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Moving Forward Together in Aboriginal Women's Health: - Theses ...

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<strong>Mov<strong>in</strong>g</strong> <strong>Forward</strong> <strong>Together</strong>Janet Kellywiden<strong>in</strong>g the theoretical possibilities from post-colonial with an emphasis onlyon colonisation, to postcolonial fem<strong>in</strong>ism; there is less risk of mak<strong>in</strong>gassumptions about what is happen<strong>in</strong>g <strong>in</strong> a health care encounter. The danger <strong>in</strong>presum<strong>in</strong>g that there is a shared experience of colonisation among Aborig<strong>in</strong>alwomen is that health carers and researchers can overlook importantdifferences, unique experiences and personal agency. This can occur with<strong>in</strong>postcolonial fem<strong>in</strong>ism itself. Aborig<strong>in</strong>al postcolonial fem<strong>in</strong>ist MoretonRob<strong>in</strong>son (2002) strongly critiques white Australian fem<strong>in</strong>ist practices andwrit<strong>in</strong>g <strong>in</strong> relation to Aborig<strong>in</strong>al women because of the total exclusion of issuesof race <strong>in</strong> the analysis; post colonial fem<strong>in</strong>ism may not always address race.In contemporary Australia (as <strong>in</strong> Canada), both Aborig<strong>in</strong>al and non-Aborig<strong>in</strong>al,health professional and community women are situated <strong>in</strong> complex andambiguous positions, experienc<strong>in</strong>g differ<strong>in</strong>g levels of capacity, resistance andagency at different times and <strong>in</strong> different situations (Browne et al 2005;McConaghy 2000). Complex relationships and chang<strong>in</strong>g dynamics exist with<strong>in</strong>Aborig<strong>in</strong>al women’s health and well-be<strong>in</strong>g and health care provision as hasbeen discussed <strong>in</strong> chapters two and three. Postcolonial fem<strong>in</strong>ism encourageshealth professionals to work <strong>in</strong> collaboration with community women towardf<strong>in</strong>d<strong>in</strong>g ways of address<strong>in</strong>g health <strong>in</strong>equities <strong>in</strong> active, pragmatic and culturallysafe ways. It <strong>in</strong>creases awareness that the past is present <strong>in</strong> every moment ofevery day, <strong>in</strong> every policy and practice and <strong>in</strong> the language that we use(Browne et al 2005) and that through recognis<strong>in</strong>g and positively address<strong>in</strong>g thecomplexities and <strong>in</strong>equities that exist, we can f<strong>in</strong>d positive ways to moveforward together. One example of this, developed <strong>in</strong> nurs<strong>in</strong>g, is cultural safety.Cultural SafetyMaori nurse Irihapeti Ramsden (2002) developed a model of culturally safepractice and education underp<strong>in</strong>ned by social justice, critical, fem<strong>in</strong>ist, and neocolonial (postcolonial) theories 15 . Cultural safety promotes a respectful15 Ramsden herself stated that she did not believe New Zealand had reached a state ofpostcolonialism when Indigenous people were still struggl<strong>in</strong>g with colonisation issues and<strong>in</strong>stitutional discrim<strong>in</strong>ation (<strong>in</strong>terpret<strong>in</strong>g postcolonial to mean ‘after colonisation is over’), andpreferred to use the term neo-colonial to postcolonial (2001a).102

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