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Cultural safety and humility

Taking action to dismantle Indigenous-specific racism

On Nov. 30, 2020, Health Minister Adrian Dix released findings from an independent review 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. The release of the In Plain Sight report 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. ​

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.

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. 

​​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.​​​

BCCNM's Commitment: Constructive disruption to Indigenous-specific racism amongst B.C. Nurses and Midwives reflects our commitment to enacting the recommendations put forth in the In Plan Sight report and lays out a roadmap for BCCNM to follow as we work to make the health-care system culturally safe. ​

A ne​w practice stan​​dard 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.​

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. ​

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

​Related​ news

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BCCNM's commitment to action: One year update

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​June 21, 2022​

​​​BCCNM, CPSBC mark National Indigenous Peoples Day with video series to support culturally safe care

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​​​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​

2021 news

​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​​​​

2020 news
​Nov 30, 2020​

Addressing​ Indigenous-specific racism​​​

​Nov 30, 2020

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