A critical reflection on the concept of cultural safety

A critical reflection on the concept of cultural safety
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DOI:
10.2182/cjot.2012.79.3.4
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发表时间:
2012-06-01
影响因子:
1.8
通讯作者:
Gerlach, Alison J.
Gerlach, Alison J.
中科院分区:
医学4区
文献类型:
--
作者:
Gerlach, Alison J.

文献摘要

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背景文化安全拓宽和改变了关于不同人群所经历的文化和卫生不平等的讨论。目的.批判性地分析文化安全的清晰性、简单性、普遍性、可及性和重要性。关键问题。虽然文化安全的明确性和普遍性仍然存在争议,但有证据表明,它有能力促进对文化,健康和医疗保健不平等以及它们如何受到历史,政治和社会经济环境的影响进行更具批判性的讨论。影响。文化安全促进了对文化的一种更具批判性和包容性的观点。作为职业治疗实践和研究中的一个分析透镜,它有可能揭示和产生更广泛的理解,从社会中的个人或群体谁是传统上沉默或边缘化的职业和健康。关于土著人民,它明确地将卫生和卫生不平等置于其殖民、社会经济和政治过去和现在的背景下。
Background. Cultural safety broadens and transforms the discourse on culture and health inequities as experienced by diverse populations. Purpose. To critically analyze cultural safety in terms of its clarity, simplicity, generality, accessibility, and importance. Key Issues. Whilst the clarity and generality of cultural safety remain contentious, there is emerging evidence of its capacity to promote a more critical discourse on culture, health, and health care inequities and how they are shaped by historical, political, and socioeconomic circumstances. Implications. Cultural safety promotes a more critical and inclusive perspective of culture. As an analytical lens in occupational therapy practice and research, it has the potential to reveal and generate broader understandings of occupation and health from individuals or groups in society who are traditionally silenced or marginalized. In relation to Aboriginal peoples, it clearly situates health and health inequities within the context of their colonial, socioeconomic, and political past and present.