3b.-Cultural-Competence-Reflective-Statement-July-2020 3

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OUT THIS APPLI REGISTRATION APPLICATION Section 1, Part 6:

CULTURAL COMPETENCE REFLECTIVE STATEMENT

Application for Registration for Overseas Qualified Applicants


O
Health Practitioners Competence Assurance Act 2003

Physiotherapists in Australia and Aotearoa New Zealand must be able to work effectively with people whose cultural realities
are different from their own. Culture may include, but is not limited to, age, gender, sexual orientation, race, socio-economic
status (including occupation), religion, physical, mental or other impairments, ethnicity and organisational culture. A holistic,
client-centred approach to practice requires cultural competence.
Cultural competence is a commonly used term that encompasses client-centred concepts focused on demonstrating cultural
safety and cultural respect and that interact effectively with and respond to each client at all times. Culturally responsive
practice requires physiotherapists to reflect not only on their own culture but that of their client and to engage in new and
ongoing learning relevant to cultural safety.
Physiotherapists in Australia and Aotearoa New Zealand require a working knowledge of factors that contribute to and
influence the health and well-being of Aboriginal and Torres Strait Islander and Māori communities respectively. These
factors include history, spirituality and relationship to land, and other determinants of health in Aboriginal and Torres Strait
Islander and Māori peoples.
Australia and Aotearoa New Zealand Physiotherapy practice thresholds, page 11,12

As a health practitioner, it is important to have a cultural awareness and an understanding of how culture can influence
people’s behaviour, lifestyle and decisions. Having this cultural awareness helps health practitioners to find better ways to
communicate with and treat patients/clients effectively. To work successfully with health consumers of different cultural
backgrounds, a physiotherapist needs to demonstrate appropriate attitudes, awareness, knowledge and skills.

Using the template below, please write a reflective statement addressing the concept of cultural awareness with particular
emphasis on the effect culture has on health care in general and, more specifically, your physiotherapy practice. Your
reflective statement should be at least 500 words long.

In your reflective statement you might refer to a situation you have been in where you have dealt with or encountered a
different culture. You may wish to include reference to research you have undertaken into the concept of culture. The Board
has a Cultural Competence Standard in our Physiotherapy Standard Framework (page 45).

REFLECTIVE STATEMENTS
Reflection allows you to critically think about what you have learnt. Reflective statements show how you intend to implement
or integrate new learning into your practice. Conversely you may reflect on why an activity was not useful and has not been
incorporated into your practice.

Caution: Please think carefully about the information you are including in your reflective statements. The Physiotherapy
Board does not request information about identifiable individuals such as patients or colleagues as such information may
constitute a breach of professional standards and ethics. Reflective statements are to be focused on you as a physiotherapist
and what you have learnt, rather than the patients or others involved in your learning.

You are advised to exercise sound ethical judgment when deciding which information to include – consider how relevant the
information is to the point you are trying to make.

6 CULTURAL COMPETENCE REFLECTIVE STATEMENT

Name of applicant:

Date of activity:

Name of activity:

Growing up in India town , I was also exposed to much diversity. In fact, I was exposed to very little diversity. My experience with people from different cultures and race slowly accumulated in college
and more so when I moved to Newzealand.Newzealand the past four years. While I haven’t personally grown up surrounded by diversity, I have always been interested in people different than me I
loved learning about different cultures and realizing that each culture has a different way of approaching situations in life and not a single one is “better” than the other. This mentality has allowed me
to interact and well with people of different backgrounds. However, while I had good intentions, experience is the best learning method for dealing with different cultures.

What did you do?


Registration for Overseas Qualified Physiotherapists: Cultural Competence Reflective Statement: July 2020 Page 1
IFor the physiotherapy profession, the standards provide an opportunity for strengthening understandings and
enhancing clarity as to the range of cultural competencies required for safe and effective practice
Clinical physiotherapy operates in a range of employment settings including private practice, DHBs, private hospitals
and rest homes
As I started working with physiotherapist in DHB and Bupa where I have gained access to interact with patients from different
backgrounds and from different cultures By
honestly and openly completing a cultural competency checklist, I
was able to identify my own strengths and shortcomings about culture. This paper will analyze the
results of my checklist, analyze my thoughts and feelings about my responses, and identify ways I
can improve on my care of culturally diverse patients.
In terms of cultural competence, the standards potentially provide direction for practical measures that can be taken in
everyday practice settings to strengthen workforce competency and thereby quality

What did you learn?


Recognise their own cultural values and attitudes, and the impact of these on their own practice 
Culturally relevant clinical treatment and planning, knowledge transfer, and self management are critical to achieving
pest clinical outcomes. The physiotherapist requires the ability, through cultural competence, to gauge a client's
priorities in order to determine a realistic treatment plan. 
At the level of the individual practitioner, cultural competence enables increased awareness and understanding of the
perspectives and lived realities of Maori clients, which in turn facilitates genuine engagement, trust, and information
sharing contributing to enhanced clinical outcomes
Cultural competence is directly linked to health outcomes, and therefore there are clear benefits for the profession in
strengthening its cultural competence and thereby the potential for positive health impact

How did this activity affirm or influence your physiotherapy practice?


At the level of the profession, cultural competence provides a vehicle for physiotherapy as a profession to make a
strong contribution towards addressing the longstanding ethnic inequalities in health, meeting Treaty of Waitangi
responsibilities, addressing ethnicity as a determinant of health, addressing differentials in access to and through
health care, and to achieving the highest quality standards
Culturally relevant clinical treatment and planning, knowledge transfer, and self management are critical to achieving
pest clinical outcomes. The physiotherapist requires the ability, through cultural competence, to gauge a client's
priorities in order to determine a realistic treatment plan
Enhanced cultural competence will enable physiotherapists to better meet Treaty of Waitangi responsibilities and
contribute to addressing longstanding inequalities in health, ethnicity as a determinant of health, and differential access
to physiotherapy care. Most importantly, strengthened cultural competence will enhance the overall competency of
practitioners and the quality of physiotherapy care at every phase of the physiotherapy care continuum. Cultural
competence is a core concept underpinning quality physiotherapy practice. 

Signature of Applicant: Date:

Day/Month/Year

Registration for Overseas Qualified Physiotherapists: Cultural Competence Reflective Statement: July 2020 Page 2

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