Home' Australian Pharmacist : Australian Pharmacist May 2012 Contents 384 Australian Pharmacist May 2012 I ©Pharmaceutical Society of Australia Ltd.
Continuing Professional Development
The articles in this series are independently researched and compiled by PSA commissioned authors and peer reviewed.
To ensure cultural safety is maintained
in the workplace, it is important that
practices are regularly reviewed and
discussed at sta meetings. Often a
pharmacy assistant is the rst point
of contact when a person enters a
pharmacy, so it is essential that all sta
receive training. Sta can advise others
on culturally appropriate health care for
speci c groups. Organising a visit to a local
homogenous centre, such as an Aboriginal
Health Service or a Refugee Health
Service broadens cultural awareness and
enhances positive relationships between
cultures. Employing sta from other
cultures can improve cultural safety for
patients. In addition, sta from di erent
cultural backgrounds can teach other sta
members about their culture and therefore
enhance culturally safety.
Many di erent cultural training courses
are o ered around Australia. Cultural
training for all sta is an excellent way
to improve the e ectiveness of services.
A good way to nd appropriate training
courses is to look locally as this usually
best re ects the culture of the area.
Courses that are accredited or approved
by places such as PSA, RACGP, the
Pharmacy Guild or NACCHO should
indicate the cultural training course is of
a high standard. If nothing is available
locally, there are a number of online
Aboriginal and Torres Strait Islander
cultural competence courses. The Centre
for Cultural Competence Australia has an
online course which is currently accredited
by the Pharmacy Guild. (see: www.ccca.
com.au) This course provides good
background, but does not refer directly to
health or pharmacy settings. Pharmacists
may also refer to other resources such as
the PSA Professional Practice Standards
2010.11 While these Indigenous cultural
awareness training courses are recognised
as important, they are only the rst step.
Relationship building with Aboriginal
Health Services and their sta , and
working with Aboriginal patients, are
also important components in assisting
pharmacists to become culturally aware.
Cultural safety is important from a broad
public health perspective as cultural
insensitivity can lead to poor health
outcomes. Aboriginal patients access
health services less than non-Aboriginal
patients. This has partially been attributed
to lack of culturally appropriate services.12
It is widely recognised that one of the
reasons for the marked di erence in life
expectancy between Aboriginal and
non-Aboriginal Australians is the lack of
culturally appropriate health care. As a part
of the overall Australian health system,
pharmacists need to have a genuine
commitment to the theory and practice of
cultural awareness, sensitivity and safety.
These are all important factors in providing
culturally appropriate health care service
in which there is respect and recognition
1. Cultural safety is a concept that
originated in which country?
d) New Zealand.
2. Which statement is CORRECT?
a) Cultural safety is achieved by cultural
awareness training alone.
b) Cultural awareness and cultural safety
are the same.
c) Cultural safety training is important for
all pharmacy sta not just pharmacists.
d) Cultural safety cannot be experienced
3. Pharmacists can make their
pharmacy service more culturally
a) employing sta from other cultures.
b) displaying health information posters
which show people from a diverse
range of cultural backgrounds
and providing lea ets in di erent
c) organising a sta visit to a health
service which specialises in culturally
appropriate health care for a speci c
ethnic group in order to develop
relationships and learn about another
d) all of the above.
4. Which of the following terms is best
used to describe learning facts and
gures about another culture?
a) Cultural safety.
b) Cultural awareness.
c) Cultural sensitivity.
d) Cultural ignorance.
A score of 3 out of 4 attracts 0.75 CPD credits.
of others, personal empowerment and
enhanced communication in a safe,
sensitive and supportive environment.
1. The Royal Australian College of General Practitioners.
Cultural safety training identification of cultural safety
training needs. Victoria, Australia: The Royal Australian
College of General Practitioners; 2010. At: www.
2. Nursing Council of New Zealand. Guidelines for cultural
safety, the Treaty of Waitangi and Maori health in nursing
education and practice. Wellington, New Zealand: Nursing
Council of New Zealand; 2011. At: www.nursingcouncil.org.nz/
4. Evans J. Journey towards cultural competency: lessons
learned. National Maternal and Child Health resource center
on cultural competency. Texas department of health; 2001.
5. Cass A, Lowell A, Christie M, Snelling P, Flack M, Marrnganyin B,
Brown I. Sharing the true stories: improving communication
between Aboriginal patients and healthcare workers.
MJA. 2002 May;176. At: www.mja.com.au/public/
6. Williams R. Cultural safety -- what does it mean for our work
practice? Australian and New Zealand Journal of public health.
1999;23:213--4. At: www.ruralhealth.utas.edu.au/indigenous-
7. Van Den Berg R. Cultural safety in health for Aboriginal people:
will it work in Australia? MJA. 2010;193. At: www.mja.com.au/
8. Eckermann A, Dowd T, Chong E, Nixon L, Gray R, Johnson S.
Binan goonji: Bridging cultures in Aboriginal Health. Armadale:
Department of Aboriginal and Multicultural Studies, University
of New England, 2006.
9. Department of Health Government of Western Australia.
Aboriginal cultural security a background paper. Western
Australia. At: www.aboriginal.health.wa.gov.au/docs/Cultural_
10. Lowell A. Communication and cultural knowledge in
Aboriginal health care. Casuarina, NT: CRCATH; 2001. At: www.
11. Leonard M,Graham S, Bonacum D. The human factor: the
critical importance of effective teamwork and communication
in providing safe care. Qual Saf Health Care 2004;13:i85-i90.
12. Pharmaceutical Society of Australia, Professional Practice
Standards, 2010. At: www.psa.org.au/supporting-practice/
13. 12. www.aihw.gov.au/indigenous-health/
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