The ‘Pedagogy of discomfort’: A qualitative exploration of non-indigenous student learning in a First Peoples health course
DOI:
https://doi.org/10.1017/jie.2019.16Keywords:
Aboriginal and Torres Strait Islander, cultural safety, emotion, First Peoples, pedagogy of discomfort, reflective practiceAbstract
AbstractTo improve healthcare practices and increase cultural safety when working with First Peoples, it is essential that students engage with challenging discourses that critically engage their social, political, personal, professional and historical positioning. Such engagement may provoke emotional responses in students. However, little is known about the nature of non-indigenous students’ emotional engagement when learning First Peoples health content that integrates cultural safety principles. The pedagogy of discomfort is a process of self-examination that requires students to critically engage their ideological assumptions and may be useful in examining the emotional dimension that occurs when learning this content. Eighty-two non-indigenous health students gave permission for their critical reflective essays, submitted as an assessment requirement of a First Peoples health course to be analysed. Elements of the pedagogy of discomfort informed the analytical and theoretical framework. The emotional engagement by students was captured in the following overarching themes: Acknowledging preconceived ideas; Uncomfortable emotions; Fragile identities; Spectating and Witnessing. Findings highlight how students' emotional engagement may contribute to changes in perspective and frames of reference, transpiring to a ‘call to action’ that challenges systems of differential privilege. While many students expressed discomfort when learning about key cultural safety concepts, the extent of transformative potential varied.
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AhmedS (2013) The Cultural Politics of Emotion. Edinburgh: Edinburgh University Press.
Australian Institute of Health and Welfare (2015) The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples. Cat. no. IHW 147. Canberra: AIHW.
Australian Institute of Health and Welfare (AIHW) (2016) 4.2 Social Determinants of Indigenous Health Australia's Health 2016. Social Determinants of Australia's Health Series no. 15. Cat no. AUS 199. Canberra: AIHW.
BilesJ, CoyleJ, BernothM and HillB (2016) I am looking for my truth: a hermeneutic phenomenological study focusing on undergraduate nursing students' journeys in indigenous Australian cultural competence. Journal of Australian Indigenous Issues 19, 161–175. Available at http://www.swinburne.edu.au/about/our-university/indigenous-matters/research/journal-of-australian-indigenous-issues/
BolerM (1999) Feeling Power: Emotions and Education. New York: Routledge.
BolerM and ZembylasM (2003) Discomforting truths: The emotional terrain of understanding difference. In TrifonasPP (ed.), Pedagogies of Difference: Rethinking Education for Social Change. New York: Routledge, pp. 110–136.
BullenJ and FlavellH (2017) Measuring the ‘gift’: epistemological and ontological differences between the academy and indigenous Australia. Higher Education Research and Development 36, 583–596.
BullenJ and RobertsL (2018) Driving transformative learning within Australian indigenous studies. The Australian Journal of Indigenous Education 48, 1–12.
BurnardP (2004) Writing a qualitative research report. Nurse Education Today 24, 174–179.
CareyM (2015) The limits of cultural competence: an indigenous studies perspective. Higher Education Research & Development 34, 828–840.
ClarkeV and BraunV (2017) Thematic analysis. The Journal of Positive Psychology 12, 297–298.
Department of Health (2014) Aboriginal and Torres Strait Islander Health Curriculum Framework. Canberra: Commonwealth of Australia. Available at https://www.health.gov.au/internet/main/publishing.nsf/Content/72C7E23E1BD5E9CFCA257F640082CD48/$File/Health%20Curriculum%20Framework.pdf.
DudgeonP and FielderJ (2006) Third spaces within tertiary places: indigenous Australian studies. Journal of Community & Applied Social Psychology 16, 396–409.
DudgeonP, MilroyH and WalkerR (eds.) (2014) Working Together: Aboriginal and Torres Strait Islander Mental Health and Wellbeing Principles and Practice. Barton: Commonwealth of Australia.
