Evidence map›Paper›PMID 30368488›Full record

ReviewInternational journal of medical education2018

Health Sciences cultural safety education in Australia, Canada, New Zealand, and the United States: a literature review.

Donna Lee Marie Kurtz, Robert Janke, Jeanette Vinek, Taylor Wells, Pete Hutchinson, Amber Froste

Abstract readReview
In one paragraph

Review in International journal of medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Indigenous people's experiences of primary health care in Canada: a qualitative systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
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  8. Non-Indigenous Public Health Educators' Readiness to Engage With Aboriginal Elders and Knowledge-Holders: A Baseline Study Informing Indigenous-Led Consultation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Donna Lee Marie KurtzSchool of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan Kelowna, Canada.
Robert JankeSchool of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan Kelowna, Canada.
Jeanette VinekSchool of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan Kelowna, Canada.
Taylor WellsSchool of Nursing, Faculty of Health and Social Development, University of British Columbia Okanagan Kelowna, Canada.
Pete HutchinsonFirst Nations, Inuit and Métis Cancer Control, Canadian Partnership Against Cancer.
Amber FrosteOkanagan Indian Band, Community Services and Development, Vernon, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo review the research literature on cultural safety education within post-secondary health science programs.

methodsWe conducted health and social science database searches from 1996-2016, using combined keywords: cultural competence or safety; teaching or curriculum; universities, polytechnics or professional programs; and Aboriginal or Indigenous. In dyads, authors selected, and reviewed studies independently followed by discussion and consensus to identify thematic linkages of major findings.

resultsA total of 1583 abstracts and 122 full-text articles were reviewed with 40 selected for final inclusion. Publications from Australia, Canada, New Zealand and the United States described curriculum development and delivery. A variety of evaluation approaches were used including anecdotal reports, focus groups, interviews, course evaluations, reflective journals, pre-post surveys, critical reflective papers, and exam questions. Duration and depth of curricular exposure ranged from one day to integration across a six-year program.  Changes in student knowledge, attitude, self-confidence, and behaviour when working with Indigenous populations were reported. Cultural safety education and application to practice were shown to be linked to improved relationships, healthier outcomes, and increased number of Indigenous people entering health education programs and graduates interested in working in diverse communities.

conclusionsThis review provides a summary of multidisciplinary didactic and experiential instructional approaches to cultural safety education and the impact on students, educators and Indigenous people.  Institutional support, strategic planning and cultural safety curriculum policy within post-secondary settings and community engagement are imperative for positive student experiences, advocacy, and actions toward health equity and improved health for Indigenous people and communities.

Indexed as

CurriculumAustraliaCanadaClinical CompetenceCultural CompetencyHealth OccupationsHumansNew ZealandPatient SafetySocial SciencesUnited Statesaboriginal and indigenous health collaborationcultural competencecultural safety educationdidactic and experiential curriculum; medical and allied health education

Identifiers

PMID30368488
PMCPMC6387770

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.