96 VOLUME 29 • NUMBER 2 • 2017 AOTEAROA NEW ZEALAND SOCIAL WORK ORIGINAL ARTICLE QUALITATIVE RESEARCH Hospitals, nationality, and culture: Social workers, experiences and reflections ABSTRACT INTRODUCTION: Social work accrediting bodies mandate that workers analyse ways in which cultural values and structural forces shape client experiences and opportunities and that workers deconstruct mechanisms of exclusion and asymmetrical power relationships. This article reports the findings of a small-scale qualitative study of frontline hospital social workers’ experiences and understanding of their mandate for culturally sensitive practice. METHODS: The study involved one-hour, semi-structured interviews with 10 frontline hospital social workers. The interviews sought to understand how frontline workers and their organisations understood culturally sensitive practice. Drawing on their own social cultural biographies, workers described organisational policy and practices that supported (or not) culturally sensitive practice. Narrative analysis was used to extract themes. FINDINGS: Data indicate that frontline hospital social workers demonstrated their professional mandate for culturally sensitive practice. Workers were firm in their view that working with the culturally other requires humility as well as a preparedness to value and engage the multiple cultural meanings that evolve in the patient–worker encounter. CONCLUSION: The findings highlight that mandating cultural sensitivity does not necessarily result in such practice. Cultural sensitivity requires an understanding of how cultural and social location may be implicated in sustaining the dominant cultural narrative and signals the need for workers, systems and organisations to facilitate appropriate learning experiences to explore culturally sensitive practice. KEYWORDS: culture; diversity; humility; hospitals; postmodernism; postpositivism CORRESPONDENCE TO: Doris Testa Doris.Testa@vu.edu.au AOTEAROA NEW ZEALAND SOCIAL WORK 29(2), 96–107. Of Australia’s population, 46% were born overseas or have a parent who was born overseas. Of these, nearly 60% speak a language other than English. Twenty percent of people from backgrounds other than English have experienced race-based exclusion or have reported discrimination because of skin colour, ethnic origin or religion (Australian Human Rights Commission, 2014). Grounded in its commitment to justice, culturally sensitive practice reflects the mandate of international and national social work bodies (International Federation of Social Workers (IFSW), 2014) to “recognise and respect ethnic, cultural and race based values, characteristics, traditions and behaviours and integrate these characteristics successfully into practice” (Australian Association of Social Workers (AASW), 2010, p. 43). Drawing on the experiences of 10 frontline hospital social workers of culturally diverse backgrounds, this article reports on how they understand and practise the international and national social work mandates to work inclusively with clients from cultures different to their own. It also includes their insights and understanding Doris Testa Victoria University Australia