Dear Jeanie, dear Soma,
Thank you, Jeanie, for bringing this concept to our attention during this
discussion.
As you said, the concept of cultural safety has its origins in your country
and this work.
However this concept is an essential concept to our area of work- and
therefore midwifery. And we might have to teach it as such.
It has been used in a much broader context of midwifery and appropriate care
for women, partners and their families since then, but have received
amazingly little attention as "cultural" is most often linked to "people
coming from different countries" (than ours). So a lot of people feel that
this fits in Leininger's theory.
Denis Walsh as well as I used the concept in our European studies. In my
opinion, it might have to do, with several things, such as the (dominant)
medical or Cartesian culture of care, which does not fit women's experience,
and might be viewed in a context of organisational culture, reduction of
costs in care, oppressed group behaviour, bullying and so on. Thus, for
example, in Denis' study it was applied to the atmosphere and culture in a
birth center, and in my study, women expressed the need to find cultural
safety within the relationship with their care provider, as well as within
an institution. Home birth is also definitely related to cultural safety.
References:
Walsh, D. (1999) “An ethnographic study of women's experiences experience of
partnership caseload midwifery practice: the professional as a friend”,
Midwifery, Vol. 15, no. 3, pp. 165-176
Walsh, D.J. (2006) “”Nesting” and “Matrescence” as distinctive features of a
free-standing birth centre in the UK”, Midwifery, Vol. 22, no. 3, pp.
228-239
Luyben,J.G. (2008) Mothering the mother: A study of effective content of
care during pregnancy from women's points of view in three European
countries. Doctoral thesis. Glasgow Caledonian University, Glasgow, UK.
Kind regards,
Ans
-----Ursprüngliche Nachricht-----
Von: A forum for discussion on midwifery and reproductive health research.
[mailto:[log in to unmask]] Im Auftrag von Soma Mukhopadhyay
Gesendet: Donnerstag, 18. August 2011 06:58
An: [log in to unmask]
Betreff: Re: dignity and respect
Hi Jeanie,
Thanks for sharing this valuable information.As you know I put my main
emphasis to analyse critically the position of our traditional
midwives and your guidence help me to do this from a new angle .Some
time ago one of my friend said that if you are doing something good
for the people whole will support you and this is become true from
your writting.The word CULTURAL SAFETY is new to me but I definitely
go through her work which I think must be applicable in my work too.
Thanks again and please keep in touch.
Warmly
SOMA
On Thu, Aug 18, 2011 at 5:54 AM, Douche, Jeanie <[log in to unmask]>
wrote:
> Hi Sheila, Soma & Penny,
>
>
>
> To me it seems that these discussions are as much about cultural safety as
> they are about respect and dignity. Cultural safety is about caring for
> people recognising and respecting their differences or in the words of the
> late Irihapeti Ramsden being regardful of their differences / unique
> qualities. That is in contrast to a practice that diminishes, demeans or
> disempowers (read disrespects) the cultural identity and well being of a
> person (In this context culture is defined in its broadest sense is
applied
> to differences for example ethnic origin, migrant-refugee standing,
> socio-economic position, age, religion, disability, gender and sexual
> orientation) .
>
>
>
> Soma your story reminds me of Ramsden’s work in cultural safety in which
she
> exquisitely shows how historical (and political) processes have come to
be
> in the present. For example how the effects of history (colonising
> practices) have repercussions for the health of indigenous peoples today.
> In the cultural context of Aotearoa New Zealand the indigenous or first
> peoples are Maori peoples (tangata whenua).
>
>
>
> Some of Irihapeti’s more recent work includes:
>
> Ramsden, I. (2002). Cultural Safety and Nursing education in Aotearoa and
Te
> Waipounnmu. A thesis submitted to the Victoria University of Wellington in
> fulfillment of the requirements for the degree of doctor of philosophy in
> Nursing. Victoria University: Wellington.
>
>
>
> An excerpt from her thesis (Ramsden, I. 2005. Toward cultural safety can
be
> found in Wepa, D. (2005) (Ed). Cultural Safety in Aotearoa New Zealand.
> Auckland: Pearson Education. Dianne Wepa’s book provides a superb array
of
> historical , theoretical positions and practicalities around cultural
> safety.
>
>
>
> Best wishes in your endeavours.
>
>
>
> Jeanie.
>
>
>
>
>
> Dr Jeanie Douché
>
> Director of Midwifery,
>
> School of Health and Social Services,
>
> Massey University,
>
> Private Box 756
>
> 63 Wallace St
>
> Wellington, 6140.
>
> Phone 04 8015799 x 62513
>
>
>
>
>
>
>
>
>
> From: A forum for discussion on midwifery and reproductive health
research.
> [mailto:[log in to unmask]] On Behalf Of Penny Haora
> Sent: Wednesday, 17 August 2011 9:59 p.m.
>
> To: [log in to unmask]
> Subject: Re: dignity and respect
>
>
>
> Dear Soma,
>
>
>
> Thanks for your comments.
>
> Could you possibly forward me (offlist) some references to your
> (others') published (or otherwise) work? I am interested to read about
the
> loss of respect you mentioned associated with colonisation.
>
>
>
> very best wishes,
>
> Penny
>
>
>
> ______________________________________________
> Penny Haora RM MPH
> PhD Candidate (Thai Health Risks Transition Study)
> Maternal, Neonatal & Child Health
> 'Population Health in the Asia-Pacific' Research Theme
> National Centre for Epidemiology & Population Health (NCEPH)
> ANU College of Medicine and Health Sciences
> Bdg 62, Mills Road
> The Australian National University
> Canberra, ACT, 0200
>
> Phone: (02) 6125 5618 [intnl +61 2 6125 5618]
> Mob: 0403 51 6633 [intnl +61 403 51 6633]
> Fax: (02) 6125 0740 [intnl +61 2 6125 0740]
> Email: [log in to unmask]
>
> Web: http://nceph.anu.edu.au/Thai_Cohort_Study/index.php
> http://www.stou.ac.th/ANU/
>
> CRICOS Provider 00120C
>
> "All of us driven by a simple belief that the world as it is just won’t do
–
> that we have an obligation to fight for the world as it should be.” (MO)
>
>
>
>
>
>
>
> ________________________________
>
> From: A forum for discussion on midwifery and reproductive health
research.
> [mailto:[log in to unmask]] On Behalf Of Soma Mukhopadhyay
> Sent: Wednesday, August 17, 2011 1:54 AM
> To: [log in to unmask]
> Subject: Re: dignity and respect
>
> Hi Shiela,
>
> I am doing research last 15 years on the traditional midwives of India .I
> wrote a book on them where my main emphasis is to show respect to those
> brave women of my country without whom the delivery is just impossible in
> the remote villages.They are the primary care giver to the expectant
mother
> but it is very unfortunate that our so called educated people always
ignore
> them.I am writting many article to aware our people on this issue.As a
> student of history I want to show people that how our traditional midwives
> lost their respected social position from colonial periods onwards and now
> it`s our duty to re establish this .
>
>
>
> soma mukhopadhyay
>
> On Sun, Aug 14, 2011 at 9:16 PM, Sheila Brown <[log in to unmask]>
> wrote:
>
> Hello
> Does anyone know of any work that has been done recently related to
dignity
> and respect for women and/or for midwives within maternity services.
> thanks
> Sheila
>
>
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