<P> Cultural safety has a close focus on: 1) understanding the impact of the health care provided as a bearer of his / her own culture, history, attitudes and life experiences and the response other people make to these factors; 2) challenging health care providers to examine their practice carefully, recognising the power relationship in health care institutions is biased toward the provider of the service; 3) balancing the power relationships in the practices of health care so that every consumer receives an effective service; 4) preparing health care providers to resolve any tension between the culture of the health care institution, the culture on which health care theory and practice has traditionally been based, and the people using the services; 5) understanding that such power imbalances can be examined, negotiated and changed to provide equitable, effective, efficient and acceptable service delivery, which minimises risk to people who might otherwise be alienated from the service; 6) an understanding of self, the rights of others and legitimacy of difference should provide the psychologists with the skills to work with all people who are different from them . </P> <P> Standards for the registration of nurses in all scopes of practice require the content of theory and practice related experience in nursing programmes to include cultural safety, the Treaty of Waitangi and Maori health . Irihapete Ramsden said the woeful state of Maori health was a driving force for cultural safety's introduction into New Zealand's nursing schools . Maori had higher rates of asthma, heart disease, diabetes, obesity, cot death, ear infection leading to deafness and traffic accident injury involving alcohol and leading to death . Also, they had lower rates of immunisation, earned less and lived five to seven years less than non-Maori . </P> <P> The concept developed in New Zealand by nurses working with Māori that moves beyond the traditional concept of cultural sensitivity (being acceptable to difference) to analysing power imbalances, institutional discrimination, colonisation and relationships with colonisers . It develops the idea that to provide quality care for people from different ethnicities than the mainstream, health care providers must embraces the skill of self - reflection as a means to advancing a therapeutic encounter and provide care congruent with the knowledge that cultural values and norms of the patient are different from his / her own . </P> <P> According to Brascoupé (2009) "the long - term value of the concept of cultural safety as a tool for cultural regeneration is hard to assess and depends on the integrity of the processes that underlie the concept of cultural safety". Most cultural safety research has been completed in New Zealand and Australia's health - care field, but the statistical evidence of the benefits of cultural safety is lacking, and other evidence is largely qualitative and anecdotal . </P>

In which country did cultural safety first originated