title: Cultural safety as an ethic of care: a praxiological process.
abstract: New writings broadening the construct of cultural safety, a construct initiated in Aotearoa New Zealand, are beginning to appear in the literature. Therefore, it is considered timely to integrate these writings and advance the construct into a new theoretical model. The new model reconfigures the constructs of cultural safety and cultural competence as an ethic of care informed by a postmodern perspective. Central to the new model are three interwoven, co-occurring components: an ethic of care, which unfolds within a praxiological process shaped by the context. Context is expanded through identifying the three concepts of relationality, generic competence, and collectivity, which are integral to each client-nurse encounter. The competence associated with cultural safety as an ethic of care is always in the process of development. Clients and nurses engage in a dialogue to establish the level of cultural safety achieved at given points in a care trajectory.
authors.affiliation: Charles Darwin University, Darwin, Australia.
authors.forename: Rose
authors.initials: R
authors.lastname: McEldowney
authors.forename: Margaret J
authors.initials: MJ
authors.lastname: Connor
mesh_terms: D054521:Cultural Competency; D006801:Humans; D009520:New Zealand; D009723:Nurse-Patient Relations; D009732:Nursing Care / Q000941:ethics / Q000592:standards*; D061214:Patient Safety