[PPN102 Key Course Resource] Study Guide on Indigenous Cultural Safety, Cultural Humility and Anti-Racism Practice Standard Companion Guide

Linking Cultural Humility, Safety, and Person-Centered Care

  • Core Concepts of the Standard:

    • Person-led care (Relational care): A core concept that aligns healthcare delivery with the individual needs and leadership of the client.

    • Self-reflective practice: Recognizes that the journey toward cultural safety "starts with me," emphasizing individual responsibility in the therapeutic relationship.

    • Creating safe healthcare experiences: Defined by providing care where clients feel their needs are respected and considered, fostering a partnership in healthcare decisions.

  • Cultural Humility:

    • Necessitates examining one’s own values, assumptions, beliefs, and privileges.

    • Focuses on understanding the impact of these personal factors on therapeutic relationships with Indigenous clients.

    • Goal: To promote respect, open dialogue, and mutual decision-making in healthcare settings.

Reflecting on Personal Values, Assumptions, and Power Dynamics

  • Principles of Self-Reflective Practice:

    • 1.1 Identify and Avoid Stereotypes: Actively identifying and avoiding acting on assumptions or stereotypes regarding Indigenous Peoples to ensure respectful care.

    • 1.2 Reflection on Privilege: Reflecting on how personal privileges and biases (power dynamics) impact relationships and the quality of care provided.

    • 1.3 Feedback and Evaluation: Evaluating one's own behavior and seeking feedback from peers, clients, and colleagues to identify and correct harmful behaviors.

  • Impact of Biases on the Therapeutic Relationship:

    • Biased assumptions (e.g., misinterpreting body language or making assumptions about a client’s fitness or motives) lead to negative healthcare interactions.

    • Failure to reflect on these dynamics can result in negative healthcare outcomes, the ignoring of client needs, and the perpetuation of mistrust.

Ethics and Safety in the Therapeutic Relationship

  • Anti-Racist Practice:

    • Involves proactive measures to combat racism and requires awareness of societal roles and privileges related to colonialism.

    • Requires challenging oppressive structures, policies, and behaviors to maintain an ethical nursing practice.

  • Holistic Care and Indigenous Rights:

    • Ethical Care: Providing care that considers physical, mental, spiritual, and cultural aspects of identity.

    • Cultural Rights: Acknowledging the cultural rights and customs of Indigenous Peoples throughout their healthcare journey to ensure safe and respectful care.