title: Expressions of cultural safety in public health nursing practice.
abstract: Cultural safety is an essential concept within New Zealand nursing that is formally linked to registration and competency-based practice certification. Despite its centrality to New Zealand nursing philosophies and the stated expectation of cultural safety as a practice element, there is limited evidence of its application in the literature. This research presents insight into public health nurse's (PHN) experiences, demonstrating the integration of cultural safety principles into practice. These findings emerged following secondary analysis of data from a collaborative, educative research project where PHNs explored the use of family assessment tools. In particular, the 15-minute interview tool was introduced and used by the PHNs when working with families. Critical analysis of transcribed data from PHN interviews, utilising a cultural safety lens, illuminated practical ways in which cultural safety concepts infused PHN practice with families. The themes that emerged reflected the interweaving of the principles of cultural safety with the application of the five components of the 15-minute interview. This highlights elements of PHN work with individuals and families not previously acknowledged. Examples of culturally safe nursing practice resonated throughout the PHN conversations as they grappled with the increasing complexity of working with a diverse range of families.
authors.affiliation: Department of Nursing and Human Services, Ara Institute of Canterbury, Christchurch, New Zealand.
authors.forename: Anna
authors.initials: A
authors.lastname: Richardson
authors.affiliation: Department of Nursing and Human Services, Ara Institute of Canterbury, Christchurch, New Zealand.
authors.forename: Judy
authors.initials: J
authors.lastname: Yarwood
authors.affiliation: Centre for Postgraduate Nursing Studies, University of Otago, Christchurch, New Zealand.
authors.forename: Sandra
authors.initials: S
authors.lastname: Richardson
mesh_terms: D054521:Cultural Competency / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D054525:Minority Health / Q000208:ethnology*; D009520:New Zealand; D061214:Patient Safety; D010687:Philosophy, Nursing; D011637:Public Health Nursing / Q000379:methods*; D036301:Qualitative Research; D012935:Social Justice
keywords: 15-minute interview; New Zealand; cultural safety; culture; family-centred care; power; public health nursing; relational practice