In September
2017 the Nursing and Midwifery Board of
Australia (NMBA) published the new Code of Conduct for Nurses and Code of
Conduct for Midwives. The codes took effect for all nurses and midwives in
Australia on 1 March 2018.
These codes
set out the
legal requirements, professional behaviour and conduct expectations for all
nurses and midwives in all practice settings.
The new codes
for nurses and midwives can be found here.
These codes
passed without much comment until far-right Senator Cory Bernardi began to bay about “political correctness” on
31 January 2018 and claim that Nurses must acknowledge
white privilege and voice this acknowledgment if asked.
According to
ABC Media Watch
he was followed by the Murdoch media running with this blatant dog whistle,
followed by Andrew Bolt, Peta Credlin and various radio shock
jocks.
Misleading
media coverage culminating in a truly appalling piece of journalism by Channel
7 which elicited this response…………..
Luke Pearson writing at @IndigenousX on 24 March
2018:
“BUT FIRST TONIGHT, THE
CONTENTIOUS NEW CODE TELLING NURSES TO SAY ‘SORRY FOR BEING WHITE’ WHEN
TREATING THEIR INDIGENOUS PATIENTS..
That’s how Today Tonight Adelaide
began last night.
Catch Up: Having to apologise for being white – the controversial new code for nurses treating Indigenous Australians. #TTAdelaide pic.twitter.com/yViiqkw67F— TodayTonightAdelaide (@TodayTonightSA) March 23, 2018
It continued:
“Now, it’s the latest in a string of
politically correct changes for the health industry, but this one has led to
calls for the Nursing Board boss to resign.”
It was followed by a five minute story
with the new code being condemned by someone you’ve probably never heard
of, Graeme Haycroft,
explaining that: “According to how the code is written, the white nurse would
come in and say, ‘before I deal with you, I have to acknowledge to you that I
have certain privileges that you don’t have” followed by Cory Bernardi calling
it divisive.
It goes on in this vein for a full
five minutes before it cuts back to the presenter, who finally says, “The
Nursing and Midwifery Board has told us that the code was drafted in
consultation with Aboriginal groups and has been taken out of context as it’s
not a requirement for health workers to declare or apologise for white
privilege”.
And just to reinforce that point, the
entire premise for the segment was false. There is no requirement for nurses to
apologise for being white, which would be very awkward for the more the more
than 1500 Indigenous nurses across Australia, and the countless others who also
aren’t white to begin with. But, even for the nurses who are – THERE IS NO
REQUIREMENT FOR THEM TO APOLOGISE FOR BEING WHITE.
So, why on Earth would Today Tonight
run such a story?
Why would they base a story off the
demonstrably false allegations of this Graeme Haycroft person?
To answer that, it might useful to cut
back to a 2005
Sydney Morning Herald story about Mr Haycroft:
“A member of the National Party and
the H.R. Nicholls Society, he (Mr Haycroft) boasts that, because of a tussle he
had with the Australian Workers Union 15 years ago, the union does not have a
single member shearing sheep in south-western Queensland today.
Now he runs a labour hire firm with a
thriving sideline in moving small-business employees off awards and collective
agreements and onto the Federal Government’s preferred individual contracts,
Australian Workplace Agreements.
…Mr Haycroft’s business stands out
because he is targeting lower-skilled, lower-paid workers, often with poor
English – the people unions say have much to fear from individual contracts.”
Cut back to 2018, and Graeme Haycroft
now runs the Nurses Professional Association of Queensland, which promotes
itself as an alternative to the Qld Nurses Union.
So, a man with a long history of
fighting Unions, who ‘saved’ the mushroom farming business by showing
businesses how to move “small-business employees off awards and collective
agreements and onto the Federal Government’s preferred individual contracts,
Australian Workplace Agreements.”
According to the 2005 article, “Mr
Haycroft said workers had been more than happy to sign on, most with their
penalty rates, holiday pay and other conditions being rolled into a flat rate.”
“However, [there is always a
‘however’], Mr Haycroft was stripped of his preferred provider status with the
Office of the Employment Advocate on Thursday, after a Sydney picker, Carmen
Walacz Vel Walewska, said she was sacked after she contacted the Australian
Workers Union for advice on AWAs.”
With that track record, it’s hard to
imagine why nurses would want to leave their current union in favour of his
‘professional association’.
It seems as though, once again,
Indigenous people have become a political football and a convenient scapegoat
for issues that have nothing to do with us.
Queensland has a long history of
political success found through anti-Aboriginal sentiment, so what better way
to undermine a Union and recruit new members to a professional association than
to accuse the Union of ‘racism against white people’ and ‘political correctness
gone made’ by spreading the blatantly false and misleading accusation that
white nurses now have to apologise to Aboriginal people for being white?
And just like Dick Smith’s
anti-immigration campaign, Blair Cottrell’s anti-African ‘community safety
group’, and Prue McSween’s call for a new Stolen Generation, it seems Channel 7
is always more than happy to ignore the facts and sensationalise issues about race
and racism.
There is always one more
thing.
We, and others, will soon publish
articles explaining what the Code of Conduct actually calls for, and explain
why cultural competence and cultural safety are important (editor’s note: we
did, here’s
one of them), but I can’t help but be reminded of this quote from Toni
Morrison:
“The function, the very serious
function of racism is distraction. It keeps you from doing your work. It keeps
you explaining, over and over again, your reason for being. Somebody says you
have no language and you spend twenty years proving that you do. Somebody says
your head isn’t shaped properly so you have scientists working on the fact that
it is. Somebody says you have no art, so you dredge that up. Somebody says you
have no kingdoms, so you dredge that up. None of this is necessary. There will
always be one more thing.”
