Case study: Twenty-seven-year-old Wiradjuri woman Naomi Williams was six months pregnant when she arrived at the Tumut District Hospital in the early hours of January 1, 2016, with severe pain. Hospital staff gave her two paracetamol tablets and an ice block before sending her home. 15 hours later, she died as a result of meningococcal and septicaemia, according to the autopsy report. During the inquest, it was found that Ms Williams had presented to Tumut Hospital 18 times in the months before her death. Following Ms Williams death, her mother, Sharon, complained that she did not receive the proper care because she was "stereotyped as a drug user", implying that there was racial stereotyping involved. “It is believed that, if Naomi had presented to Tumut Hospital as a non-Indigenous person in the months leading up, her treatment would’ve been completely different. Ms Williams best friend, Talea Bulger said in the days and months after Ms Williams' death, Aboriginal people in the region were too scared to go to Tumut Hospital because they didn’t feel they were “heard”, “looked after” or “believed.” Writing guide: 1. An introduction and conclusion are not required as the focus is on the depth of discussion. Third-person academic writing is required. 2. First Nations voices and knowledges need to be appropriately acknowledged and referenced. Referencing must adhere to APA version 7 guidelines. 3. A minimum of 8 references are required with a minimum of 4 peer-reviewed journal articles. Ensure all in-text references are included in the end-text reference list and all references in the end-text list have been used in-text. 4. Write in 3 paragraph only 1st paragraph: Discuss how systemic racism may have contributed to the outcomes in this case and in the healthcare experiences and outcomes of First Nations people more broadly. Use examples from the coroner’s report of same case to support your ideas and seek out resources related to systemic racism more broadly to use as references for your discussion. 2nd paragraph: Drawing on Magistrate Grahame’s recommendations discuss how hospitals can actively involve First Nations people and the local community in the design, delivery, and governance of healthcare services to ensure the delivery of culturally safe care that is responsive to the needs of the local First Nations community. Your response should demonstrate a clear understanding of the importance of incorporating First Nations voices in the design, delivery, and governance of healthcare services. Consider how Magistrate Grahame’s recommendations relevant to the active involvement of First Nations peoples in healthcare address factors that contributed to the outcomes in this case. 3rd paragraph: Demonstrate your understanding of Best’s five principles of cultural safety by discussing how culturally safe nursing and/or midwifery practice may have prevented the outcomes in this case and can be used to improve patient experiences and outcomes for all First Nations Peoples. Your response should also demonstrate a clear understanding of how culturally unsafe nursing and midwifery practice may have contributed to the outcomes in this case.