Cultural safety and humility

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Note: The c​​ontent on this page is the same for LPNs, NPs, RMs, ​RNs, and RPNs.​​​

​​​​​BCCNM and the College of Physicians and Surgeons​​​ of B.C. have collaborated on a n​ew standard, Indigenous Cultural Safety, Cultural Humility and Anti-Racism. This standard came into effect Feb. 25,​​​​​​ 2022.

• ​​​Review the standard​​
  

The Indigenous Cultural Safety, Cultural Humility, and Anti-racism Practice Standard Companion Guide was created to help nurses and midwives understand and apply the new practice standard. It incorporates Indigenous experiences to help nurses and midwives learn about culturally unsafe care and reflect on their own practice. ​

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• Download the companion guide now ​
  

Below are resources that you may find helpful as you begin or continue your learning journey about Indigenous cultural safety, cultural humility, and anti-racism. This list will be added to so check back frequently. Resources listed are free to access unless otherwise noted.

BCCNM also collaborated with the College of Physicians and Surgeons of BC on a series of videos​ to support registrant learning. These videos are available below.

Contact

• If you have questions, please email practice@bccnm.ca.

• If you have suggestions for additional resources, please email culturalsafety@bccnm.ca.

Readings​

Organization/Author	Title and link	Content covered	Time commitment
​B.C. ​Centre of Excellence for Women’s Health ​	​Trauma informed practic​​e resources	​​Trauma-informed practice​​	​15 mins
​B.C. Ministr​y of Children an​​​​d Family Development	​Healing Families, Helping Systems: A Trauma-Informed Practice Guide for Working with Children, Youth and Families	​Self-reflection, knowledge, strengths​-based and trauma-informed care	​1 ½–2 hours
​B.C. Patient Safety & Quality Council	​Culturally Safe Engagement: Wha​t Matters to Indigenous Patient Partners Companion Guide Pamphlet​​	​Creating safe environments, person-led care	​About an hour About 4 ½​ hours About 10 mins
​B.C. Provincial Mental Health and Substance Use Planning Council	​Trauma-Informed Practice Guide (2013)	​Trauma-informed practice	​About 3 hours
​First Nations Health Authority​​	​Territory​​ Acknowledgements: Information Booklet​	​Cultural safety​​ and humility, knowledge	​15​​ mins
​National Collaborating Center for Determinants of Health	​Let's talk about racism and health equity	​Knowledge, antiracism, creating safe environments	​About 15 mins
​National Collaborating Center for Determinants of Health	​Social determinants of health: Indigenous experiences with racism and its impacts	​Knowledge, antiracism, creating safe environments	​About 30 mins
​National Collaborating Centre for Indigenous Health	​NCCIH Publications	​Creating safe environments, cultural safety and humility	​15 mins up to several hours depending on resource
​Nursing Inquir​​y	​Genocide by a million pape​r cuts	​​​Self-reflection, creating safe environments​, knowledge​	​About 15 ​​​mins
​Open Text BC	​Pulling Together: Foundations Guide	​History, knowledge	​About 3 ½ hours
​PHSA/B.C. Women's Hospital	​Culturally Connected Exercise self-reflection and critique	​Self-reflection, creating safe environments, person-led care	​30 mins–1 hour depending on level of reflection
​University of British Columbia	​Indian Residential School History and Dialogue Centre (Indian hospitals)	​Knowledge, history	​15 mins
​Vancouver Coastal Health	​Aboriginal Cultural Practices: A Guide for Physicians and Allied Health Care Professionals	​Self-reflection, knowledge, creating safe environments	​1 ½–2 hours
​Visions Journal	​Here to Help	​Trauma-informed practice, mental health and addictions​	​About 1 hour
​​Wellesley Institute	​First Peoples, Second Class Treatment	​History, knowledge, antiracism	​About 2 hours
​First Nations Health Authority	​Remembering Keegan: A B.C. First Nations Ca​se Study Refection	​Creating safe environments, person-led care​	​About 3 hours

