Cultural Safety

Cultural Safety in Clinical Practice Part A

The Treaty of Waitangi was signed on 6th of February 1840 by 40 Maori chiefs to signify unity and peace between the Crown and Maori (Broom, et al., 2007).   Today the treaty is used in all aspects of life in New Zealand, including healthcare.   An important concept to remember in regards to tangata whenua, or the people of the land, is te taha whanau is an integral part of Maori life (Medical Council of New Zealand, 2012).   The Nursing Council of New Zealand says that the articles of the Treaty of Waitangi contain principles of kawanatanga and tino rangatiratanga (NCNZ, 2011).   These principles regard the right of the Crown to govern and the right of Maori to determine if the laws are ones they are willing to abide by.
When Mrs S. was first admitted to the hospital, her whanau should have been a part of the process from the beginning to the end.   Principle Two says that Maori and health care staff should work together in a partnership to ensure positive health outcomes (NCNZ, 2011).   When Mrs S’s husband was denied information and her family was not allowed to stay with her, 2.3 of Principle Two was completely ignored.   Essentially, the doctors and nurses were acting alone in deciding and planning of Mrs S’s care.   Maori determine individuality by the relationship with their whanau, and the whanau has the responsibility to care for the individual members (Wepa, 2005).   Principle One refers to tino rangatiratanga which allows Maori rights over determining how their healthcare will be delivered (NCNZ, 2011).   Maori are less likely to challenge healthcare staff even if they don’t agree with the treatment (Medical Council of New Zealand, 2012). Everything should be carefully worded and explained in full to the patient and whanau so nothing is misconstrued. If any organs were to be removed during surgery, Mrs S and her family should have been consulted as to what they wanted done with the body part once removed (Medical...