Cultural Awareness

My experiences of formal cultural awareness programs is limited to three. The first was a two day compulsory program provided by Queensland Health in the nineties. I worked in a paediatric ward of a base hospital, occasionally I cared for an Aboriginal child but rarely had contact with a child’s carers. Usually older siblings were sent up to the ward to visit and police were asked to find parents when it was time for a child to be discharged. I assumed Aboriginal people weren’t comfortable with hospitals. The two days I spent in a classroom hearing the history of the crimes of the dominant white culture against Aboriginal people didn’t give me any insight at to why I rarely saw the parents of Aboriginal children visiting in the ward. Was it a distrust from years ago?

The second cultural awareness talk was less formal but one I was hoping to learn valuable information from. It was two days after I arrived in Aurukun to work with Aboriginal people in the health clinic. I knew I needed to learn about the local culture. The senior health worker took me to a private corner of the room to give me a cultural awareness talk and said “Sometimes a patient comes into the clinic and they might be poison to a health worker.” I’m sure my mouth dropped open and my eyes widened…I asked “What makes one person poison to another?”…after a meaningful pause and a long sigh…the reply was “it’s always been that way.” And with those few words he stood up to leave, having given me the talk. His words left far more questions in my mind than I had before he spoke to me. It was many months before I had any idea of what he was talking about. The little I learnt about local culture was taught informally by the two female health workers on a need to know basis.

The third experience was a whole day at the Alice Springs hospital last year as part of their orientation program. It was run by a local Aboriginal woman. I learnt about kinship systems, cross-cultural communication, local history and language. It was fascinating and informative but by that time I’d already learnt much of it through my own reading, watching films and listening and paying attention to Indigenous people around me who’d been open enough to talk about their lives.

Education is an interesting thing, it can be both formal or informal and come at the right time to be understood and benefitted from, or a lot of money and time can be wasted on irrelevant information badly timed.

Learning

There are many ways to learn, many paths to education. I completed my nursing training at Maryborough Base Hospital in 1991. It gave me a Certificate in Nursing. I now have that certificate plus over 25 years of nursing experiencing. I never had the time or money to upgrade my certificate to a degree as I was responsible for bringing up my four children. Now I plan to begin a creative writing degree next year, but I’ve been writing one way or another for over 50 years!

There is endless discussion on whether hospital or university education produces better nurses. Valid arguments come from both sides. Each needs to qualify what they mean by better, but it’s difficult not to be in agreement with both sides. And what about the many writers over the years who have never been to university and yet have produced much loved and treasured stories? The ideas and thoughts around learning and education are endless.

When I began remote area nursing, I had my certificate in nursing, 15 years of paediatric experience and two years in a small private hospital. I wasn’t an emergency trained nurse. The DON (Director of Nursing) in Aurukun told me, when also telling me what skills were needed for remote work which I didn’t have, ” They’re just skills to be learnt, but we need someone of your experience and temperament.”

I was taught to suture, cannulate, plaster, take blood and evacuate patients by ambulance by my colleagues. I was doing the work for six months before I was offered a four day course in remote nursing skills. By then I considered myself capable. I read recently of a post graduate course in remote nursing. My five years of experience has turned me into a competent practitioner.

What am I getting at in todays post? Just a reminder that learning and education comes in different guises and to be open to accepting what’s offered to you, don’t discount learning experiences that come less formally, Life’s a great teacher. I have probably learnt the most during my nursing years from people considered the least important, patients and their families, enrolled nurses and health workers and agency nurses like myself.

The photo is me sitting with visiting desert women to Aurukun in October 2008 learning to weave baskets, they spoke no English.

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