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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.

​​​From Awareness to Actio​n: Indigenous Cultural Safety, Cultural Humility, and Anti-Racism ​​learning series

Supporting nurses and midwives to understan​d and apply the Indigenous C​ultural Safety, Cultural Humility, and Anti-Racism practice standard​ in y​​our practice.

​Phase II of the learning series will be made available in the coming m​o​nt​hs.​​

Companion Guide​

​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. ​

Additional resources​​

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


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
​ ​

Cultural safety and humility video series​

​​Introduction​​ to the New Stand​ards


​​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)



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.​