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A metropolitan mental health service is examining why Aboriginal and Torres Strait Islander inpatients leave the ward against medical advice far more often than other patients. The service proposes that all staff complete an online module on Aboriginal history and then rate their own skills on a checklist, with the results reported to the board. An Aboriginal health worker on the committee says the plan measures the wrong thing: what matters is whether Aboriginal patients and their families say they felt respected on the ward, and they should be the ones who judge whether the service has succeeded. Which one of the following concepts is she describing?
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