DunnKM, KampA, ShawWS, ForrestJ and ParadiesY (2010) Indigenous Australians’ attitudes towards multiculturalism, cultural diversity,’race'and racism. Journal of Australian Indigenous Issues 13, 19–31. Available at http://www.swinburne.edu.au/about/our-university/indigenous-matters/research/journal-of-australian-indigenous-issues/.
DureyA, ThompsonS and WoodM (2012) Time to bring down the twin towers in poor Aboriginal hospital care: addressing institutional racism and misunderstandings in communication. Internal Medicine Journal 42, 17–22.
EckermannA-K, DowdT and ChongE (2010) Binan Goonj: Bridging Cultures in Aboriginal Health. Chatswood, NSW: Elsevier.
EloS and KyngäsH (2008) The qualitative content analysis process. Journal of Advanced Nursing 62, 107–115.
FaulknerJ and CrowhurstM (2014) ‘So far multicultural that she is racist to Australians’: discomfort as a pedagogy for change. Pedagogy, Culture & Society 22, 389–403.
FlemingT, CreedyDK and WestR (2017) Impact of a continuing professional development intervention on midwifery academics’ awareness of cultural safety. Women and Birth 30, 245–252. Available at https://www.journals.elsevier.com/women-and-birth.
FredericksBL (2009) The epistemology that maintains white race privilege, power and control of indigenous studies and indigenous peoples' participation in universities. Australian Critical Race and Whiteness Studies Association eJournal 5, 1–12. Available at https://acrawsa.org.au/.
HuntL, RamjanL, McDonaldG, KochJ, BairdD and SalamonsonY (2015) Nursing students' perspectives of the health and healthcare issues of Australian indigenous people. Nurse Education Today 35, 461–467.
Indigenous Higher Education Advisory Council (IHEAC) (2007) Ngapartiji Ngapartji Yerra: Stronger Futures. Report of the 3rd Annual IHEAC Conference. Paper presented at the 3rd Annual IHEAC Conference, Adelaide.
JacksonD, PowerT, SherwoodJ and GeiaL (2013) Amazingly resilient indigenous people! using transformative learning to facilitate positive student engagement with sensitive material. Contemporary Nurse: A Journal for the Australian Nursing Profession 46, 105–112.
KickettM, HoffmanJ and FlavellH (2014) A model for large-scale, interprofessional, compulsory cross-cultural education with an indigenous focus. Journal of Allied Health 43, 38–44. Available at http://www.asahp.org/journal-of-allied-health/
MackinlayE and BarneyK (2012) Pearls, not problems: exploring transformative education in indigenous Australian studies. The Australian Journal of Indigenous Education 41, 10–17.
MerriamSB (2004) The role of cognitive development in Mezirow's transformational learning theory. Adult Education Quarterly 55, 60–68.
MezirowJ (1997) Transformative learning: Theory to practice. New Directions for Adult and Continuing Education 74, 5–12.
MillionD (2009) Felt theory: An indigenous feminist approach to affect and history. Wicazo Sa Review 24, 53–76.
MillsK, CreedyDK and WestR (2018) Experiences and outcomes of health professional students undertaking education on indigenous health: a systematic integrative literature review. Nurse Education Today 69, 149–158.
Moreton-RobinsonA (2000) Talkin'up to the White Woman: Aboriginal Women and Feminism. Brisbane: University of Queensland Press.
Moreton-RobinsonA (2004) Whiteness, epistemology and indigenous representation. In Moreton-RobinsonA (ed.), Whitening Race: Essays in Social and Cultural Criticism. Canberra: Aboriginal Studies Press, pp. 75–88.
Moreton-RobinsonA (2007) Witnessing the workings of white possession in the workplace: Leesa's testimony. Australian Feminist Law Journal 26, 81–93.
NakataM (2007) The cultural interface. The Australian Journal of Indigenous Education 36, 7–14.
NakataM, NakataV, KeechS and BoltR (2012) Decolonial goals and pedagogies for indigenous studies. Decolonization: Indigeneity, Education & Society 1, 120–140.
