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Cultural safety and humility

Systemic racism and discrimination towards First Nations and Aboriginal people continues to be a major problem in many contemporary health care settings, often resulting in inappropriate treatment and barriers to accessing health care. 

BCCNM's commitment

In 2017, the previous B.C. nursing and midwifery colleges were four of 22 B.C. health professions to pledge their commitment to making our health system more culturally safe for First Nations and Aboriginal people. BCCNM continues this commitment. ​

On May 11, 2021, BC's four largest health regulators issued an apology to the Indigenous people and communities who have experienced racism while engaging with these health regulatory colleges and with the health professionals they regulate. 

Reporting on our progress

​On May 11, 2022, to mark the one-year anniversary of the apology, the four colleges published an update on their progress to date​ on the commitments laid out in the apology.

Taking action to dismantle Indigenous-specific racism

On Nov. 30, 2020, Health Minister Adrian Dix released findings from an independent review, led by Dr. Mary Ellen Turpel-Lafond, into the extent of Indigenous-specific racism in BC’s health-care system. The findings released in this report, titled In Pla​in Sight, showed the devastating impact Indigenous-specific racism has on health outcomes for Indigenous people in B.C.

We are pleased to share our organization's action plan, BCCNM's Commitment: Constructive disruption to Indigenous-specific racism amongst B.C. Nurses and Midwives. The release of the In Plain Sight report last year underscored the urgent need for all partners in the health-care system to take swift and decisive action to dismantle the systemic racism that has led to such poor health outcomes for First Nations, Métis and Inuit (Indigenous) Peoples. BCCNM's action plan reflects our commitment to enacting the recommendations put forth in the report and lays out a roadmap for BCCNM to follow as we work to make the health-care system culturally safe. ​

A new practice standard for all nurses and midwives

Another part of our work ​is a new practice standard for all nurses and midwives, Indigenous Cultural Safety, Cultural Humility, and Anti-Racism. This new standard came into effect Feb. 25, 2022​.

This standard was developed in collaboration with the College of Physicians and Surgeons of British Columbia (CPSBC). BCCNM is also collaborating with CPSBC on learning resources to support practitioners as this standard comes into effect.​

We encourage nurses and miwives to visit the learning sections of the website for resources and tools to support them on their journey  (LPNNPRMRNRPN).​

Collaborating with First Nations Health Authority

In partnership and collaboration with the First Nations Health Authority (FNHA), BCCNM is supporting the collection of data about current and future BC First Nations and other Indigenous health professionals in B.​C. Registrants will have the option of answering three questions on their registration renewal application.​​​

What will r​egistrants be asked?

Do you identify yourself as an Indigenous person, that is, First Nations, Métis, or Inuk (Inuit)?

  • Yes​
  • ​​​No
  • Prefer not to answer

If you identify as an Indigenous person, are you:

  • First Nations
  • Métis
  • Inuk (Inuit)

If you identify as an Indigenous person, which specific Indigenous nation, community, and/or band are you a member of/do you identify with?

  • A free-form field will be provided so registrants can enter the name of more than one nation, community and/or band.
Why is this information being collected?

​B.C. First Nations have a health governance partnership with the province of B.C. In 2006, the parties identified “practicing certified First Nations health care professionals” as an indicator of progress of the Transformative Change Accord: First Nations Health Plan. This data will be used to inform reporting on this indicator. ​​

How will this information will be used?

​Any data collected will be shared in aggregate form with FNHA.

Is answering mandatory?

​No. Answering these questions is optional. Your eligibility for renewal of your registration will not be impacted by your responses or your choice not to respond.​

Need more information?

If you have questions or concerns about how this information will be used or why it is being collected, we encourage you to contact the First Nations Health Authority​.​​​​​​​​​​​​​​​​

​Related​ news

​May 11, 2022

​​​One year on: colleges report on progress in dismantling systemic racism​

Jan 28, 2022​

BCCNM board approves new Indigenous cultural safety and humility practice standard​

​Nov 22, 2021

​Survey: new cultural safety and humility practice standard​​​

​Oct 6, 2021​

BCCNM launches Action Plan to address Indigenous-specific racism in health care​

​Sep 29, 2021

​BCCNM observes National Day for Truth and Reconciliation

​​May 11, 2021

Racism in Health Care: An Apology to Indigenous People and a Pledge to Be Anti-Racist​​

​May 4, 2021​

Addressing Indigenous-specific racism with a new cultural safety and humility standard​​​​

​​Nov 30, 2020​

​Addressing Indigenous-specific racism​​​​

​Nov 30, 2020

Statement of Intent – Cultural Safety & Humility in BCCNM Standards​​​​​

Each BCCNM designation has its own set of Standards of Practice.

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