Self-Reflective Practice
How can nurses evaluate whether their behaviours towards Indigenous Peoples are appropriate?
By reflecting on their own behaviour and seeking feedback.
Who does the nurse report acts of racism to once witnessed?
Leadership and or/ the health regulatory college
The nurse does this to improve their ability to provide culturally safe care.
Undertake ongoing education on cultural safety, cultural humility, determinants of health, and anti-racism
How should information always be communicated to the client?
In a way and manner that the client can understand
Before beginning an assessment or treatment, what should nurses do when considering the potential for trauma?
Seek permission from the client.
Name at least three things the nurse can reflect on to build their self-reflective practice
Privilege, biases, values, belief structures, behaviours, positions of power
The nurse knows that the health regulatory college for nurses is the ___.
The BCCNM
True or False: Nurses should recognize that all Indigenous communities share the same languages, histories, cultural practices, and systems of knowledge.
False. Indigenous communities have different languages, histories, heritage, cultural practices, and systems of knowledge.
The nurse must do this to accurately identify, understand, and address the client’s health & wellness goals.
Engage and communicate with the client and their identified support
How can colonialism and trauma affect an Indigenous client's relationship with the health care system?
They may affect how clients view, access, and interact with the health care system.
Nurses should avoid acting on these when interacting with Indigenous clients
Stereotypes and assumptions about Indigenous Peoples
The nurse can support colleagues towards anti-racist practice by ___.
Helping colleagues to identify and eliminate racist attitudes, language and/or behaviours.
Why should nurses continually update their knowledge about Indigenous health care and cultural safety?
To continually improve their ability to provide culturally safe care to Indigenous clients.
What is one way nurses can support an Indigenous client's right to make decisions about their own health care?
Actively support the client's right to decide on their course of care.
What should nurses focus on rather than solely focusing on a client's trauma?
The client's resilience and strengths.
The nurse must remain aware of their ___, related to the inherent dynamic stemming from their professional role which can create an imbalance in a therapeutic relationship.
Position of power
What historical system has had lasting effects on Indigenous Peoples' health care experiences?
Colonialism
Beyond anti-racism and cultural safety, this specific category of social and environmental conditions must be studied to understand the broader context of Indigenous health care outcomes.
Determinants of health
What should be encouraged in order to promote patient-centered relational care as long as the mother and baby experience no ill effects?
The patient’s rituals and traditions should be encouraged
What type of trauma can affect Indigenous clients' experiences within the health care system across generations?
Intergenerational and historical trauma.
This term involves acknowledging oneself as a learner when it comes to understanding one’s experience. It is a process of self-reflection to raise awareness of personal and systemic biases.
Cultural Humility
Why is it important for nurses to learn about the specific Indigenous communities in the areas where they work?
Because Indigenous communities have different languages, histories, heritage, cultural practices, and systems of knowledge.
The nurse should learn about the negative impacts of Indigenous-specific racism affecting clients who access the health care system and the specific groups that are disproportionately impacted. Name at least three of these groups
Indigenous women, girls, two-spirit, queer, and trans Indigenous Peoples.
What information should nurses provide to clients when discussing available health care options?
Clear information about available options, including what the client may experience during the health care encounter.
Why is it important for nurses to recognize how historical and intergenerational trauma may influence an Indigenous client's interactions with health care providers?
Because trauma may affect how clients view, access, and interact with the health care system, and recognizing this allows nurses to adapt their approach to provide respectful, thoughtful, and trauma-informed care.