NakataM, NakataV, KeechS and BoltR (2014) Rethinking majors in Australian indigenous studies. Australian Journal of Indigenous Education 43, 8–20.
National Health and Medical Research Council (NHMRC) (2003) Values and Ethics: Guidelines for Ethical Conduct in Aboriginal and Torres Strait Islander Health Research. Canberra: Commonwealth of Australia.
PedersenA and BarlowFK (2008) Theory to social action: a university-based strategy targeting prejudice against aboriginal Australians. Australian Psychologist 43, 148–159.
PhillipsG (2015) Dancing With Power: Aboriginal Health, Cultural Safety and Medical Education (Doctoral dissertation). Available at https://www.monash.edu/library/about/initiatives/repository.
PhillipsJ, WhatmanSL, HartVG and WinslettGM (2005) Decolonising university curricula–reforming the colonised spaces within which we operate. In J Kidman, JS Te Rito and W Penitito (eds), The Indigenous Knowledges Conference 2005 - Reconciling Academic Priorities with Indigenous Realities. Wellington, NZ: Ngā Pae o te Māramatanga, pp. 1–15.
PowerT, VirdunC, GormanE, DoabA, SmithR, PhillipsA and GrayJ (2018) Ensuring indigenous cultural respect in Australian undergraduate nursing students. Higher Education Research & Development 37, 1–15.
RamjanL, HuntL and SalamonsonY (2016) Predictors of negative attitudes toward indigenous Australians and a unit of study among undergraduate nursing students: a mixed-methods study. Nurse Education in Practice 17, 200–207.
RamsdenI (2002) Cultural Safety and Nursing Education in Aotearoa and Te Waipounamu (Doctoral dissertation). Victoria University of Wellington, New Zealand.
RanzijnR, McConnochieK, DayA, NolanW and WhartonM (2008) Towards cultural competence: Australian indigenous content in undergraduate psychology. Australian Psychologist 43, 132–139.
RigneyL-I (1999) Internationalization of an indigenous anticolonial cultural critique of research methodologies: a guide to indigenist research methodology and its principles. Wicazo sa review 14, 109–121.
TaylorL (2011) Feeling in crisis: Vicissitudes of response in experiments with global justice education. Journal of the Canadian Association for Curriculum Studies 9, 6–65.
ThackrahRD and ThompsonSC (2013) Confronting uncomfortable truths: receptivity and resistance to Aboriginal content in midwifery education. Contemporary Nurse: A Journal for the Australian Nursing Profession 46, 113–122.
ThackrahRD, ThompsonSC and DureyA (2015) Exploring undergraduate midwifery students' readiness to deliver culturally secure care for pregnant and birthing Aboriginal women. BMC Medical Education 15, 77–86.
ThorpeK and BurgessC (2016) Challenging lecturer assumptions about preservice teacher learning in mandatory indigenous studies. The Australian Journal of Indigenous Education 45, 119–128.
Universities Australia Indigenous Higher Education Advisory Council (2011) National Best Practice Framework for Indigenous Cultural Competency in Australian Universities. Canberra: Universities Australia. Available at https://www.universitiesaustralia.edu.au/.
YunkaportaT and McGintyS (2009) Reclaiming aboriginal knowledge at the cultural interface. Australian Educational Researcher 36, 55–72.
WolfeN, SheppardL, Le RossignolP and SomersetS (2018) Uncomfortable curricula? A survey of academic practices and attitudes to delivering indigenous content in health professional degrees. Higher Education Research & Development 37, 649–662.
ZembylasM (2013) Critical pedagogy and emotion: working through ‘troubled knowledge’ in posttraumatic contexts. Critical Studies in Education 54, 176–189.
ZembylasM (2014) Theorizing “difficult knowledge” in the aftermath of the “affective turn”: implications for curriculum and pedagogy in handling traumatic representations. Curriculum Inquiry 44, 390–412.
ZembylasM (2016) Making sense of the complex entanglement between emotion and pedagogy: Contributions of the affective turn. Cultural Studies of Science Education 11, 539–550.
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