HPCA Act 2003 Health Practitioners Competence Assurance Act 200 - Answers Responsible for
regulating safe, competent and ethical nursing practice.
Code of Health and Disability services Consumers' Rights 2009 - Answers Affirms that the recipient
decides if care is culturally safe
Kawa Whakaruruhau - Answers Cultural safety in a Māori context - respect te ao Māori worldviews
and uphold Māori health and wellbeing
Cultural safety - Answers Is embedded into all nursing care
Aim of cultural safety - Answers Ensure care is appropriate, respectful and person-centered
Cultural Safety Principle 1? - Answers Nurses must examine themselves, recognise power imbalances,
avoid imposing personal beliefs on patients, and actively challenge their own biases.
What is the focus of examining self in cultural safety? - Answers Being aware of your own culture,
values, and attitudes and how they influence care.
What is the 1st Meihana Model commponent that relates to principle 1 and definition. - Answers
Patient - The patient is the correctly identified person who may identify as Māori.
What is the 2nd Meihana Model commponent that relates to principle 1 and definition. - Answers
Whānau - Key support people involved in the patient's health and wellbeing. Whakapapa whanau and
kaupapa whanau.
How does the Meihana Model relate to Piki? - Answers Patient = person (Piki), Whanau = whakapapa
whanau is her aunt and uncle and talking to her deceased grandmother (which is culturally normal
with Māori). Kaupapa whanau is social worker from Kaianga Ora and GP and nurses.
What is the cultural safety skill that relates to principle 1 and definiton. - Answers Communication - A
collaborative process of sharing information, thoughts, ideas, and feelings to support respectful, non-
judgmental care and active listening.
How does reflection on communication improve cultural safety? - Answers It helps nurses use
respectful language, build trust, reduce misunderstandings, and provide patient-centred care.
How should communication occur in Piki's case? - Answers Whakapapa whānau and kaupapa whānau
should communicate collaboratively to share information and coordinate support for Piki.
What is the outcome of good communication in culturally safe care? - Answers Builds trust, prevents
misunderstandings, and ensures holistic, culturally safe, wellbeing-focused care.
Cultural safety principle 2 - Answers Acknowledging bias, internalised racism, and privilege to
improve care quality, with care defined by the patient rather than the nurse.
What does Cultural Safety Principle 2 require of nurses? - Answers Reflection, awareness of power
imbalance, and recognition of how personal biases affect care.
What is the Meihana Model commponent that relates to principle 2 and definition. - Answers Wairua
- Spiritual well-being beyond the biomedical model.
How does Wairua relate to Piki? - Answers Piki speaking to her deceased grandmother may be a
spiritual connection, not necessarily a mental health symptom, and should be culturally understood.
What is the cultural safety skill that relates to principle 2 and definiton. - Answers Reflection -
Critically examining one's own assumptions, biases, and attitudes.
How does reflection apply to care of Piki? - Answers It involves avoiding purely biomedical judgments
and considering how personal cultural views influence interpretation. Stay open to Te Ao Māori
perspectives and alternative cultural explanations.
What is the outcome of culturally safe reflective practice? - Answers Care that is culturally safe,
person-centred, respectful, and non-pathologising.
What is Cultural Safety Principle 3? - Answers Care is defined by the recipient, involving partnership
and shared decision-making between patient, whānau, and healthcare providers.
What is the Meihana Model commponent that relates to principle 3 and definition? - Answers
Hinengaro - Psychological and emotional wellbeing
How does Hinengaro relate to cultural safety? - Answers Feeling respected and understood improves
emotional wellbeing, trust, and psychological safety.
How does Hinengaro relate to Piki? - Answers Respect her culture (Ngāti Kahungunu), Use of te reo
and communication with deceased grandmother should be respected. Partnership with Piki and her
whānau supports safe care.