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Culture-specific education in nursing

Culture-specific education in nursing – what are we accomplishing?

Chapter 2: Background

Chapter 2 aims to provide a comprehensive foundation from which informed critical discussion can begin regarding cultural education programmes employed within New Zealand healthcare education.


Relevant Histories

This section explores New Zealand’s socio-political-historical contexts from which culture-specific training and education within the healthcare system developed.


Colonial Roots

Maori Declaration of Independence

Treaty of Waitangi

New Zealand Constitution Act

Confiscation of Land

Public Health Act

Division of Maori Hygiene

Waitangi Tribunal’

Strategic Plan for Maori Health


Health Disparities within New Zealand

Drawing from a collection of disciplines, this section outlines the numerous health inequalities that plague New Zealand and situates them within relevant socio-historical contexts.


What is a health disparity?

What health disparities exist in NZ?

Why do they exist?

What do they tell us?

Who is ‘responsible’ for reducing health disparities?

How can health disparities be reduced?


Cultural Safety and Cultural Competence in NZ:

This section introduces the two most frequented medical education frameworks/programmes, cultural safety and cultural competence, which both seek to mitigate the multifarious health concerns for Maori.


Early discussions of cultural safety (1990s)

Public/societal response to cultural safety movements

Cultural safety into nursing education and practice

Criticisms of cultural safety within NZ

Cultural safety to cultural competence (2000s)

Cultural competence into nursing education

Criticisms of cultural competence within NZ

Initiatives, policies, programs concerning cultural safety or cultural competence in the health workforce



Last Updated on January 23, 2018

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