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Video series

Supporting registrants on their cultural humility journey

On Feb. 25, 2022, the new Indigenous Cultural​ Safety, Cultural Humility, and Anti-racism​ practice standard came into effect for all nurses and midwives in the province. This standard was developed in partnership with the College of Physicians and Surgeons of BC.

Learn more abou​t the standard and its development

On Nov. 30, 2020, the Ministry of Health released findings from an independent review into the extent of Indigenous-specific racism in B.C.'s health-care system. The findings of the In Plain Sight report showed the devastating impact Indigenous-specific racism has on health outcomes for Indigenous people in B.C. The report provides evidence of the prevalence of stereotypes, discrimination, racism, and abuse experienced by Indigenous people that have created widespread fear and mistrust of the health-care system.  

The report shared personal experiences of racism and discrimination that discouraged individuals from seeking health care, reducing access to care and negatively affecting their health and wellness. It also illustrated how our current health-care system continues to limit access to medical treatment and how this disproportionately impacts Indigenous women, girls, Two-Spirit, queer and trans Indigenous people.

Specific recommendations were made to improve cultural safety in health care, within health services and in regulation.

The expectation for nurses and midwives to provide culturally safe competent care, addressing these inequities and creating a more equitable and fair health-care system for Indigenous people, will now be clarified in BCCNM's new practice standard.

Our role is to protect clients and the public by ensuring that the professionals we regulate provide ethical, safe, quality care. The In Plain Sight report reminds us that some health-care providers continue to perpetuate Indigenous-specific racism, resulting in harm, neglect, misdiagnosis and even death of Indigenous clients.

 We clearly recognize there is inequity experienced by other racialized peoples; this standard for Indigenous-specific racism is in direct response to the findings/recommendations of the In Plain Sight report and it will be a part of our ongoing work to address harms experienced by other marginalized groups.

How was the standard developed?

Working together, BCCNM and the College of Physicians and Surgeons of British Columbia (CPSBC) engaged Indigenous registrants, leaders and clients throughout the health-care system along with health authority and academic partners to develop a new standard. This standard clearly communicates the colleges' zero tolerance for Indigenous-specific racism in practice and outlines key requirements on providing culturally safe care for Indigenous people in B.C.

The feedback gathered from our engagement efforts has helped us understand that learning and education for nurses and midwives will be vital to the standard's success, as registrants have varied knowledge and understanding about Indigenous cultural safety, cultural humility, and anti-racism and how to integrate these concepts into their practice.  These new educational videos are one way we are supporting registrants in their cultural safety and humility journey. 

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.

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. ​

Our two colleges continued our partnership and have created a series of educational videos, to support nurses, midwives, physicians and surgeons to understand and apply the new standard.​​​​​​​​​​​

​​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-reflective Practice (It starts with me)


​​​Anti-racist Practice (Taking action)


​Person-led Care (Relational care)


Questions or feedback?

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900 – 200 Granville St
Vancouver, BC  V6C 1S4

​Toll-free 1.866.880.7101 (within Canada only) ​

We acknowledge the rights and title of the First Nations on whose collective unceded territories encompass the land base colonially known as British Columbia. We give specific thanks to the hən̓q̓əmin̓əm̓ speaking peoples the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations and the Sḵwx̱wú7mesh-ulh Sníchim speaking Peoples the Sḵwx̱wú7mesh Úxwumixw (Squamish Nation), on whose unceded territories BCCNM’s office is located. We also give thanks for the medicines of these territories and recognize that laws, governance, and health systems tied to these lands and waters have existed here for over 9000 years.

We also acknowledge the unique and distinct rights, including rights to health and wellness, of First Nations, Métis, and Inuit peoples from elsewhere in Canada who now live in British Columbia. As leaders in the settler health system, we acknowledge our responsibilities to these rights under international, national, and provincial law.​