So, instead of working on the very
real business of ensuring best practice within the nursing industry, our
Indigenous experts in this area will have to take a few days away from this
important work to explain that no one is asking for white nurses to apologise
for being white.
Just like we have to explain that not
all Aboriginal parents abuse their children, or that we don’t want to steal
white people’s backyards, or that we had (and have) science, or that Australia
wasn’t Terra Nullius, or, as Malcolm Turnbull suggested last year, that
acknowledging Indigenous history and addressing the issue of colonial statues
and place names across Australia is not a “Stalinist exercise of trying to wipe
out or obliterate or blank out parts of our history”.
So long as Australian media and
politics finds value, profit and opportunity in promoting racism, there will
always be one more thing.
So, I might as well clear up a few
others while I’m here, and empty a few more buckets out of the endless ocean of
racist misinformation.
Child abuse isn’t a ‘cultural’ thing.
Police are not scared to arrest
Aboriginal people out of fear of being called racist.
We don’t get free houses.
Aboriginal people using white ochre on
their faces in dance and ceremony is not the same thing as white people
dressing up in blackface.
We don’t get free university.
The Voice to Parliament is not a third
chamber of parliament.
We are not the problem.
Anything else?
We aren’t vampires?
We don’t shoot laser beams out of our
eyes?
We aren’t secretly developing a
perpetual motion machine that runs on white tears?
I’m sure I, and countless others, will
undoubtedly need to keep adding to this list because, as Toni Morrison tells
us, there will always be one more thing.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Do
nurses under the new code have to announce their ‘white privilege’ before
treating indigenous patients?
It is not a requirement of the codes of conduct for nurses and midwives
to announce or apologise for white privilege. Any claim that nurses and
midwives need to announce or apologise for white privilege is completely
untrue. The recent criticisms from Mr Haycroft are based on completely untrue
statements. The requirements for nurses when working with Aboriginal and/or
Torres Strait Islander Peoples are clearly outlined in section 3.1 of the code.
Are nurses encouraged to
announce their ‘white privilege’ before treating indigenous patients?
No.
Is there any requirement
to acknowledge or announce ‘white privilege’ before treating a patient?
No.
Can a nurse be sacked
for NOT declaring or addressing their ‘white privilege’ to a patient?
No.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
AUSTRALIAN NURSING AND MIDWIFERY
FEDERATION, AUSTRALIAN COLLEGE OF NURSING, AUSTRALIAN COLLEGE OF MIDWIVES AND
CONGRESS OF ABORIGINAL AND TORRES STRAIT ISLANDER NURSES AND MIDWIVES
JOINT
STATEMENT, 23 March
2018:
In response to Graeme Haycroft’s recent
comments, we welcome the opportunity to provide further information on how
important cultural safety is for improving health outcomes and experiences for
Aboriginal and Torres Strait Islander Peoples.
It is clear from the 2018 Closing the Gap
Report tabled by Prime Minister Turnbull in February 2018 that Aboriginal
and/or Torres Strait Islander Peoples still experience poorer health outcomes
than non-Indigenous Australians. It is well understood these inequities are a
result of the colonisation process and the many discriminatory policies to
which Aboriginal and/or Torres Strait Islander Australians were subjected to,
and the ongoing experience of discrimination today.
All healthcare leaders and health
professionals have a role to play in closing the gap.
The approach the NMBA has taken for
nurses and midwives (the largest workforce in the healthcare system) by setting
expectations around culturally safe practice, reflects the current expectations
of governments to provide a culturally safe health system. (For more
information please see the COAG Health Council 4 August 2017 Communiqué).
Culturally safe and respectful
practice is not a new concept. Nurses and midwives are expected to engage with
all people as individuals in a culturally safe and respectful way, foster open,
honest and compassionate professional relationships, and adhere to their
obligations about privacy and confidentiality.
Many health services already provide
cultural safety training for their staff. Cultural safety is about the person
who is providing care reflecting on their own assumptions and culture in order
to work in a genuine partnership with Aboriginal and Torres Strait Islander
Peoples.
Nurses and midwives have always had a
responsibility to provide care that contributes to the best possible outcome
for the person/woman they are caring for. They need to work in partnership with
that person/woman to do so. The principle of cultural safety in the new Code of
conduct for nurses and Code of conduct for midwives (the codes) provides
simple, common sense guidance on how to work in a partnership with Aboriginal
and Torres Strait Islander Peoples. The codes do not require nurses or midwives
to declare or apologise for white privilege.
The guidance around cultural safety in
the codes sets out clearly the behaviours that are expected of nurses and
midwives, and the standard of conduct that patients and their families can
expect. It is vital guidance for improving health outcomes and experiences for
Aboriginal and Torres Strait Islander Peoples.
The codes were developed through an
evidence-based and extensive consultation process conducted over a two-year
period. Their development included literature reviews to ensure they were based
on the best available international and Australian evidence, as well as an analysis
of complaints about the conduct of nurses and midwives to ensure they were
meeting the public’s needs.
The consultation and input from the
public and professions included working groups, focus groups and preliminary
and public consultation. The public consultation phase included a campaign to
encourage nurses and midwives to provide feedback.
The Australian Nursing and Midwifery
Federation, the Australian College of Nursing, the Australian College of
Midwives and the Congress of Aboriginal and Torres Strait Islander Nurses and
Midwives all participated in each stage of the development and consultation of
the new codes. The organisations strongly support the guidance around cultural
safety in the codes for nurses and midwives.
Lynette Cusack Chair
Nursing and Midwifery Board of Australia
Ann Kinnear CEO
Australian College of Midwives (ACM)
Kylie Ward CEO
Australian College of Nursing (ACN)
Janine Mohamed CEO
Congress of Aboriginal and Torres Strait Islander Nurses and Midwives
Annie Butler A/Federal
Secretary Australian Nursing and Midwifery Federation
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