Experience of the past government policies of segregation and separation

Experience of the past government policies of segregation and separation, racism and socio-economic disadvantage are the factors that affect the trust in the government for Indigenous people. They were socially disadvantage minority group as compared to Non-Indigenous people in the context of education, housing, employment and health. Racial and biased clinical decision has also contributed their poor health and outcomes and motivates them to leave early without completing treatment. 69
Nursing and Midwifery Board Australia has set the principle and values of person-centered care and cultural practice to support and regulate the nursing care (AHPRA, 2018). 26 (www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx, 2018)
Cultural safe nursing practice can promote health and well-being of Indigenous people by racism free holistic care approach, their involvement and power transfer from health care profession to the care receiver. (Crisp et al,. 2016) 35 (Crisp, J., Douglas, C., Rebeiro, G., & Waters, D. (2016). Potter and Perry’s Foundations of Nursing. Understanding and applying cultural safety: Philosophy and practice of a social determinants approach. pp. 260-287).
Safe nursing practice should respect patient’s cultural values, beliefs and rights and advocate on the behalf of them. (AHPRA, 2018). 20 (www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx).
Indigenous family still fear and distrust the health care system and services, they feel isolation, shame and disrespect and misunderstand by health profession and even they feel financial burden of treatment and accommodation while traveling for treatment and less time for effective healthcare. 43 (Queensland Health Aboriginal and Torres Strait Islander, Patient care guideline, p4, 2014)
That’s why nurses should know Indigenous family structure, their roles and responsibility in family and society, their health wellness and illness concept and beliefs, bush medicine and healing treatment, diet and death or dying process. 35 (Queensland Health Aboriginal and Torres Strait Islander, Patient care guideline, p4, 2014)
Effective communication, is also involved in culturally safe nursing practice, includes building rapport, body language, eye contact, touch, active listening and personal space. 23 (Aboriginal and Torres Strait Islander, 2017). (Aboriginal and Torres Strait Islander, Cultural capability, Communicating effectively with Aboriginal and Torres Strait Islander people, www.health.qld.gov.au/sunshinecoast/html/atsi-health-serv, 2017)
Appointment of Aboriginal and Torres Strait Islander hospital liaison officers is also helpful to achieve culturally safe nursing practice. They play an important role as a bridge to connect between health care provider and patients by providing emotional support and advocacy assistance, referrals and discharge planning.46 (Queensland Health Aboriginal and Torres Strait Islander, Patient care guideline, p9, 2014)
Discharge against medical advice is also the one of the problem in Indigenous people. Culturally safe nursing practice can discourage those kinds of discharges by building rapport and trust to make patient feel safe. 34 (Queensland Health Aboriginal and Torres Strait Islander, Patient care guideline, p14, 2014)