Week 10 Notes: Addressing Indigenous-Specific Racism in Healthcare

**Week 10: Addressing Indigenous-specific Racism through Cultural Safety & Humility** cultural humility as a lens for anti-racist nursing practice.  Cultural sensitivity means treating everyone equitably? False - **Cultural Sensitivity**: It is about being **aware of cultural differences**...

**Week 10: Addressing Indigenous-specific Racism through Cultural Safety & Humility** cultural humility as a lens for anti-racist nursing practice.  Cultural sensitivity means treating everyone equitably? False - **Cultural Sensitivity**: It is about being **aware of cultural differences** and behaving in a way that shows **respect and understanding** toward those differences. - **Treating Everyone Equitably**: It means **taking action** to ensure that everyone has a fair chance and access, which might involve providing different levels of support to achieve equal outcomes (i.e., fairness rather than sameness). **Cultural safety:** understanding the power imbalances, is an outcome on respectful engagement, ACTION **Cultural awareness:** awareness of differences **Cultural sensitivity:** realization of one's power **Cultural competence:** developing knowledge **Cultural humility:** self-reflection. Acknowledging that health care professionals can never be "expert" or "competent" in another person's culture or history, but can instead, demonstrate an openness to learning.  A diagram of a cultural continuum Description automatically generated Under the CNO Code of Conduct (2023) **Principle \#2: Nurses provide inclusive and culturally safe care by practicing cultural humility,** through self-reflection and evaluating their own behaviour. Nurse engages in: 1. Self-reflection 2. Creating safer health care experiences 3. Training and education **BC College of Nurses & Midwives** **Practice Standard: Indigenous Cultural Safety, Cultural Humility, and Anti-Racism** [6 Core Concepts:] 1. Self-reflective practice (it starts with me) 2. Building knowledge through education (what do I need to know) 3. Anti-racist practice (taking action)  4. Creating safe health care experiences (putting safety above all) 5. P​erson-led care (relational care) 6. Strengths-based and trauma-informed practice (looking below the surface) Disrupting power imbalances: - Recognize the power you hold - "I value your opinion on how you manage your diabetes, what works for you?" - "Can you tell what you like best about your previous hospital stay? I would like to ensure I meet your needs." - "When would you like to take a shower?" - "You seem upset, help me understand what I am doing, and I can be better" - "Thank you for bringing this to my attention. How can make this right? I know I have some work to do" [ If your workplace/clinical site is not culturally safe for patients, it's not safe for you either.] **Same world, different view**  - **Overt Racism:** name calling, inflicting pain, neglectful misdiagnosis, calling child welfare or security without just cause.  - **Covert Racism:** ignoring, inequitable levels of care or attention, denying or withholding medications and/or treatment.   **Recommendations** 1. Courage 2. Respect 3. Truth 4. Humility 5. Honesty 6. Windom **"Share your story" (SYS) project.** Stories of anti-Indigenous racism in health care across the Champlain (Ottawa) region, shared in 2018-2019 by 208 Indigenous individuals, non-Indigenous health professionals, and witnesses. The stories revealed 5 harmful stereotypes: 1. Indigenous people are [racially inferior.] 2. Indigenous people are [diseased, addicted, or mentally unwell.] 3. Indigenous people are [a burden.] 4. Indigenous people are [angry or aggressive.] 5. Indigenous people are [bad parents.] **Microaggressions** - Speak Up Culture - Microaggressions training: Action, assist, arise - Responding to discrimination in the workplace - Before responding consider: goals, setting, tone, relationship CPR Racism: published in 2024 by Indigenous nursing research chair Holly Graham. A guide to prepare healthcare providers to save lives when they witness racism in healthcare A diagram of two people Description automatically generated