Culturally Safe Care

E-Health interventions co-designed with Indigenous communities may strengthen cultural safety. The study could not fully determine cultural safety without Indigenous client perspectives. Cultural safety requires attention to power imbalances, Indigenous knowledge systems, and self-determination. Providers linked culturally safe care to clients feeling safe discussing life experiences and cultural practices during diabetes care. Understanding previous negative healthcare experiences, including racism, was considered necessary for engagement. Mainstream healthcare systems marginalise Indigenous health knowledge, worldviews, spiritual healing methods, and voices. Marginalisation of Indigenous knowledge produces culturally unsafe care and reflects deficient cultural sensitivity. E-Health interventions developed without Indigenous involvement may perpetuate mistrust and disengagement. Culturally safe and trauma-informed care was a central guiding principle of the clinic.