Health Promotion With First Nations Peoples - Reflection

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Topic: Health Promotion with First Nations Peoples
Description
An example of an aspect that has impacted my thinking and informed my future
nursing/midwifery practice positively concerning First Nations Peoples in the topic Health
Promotion with First Nations Peoples is patient-centred care. In patient-centred care, all
healthcare choices and performance assessments are driven by the indigenous population's
medical concerns and intended health status. Thus, as a nurse, I serve the Aboriginal population
from a clinical standpoint and intellectual, mental, religious, cultural, and economic standpoints.
As a result, the choices, beliefs, traditional practices, and economic situations of the Aboriginal
people and their families are honoured. Handtke et al. (2019) claim that patients are often better
happy when they and their families have more influence over their healthcare practices.
Feelings
At first, I struggled to get my head around patient-centred care since I did not know what
it involved. I did not first understand the value of patient-centred care. However, as I learned
more and was exposed to it, I realised how important it is, particularly for the first-nation people
I care about and who value maintaining the integrity of their culture and social life.
When I was introduced to this nursing course, I felt a surge of happiness. Much new
information was presented in the course that I had never heard of before. For instance, I picked
up some knowledge about evidence-based practice, which is a method of providing medical care
that is grounded in the most recent scientific evidence to enhance patient well-being, decrease
healthcare expenditures as a whole, and minimise variation in outcomes (Black et al. 2015).
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Evaluation
An important aspect I liked about patient-centred care is how it highly helps my patients.
The patient-centred approach to healthcare has increased patient happiness (Chynoweth et al.,
2020). The Aboriginal people are highly likely to be happy with their healthcare experiences if
they are engaged in making decisions about it and believe their preferences and desires are being
taken into account. The use of patient-centred care methods also results in improved medical
outcomes. Having a voice in one's healthcare and treatment plans has been found to improve
patient compliance, thus, improving health outcomes. More advantages of patient-centred care
are enhanced efficiency, improved communication, and more autonomy.
Analysis and Conclusion
Learning about the historical, political, cultural, ethical, and environmental factors have
influenced my attitudes and beliefs about First Nations peoples. As an illustration, how
individuals have treated First Nations communities has affected how I perceive and feel about
them. People have been upset and angry about how First Nations people have been mistreated
and abused, especially in the residential school system. Also, government initiatives and
regulations like the Indian Residential Schools Settlement Agreement have affected how I think
and feel about individuals from First Nations. Many of these policy initiatives and deeds have
been put in place without First Nation communities' active inclusion or consent. Therefore,
making the First nation communities feel helpless and frustrated.
One component of patient-centred care I have learned about that can assist First Nations
people's health is recruiting more First nations people for administrative and clinical roles in
healthcare facilities. As a result, First Nation people will have a deeper appreciation for and
involvement in shaping the healthcare they get (Best & Fredericks 2021). The ultimate goal is for
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every member of the First Nations community to reach their full potential regarding mental,
cultural, physiological, and social health (NACCHO 2021).
Action Plan
Knowing myself better will allow me, as a nursing student/midwife, to better serve and
ensure cultural safety for my patients from the First Nations. These goals are within my reach if I
devote time to research and study to develop their cultural competence and actively seek
opportunities to collaborate with and learn from members of First Nations communities. The
more I learn about who I am, the more I can serve the many cultural backgrounds and particular
requirements of my patients. By developing trusting relationships with my patients, I can help
them get better care. Knowing myself better would also help me be more open to advice and
assistance from others, such as coworkers and mentors who have worked with First Nations
peoples.
Following this critical reflection, I believe I can act in a manner that would enable
cultural safety when working with First Nations peoples. Suppose I follow the guidelines of
patient-centred care and the family-centred approach. In that case, I will be able to meet the
requirements of the First Nations people without compromising their culture, social welfare, or
religion. Therefore, improving health outcomes among the First Nations people.
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References
Best, O. and Fredericks, B. eds., 2021. Yatdjuligin: Aboriginal and Torres Strait Islander
nursing and midwifery care. Cambridge University Press.
Black, A.T., Balneaves, L.G., Garossino, C., Puyat, J.H. and Qian, H., 2015. Promoting
evidence-based practice through a research training program for point-of-care
clinicians. The Journal of nursing administration, 45(1), p.14.
Chynoweth, J., McCambridge, M.M., Zorbas, H.M., Elston, J.K., Thomas, R.J., Glasson, W.J.,
Coutts, J.M., Daveson, B.A. and Whitfield, K.M., 2020. Optimal Cancer Care for
Aboriginal and Torres Strait Islander People: a shared approach to system-level
change. JCO global oncology, 6, pp.108-114.
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Handtke, O., Schilgen, B. and Mösko, M., 2019. Culturally competent healthcare–A scoping
review of strategies implemented in healthcare organizations and a model of culturally
competent healthcare provision. PloS one, 14(7), p.e0219971.
NACCHO 2018, Aboriginal Health, NACCHO

NACCHO, 2022. Aboriginal Health. Retrieved from
https://www.naccho.org.au/members_affiliates/aboriginal-health-and-medical-research-
council-of-new-south-wales/
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NACCHO 2018, Aboriginal

Health, NACCHO
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Health, NACCHO
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Health, NACCHO

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1

Topic: Health Promotion with First Nations Peoples

An example of an aspect that has impacted my thinking and informed my future

are enhanced efficiency, improved communication, and more autonomy.

Analysis and Conclusion

making the First nation communities feel helpless and frustrated.

cultural, physiological, and social health (NACCHO 2021).

requirements of my patients. By developing trusting relationships with my patients, I can help

nursing and midwifery care. Cambridge University Press.

evidence-based practice through a research training program for point-of-care

clinicians. The Journal of nursing administration, 45(1), p.14.

Aboriginal and Torres Strait Islander People: a shared approach to system-level

change. JCO global oncology, 6, pp.108-114.

review of strategies implemented in healthcare organizations and a model of culturally

competent healthcare provision. PloS one, 14(7), p.e0219971.

NACCHO 2018, Aboriginal Health, NACCHO

NACCHO 2018, Aboriginal

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