Nursing is one of the key professions in the health care industry, where the care professionals are continuously supporting the health care needs of the patients, while ensuring that the patient’s maximum health outcomes are being achieved. The nurses are committed to provide care to individuals, families and communities; thereby attaining, maintaining or recovering optimal health and quality of life. In this context, it is noteworthy that nursing professionals have to work with diverse range of care users, having diverse range of health needs. Therefore, considering that, the nursing professionals must develop adequate skills and competencies to meet their needs and ensure their maximum health and wellbeing. In order to do so, they also needs to follow some key regulations and principles of nursing practices, to ensure that they are giving their maximum potential towards the care users’ needs. Nurses also have to work with several disadvantaged groups, having specific needs.
It is the responsibility of the nursing professionals to recognize and analyze their needs. Following this, the nurse should communicate their needs with the rest members of the care team and identify the most appropriate approach for meeting their specific needs. It could be difficult at some time, but nurses need to develop such potential to deal with such circumstances, to ensure holistic care (Arshinoff and Rabbi, 2014). Such a disadvantaged community, with which I have worked, is the Australian Aboriginals and Torres Strait Islander people. I would reflect my experience and how it contributed in my practice and potential development, as a nurse, in the following essay.
Reflecting own practice helps an individual to analyze the practice and identify the positive and negative aspects related to it. Being a nurse, I always attempt to reflect my own practice to evaluate my potential, as well as to identify the loopholes in my practice, which I could improve in the future practice. In order to do this, I used Gibb’s Model of Reflection, which is a reflective framework, proposed by Gibbs, for helping students to evaluate their own practice (Husebø et al., 2015). In the current context, I have worked on the subject “contemporary indigenous health and wellbeing”. While working with the Australian aboriginal population, I realized that they are one of the disadvantaged groups in the Australian population, who have specific needs to be fulfilled, in order to achieve maximum health and wellbeing of the population group.
In this context, initially, the key hindrance to work with them was language difficulty, as they were from different linguistic background. Thus, initially, I have faced difficulty to develop relationship with them. While focusing on the subject, I have learnt a lot by using different frameworks to work with the aboriginal population. For instance, I have used the REM framework, which has been developed a care framework, including the key elements for working with the indigenous population through a collaborative process. I have analyzed from my learning on the subject that there is well-document health disparities among the Australian indigenous and non-indigenous population, which revealed a comprehensive response from the health workers. In a large urban Australian university, an approach has been undertaken for enhancing the cultural competence in the students from diver backgrounds. Via development of a collaborative committee process, the principle of “respect, engagement and sharing; moving forward (REM) has been followed in the university, to empower the anti-discriminatory culture in the institute. Identifying the suitability of the framework, I have used the key principles of this framework, i.e. “respect, engagement and sharing information”, to establish relationship with the indigenous population (Power et al., 2016).
Further, In order to analyze the subject and the disadvantaged group, I have used the ABCD cultural assessment model by Kagawa singer and Blackhall. In this context, considering the huge health disparities of the population group with the rest population through the Australia, I conducted the assessment, to recognize the “attitude of parents and facilities, beliefs, context and decision making style” (Arshinoff and Rabbi, 2014). In this context, it has been revealed from the analysis that the ethical or cultural traits of this group are significantly different from the rest groups in Australia. Further, their beliefs revealed significant adherence upon the traditional therapies for health issues. Analyzing the context, it has been revealed that significant health disparities are there and the population has less access to care, while facing significant discrimination, unlike the other population.
As demonstrated before, I felt difficulties to deal with the subject initially, I felt bad and thought that the subject would be difficult for me; however, with the help of the frameworks I have used, I was able to overcome the obstacle and meet my objectives, which further made me self-esteemed.
Evaluating my own attitude and contribution throughout the subject, I revealed that I have attempted to contribute my best attributes to accomplish objectives. In order to do this, I have followed the “AHPRA National Standards for RNs”, which guided me to work with the disadvantaged groups in a non-discriminatory way, while promoting ethical practice by fulfilling my duty of care. For instance, I revealed that I am excellent in meeting standard 3 and 4 of NMBA competency standards, which are about “provision and coordination of care” and “collaborative and therapeutic practice”, respectively (Nursing and Midwifery Board of Australia, 2016). Further, I have also used my critical thinking and analysis to identify their needs and undertaken appropriate solutions, upon engaging them in different activities. For building relationship, I have continuously empowered and empathized the disadvantaged group to ensure their engagement in the practices.