Videos​​

Organization/Author	Title and link	Content covered	Time commitment
​Aussie Michelin	​How to talk about Indigenous people	​Anti-racism	​2 ½ mins
​B.C. Provincial Mental Health and Substance Use Planning Council	​Trauma-Informed Practice webinars	​Trauma-informed practice	​20–40 mins each
​Canadian Medical Association	​The Unforgotten	​History, knowledge	​3​​6 mins
​Canadia​​n Nurses Association	​Hearing Our Voices: De​-cent​​​​ering Whiteness In Health Care​	​Anti-racism, person-l​​ed care	​12 mins​​​
​Dr. Balbir Gurm (Affiliation of Multicultural Soc​​ieties and Ser​vice Agencies of BC)	​Cultural S​​afety: What is it?	​Cultural ​safety, safe care​​	​47 mi​​ns
​​Fraser Health​	​Moments to Milestones: Engagin​​g with People who use Substances	​Trauma-informed practice, mental health and addictions​​​	​35 min​​s
​Interior Hea​​lth	​Aboriginal Cultural Safety: How t​​o be an Ally	​Cultural safety, safe care​​	​5 1/2​ mins
​​Northern ​​Health	​Cultural Safety: Resp​​e​​ct and Dignity in Relationships​	​Cultural safety, safe care​	​5 mi​ns
​Smile Squad Comedy	​19 Signs You are Being Rac​​ist	​Anti-raci​​sm	​​4 mins​​
​The Agenda​ with Steve Paikin (TVO)	​The Indian Act Explained	​History	​26 mins
​The Trau​​ma Foundation	​Trauma a​nd the Nervou​​​​​​s System – A Polyvagal Perspective​	​Trauma-informed practic​e	​9 mi​ns
​University of Victoria	​Challenging Racist “British Columbia"	​Knowledge, history	​13 mins
World​ Health Organization. (2017, Jun​e 21)​	What is people-centred care?	Person-led care	​2 ½ mins

Courses​​

​Organization/Author	Title and link	Content covered	Time commitment
​Alberta Health Services ​​	​Trauma Informed Care e-Learning Series​	​Trauma​​-informed practice	​3 ½ h​ours
​Canada R​ace Relations Foundation ($)​	​Training and Education programs​​	​​Creating safe environme​​nts	​Var​​ies
​Indig​​enous Reconciliation Group ($)​	​Indigenous Cultural Competence and Humility: Health and dental care version	​Knowledge, history, self-reflection, anti-racism, reconciliation	​8–12 ho​​urs
​Island ​​He​alth	​For the Next Seven Generations – for the Children	​History, safe care	​4–5 hours
​PHSA ($) Note: the San'yas course is a facilitated model, with participants grouped into cohorts. If you work for a health authority, you're encouraged to check with your employer or manager before registering. Your organization or workplace may have already purchased a seat for its staff. Questions can be directed to ics@phsa.ca. ​	​San'yas Indigenous Cultural Safety Online Training	​Knowledge, history, self-reflection	​6 to 10 hours
​Reconciliation​ Education​​ ($)	​4 Seasons of Reconciliation	​Anti-racism, building Indigenous relationships​	​Varies​​
​Trauma Informed Practice Institute ($)​​	​Trauma Informed Practice Training​​	​Trauma​​-informed practice	​12​ hours
​University of Alberta	​Indigenous Canada	​History, knowledge	​21 hours
​University of British Columbia	​Reconciliation Through Indigenous Education	​Knowledge, history, building Indigenous relationships	​6 weeks
​University of Victoria	​Cultural Safety: Module One | Peoples Experiences of Colonization	​Cultural safety	​About 30 to 45 mins
​U​niversity of Victoria	​Cultural Safety: Module Two | Peoples Experiences of Oppression	​Cultural safety	​About 30 to 45 mins
​Universi​ty of Victoria	​Cultura​​​l Safety: Module Three | Peoples Experiences of Colonization in Relation to Health Care	​Cultural safety	​About 30 to 45 mins

Reports​​

​Organization/A​uthor​	Tit​le and link	Content covered	Time commitment
​Chief Commissioner Marion Buller	​National Inquiry into Missing and Murdered Indigenous Women and Girls - Reclaiming Power and Place	​Knowledge, history, self-reflection	​About 40 hours
​Government of B.C.	​Declaration on the Rights of Indigenous Peoples Act – Bill 41, S.B.C. 2019, c. 44	​History, safe care	​4–5 hours
​Addressing Racism: An independent investigation into Indigenous-specific discrimination in B.C. health care​	*In Plain Sight Summary Report	​Knowledge, history, building Indigenous relationships	About 2 ½ hours

*Update: Jan. 5, 2023: Some registrants and members of the public have raised concerns about BCCNM's reliance on the In Plain Sight Report, given the recent questions about one of its key authors, Dr. Mary Ellen Turpel-Lafond.

The In Plain Sight ​team was comprised of a number of recognized Indigenous advisors and leaders. While Dr. Turpel-Lafond was the chair of the investigation, the investigation as a whole is larger than her. The report and its recommendations are a summation of the experiences, stories and facts of thousands of Indigenous people highlighting their experiences within the B.C. health care system. The information, data, facts and recommendations from the report are not contestable. Indigenous specific racism is prevalent throughout B.C.'s health care system and it has its origins in the province's history of settler colonialism. 

It is important for us to continue to recognize and honour the contributions of these individuals to the report, and to use their shared knowledge and guidance to improve the health care system. The work stands on its own merit and we value the evidence it has provided as we work to meet our obligations and commitments as a regulator, to minimize the harms caused to Indigenous people by systemic racism within the B.C. health care system.

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