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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.

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. ​

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.


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

​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
Title and link
Content covered
Time commitment
​Aussie Michelin

How to talk about Indigenous people


​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


​​4 mins​​

​The Agenda​ with Steve Paikin (TVO)

The Indian Act Explained


​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
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 


​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 ​

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​


​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

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.


Cultural safety and humility video series​​

​​Introduction​​ to the New Standards


​​Building Knowledge Through Education


​​Creating Safe Health-care Experiences


​​Strengths-based and Trauma-informed Practice (Looking beneath the surface)



​​​​Self-re​flective Practice (It starts with me)


​​​Anti-racist Practice (Taking action)


​Person-led Care (Relational care)