024.p.100190).

Feelings

I was more in favour of the “strength-based paradigm”. It can be considered as more encouraging. It made many patients feel like they can control their treatment processes. On the other hand, the deficit model seems more disempowering because it labelled the patients as lacking in some way.

Evaluation

The strengths-based model was much more efficient and less oppressive method in comparison with traditional healthcare system. It promotes empowering relationship rather than discouraging them. In my opinion, both models can be employed based on the clinical scenario.

Analysis

The strengths-based model is less likely to produce negative health outcomes, especially among culturally vulnerable populations. In terms of healing what deficit model does is bring forth constructs that essentially pathologize the “Indigenous patients”. The strengths-based approach embraces the Indigenous cultural practice.

Conclusion

As a future professional, I will embrace a “strengths perspective” every time in order to deal with Aboriginal and Torres Strait Islander patients. This model promotes a working partnership based on trust, acknowledgement and recognition.

Action Plan

I will endeavour to gain further training and information on culturally safe care. Even, I will consider the heath of each patient from a strength based perspective effectively.

3. Diversity of Health Knowledge and Traditional Medicine

Answer:

Description

I have come across different views on the health knowledge and practices among the aboriginal and Torres Strait Islanders local people. These communities have started to rely on modern conventional medicine with the traditional belief (Brodie et al. 2023.p.100096).

Feelings

I got interested in terms and topics stemmed from traditional knowledge. Initially, I had not realized how much Indigenous people actually rely on traditional medicine.

Evaluation

The way how several societies performed health has enriched me to some extent. The same has altered my view of how healthcare must look. It had made me call into question some of the assumptions that I used to have about initially.

Analysis

Modern medical practices are a vital aspect of many Indigenous societies around the world. The same can improve the health of those societies when combined with Indigenous programs (Gall et al. 2021.p.670).

Conclusion

Such reflection further emphasized on the requirements of cultural competency in the health sector. Cultural competence is a valued “care delivery model” needed by Aboriginal and Torres Strait Islander population.

Action Plan

I would like to spend more time with Indigenous health practitioners. The same will enable me to understand how some Indigenous health principles can be safely and efficiently integrated to the practice of nursing.

4. Cultural Safety and Power Dynamics in Clinical Practice

Answer:

Description

Cultural safety was explained to me as policy and procedure model that eliminates racism from healthcare settings (Mitchell et al. 2022.p.590).

Feelings

As initially indicated, I was especially inspired by one of the most critical ideas of the Aboriginal culture known as ‘cultural safety.’ It offered a practical guide concerning the problem solving aspect Indigenous patients experience in clinical settings.

Evaluation

Cultural safety of a population is a vital approach in the management and treatment of their (i.e. indigenous people) health needs. It assists to build a satisfaction among the patients.

Analysis

Cultural safety leads to improve the health standard of the Indigenous patients. It is important to understand that the quality of healthcare is shaped by the relations of the healthcare provider and the patient.

Conclusion

As per my understanding, cultural safety is very important aspect of nursing care. I must gain better understanding about it in order to enhance my expertise over the period.

Action Plan

I will actively continue to expand my knowledge in cultural safety. These will include listening to the patients, honoring patient self-determination and maintaining patient confidentiality.

Conclusion

Using the Gibbs Reflective Cycle to the following learning outcomes have helped me to understand the challenges associated with caring for Aboriginal and Torres Strait Islander peoples. In addition, this reflection has provided me with ways to enhance my practice.

Reference list

 

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