Analyzing my contribution and attitude towards the subject, it can be said that I developed significant interest on this subject, within the duration of working with this group. I found that there is a crucial need for addressing the health gap and urgency for implementing appropriate health promotion and other facilities, to improve the care facilities.
Finally, from the analysis, I revealed that I need to develop more on my reasoning skill and decision making skills, for taking appropriate decisions in the clinical contexts. The RNs often needs to undertake urgent decision, especially, while working with thedisadvantaged groups. Thus, considering this, I would improve my decision making skill, so that I could make important decisions about the care provision by my own, followed by collaborating with others.
While working on the subject of “Contemporary Indigenous Health and Wellbeing”, I gained a lot of understanding and knowledge about working with aboriginal people, which will significantly help me to work with this group further. Being a nurse, I revealed that the key area of my practice that has been influenced by undergoing this subject is development of therapeutic relationship with the care users. With the help of the REM, I have significantly improved my understanding about how to establish a trustworthy relationship with the aboriginal community (Power et al., 2016). Further, three weeks from Yarning Circle activities that I have participated during the semester include the actual simulation workshop, the lecture summary and allocated article activities. These three activities helped me a lot to shape my skills and future nursing practices related to aboriginal and Torres Strait islander people. In this context, it is also noteworthy that the simulation workshops, including EBE 1 and EBE 2 has helped me significantly to improve my skills and knowledge about the cultural assessment of the aboriginal group and the way to engage these people in the nursing care framework with maximum potential (Emery and Chang, 2017). Further, from the lecture summary, I have learned a lot about the framework and assessment procedures used for Aboriginal and Torres Strait Islander people. On the other hand, from the allocated article activity, I was able to find the actual scenario of health disparities and discriminatory environment faced by these disadvantaged groups, in the Australian healthcare industry.
Through the above mentioned period, my feeling about the subject was good and interesting, as these were shaping my future nursing career. I have evaluated my contribution here, with the help of the UTS Graduate attributes. For instance, I have represented “professional disposition, person centered care, communication and collaboration, knowledge use and translation, professional competence and respect towards the indigenous cultural people, by demonstrating professional cultural competency” (uts.edu.au, 2018). Therefore, my overall contribution was good. Analyzing the subject, I revealed that I would help to shape my future nursing career, by improving my linguistic and cultural competency, emergency and conflict resolution skills as well as knowledge about the ways to deal with disadvantaged population. However, I have identified that I need to improve my reasoning skill and decision making skills to achieve success in future career, for which I will undergo brainstorming activities.
The overall essay was about my own reflection about my contribution and learning on the subject “Contemporary Indigenous Health and Wellbeing”. Through the essay, I have used the Gibbs’ reflective cycle for reviewing, reflecting and analyzing my own practice in the nursing context, which helped me to identify my own potential and future requirements for being a successful nurse in the Australian healthcare industry.
Arshinoff, R. and Rabbi, R.N., 2014. Cultural Diversity and Spirituality at the End of Life.
Emery, C. and Chang, J., 2017, July. Reflection in a new light: updating Gibbs' reflective cycle on a foundation degree in healthcare sciences. In HEA Conference, generation TEF.
Husebø, S.E., O'Regan, S. and Nestel, D., 2015. Reflective practice and its role in simulation. Clinical Simulation in Nursing, 11(8), pp.368-375.
Nursing and Midwifery Board of Australia. 2016. National competency standards for the registered nurse. Online. Available at: https://www.ahpra.gov.au/search.aspx?q=competency%20standards. [Accessed on: 28th September 2018]
Power, T., Virdun, C., Sherwood, J., Parker, N., Van Balen, J., Gray, J. and Jackson, D., 2016. REM: A collaborative framework for building indigenous cultural competence. Journal of Transcultural Nursing, 27(5), pp.439-446.
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