It’s a Journey Not a Check Box: Indigenous Cultural Safety From Training to Transformation

Lloy Wylie · Stephanie McConkey · Ann Marie Corrado

43 citations0/0 files storedInternational Journal of Indigenous Health

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Indigenous Health, Education, and Rights Racial and Ethnic Identity Research Cultural Competency in Health Care

Abstract

Indigenous Peoples in Canada continue to experience racism and discrimination when accessing health care. Competencies of health care staff urgently need to be improved through cultural safety education and training programs to inform culturally appropriate and safe care practice among care providers serving Indigenous individuals and families. This paper explores current educational strategies, the perspectives of Indigenous and non-Indigenous care providers on training approaches, and recommendations for improving training. Qualitative semi-structured interviews were conducted with 31 participants to explore the current provision of culturally appropriate and safe care. Interviews were voice recorded and transcribed verbatim, and a thematic analysis was completed. The three key themes related to training that emerged from data analysis were (a) addressing the knowledge gaps, (b) challenges of current training approaches, and (c) recommendations for improvements in training. Each key theme had three subthemes that were further explored. Cultural safety training is a long and iterative process that has the potential to change care providers’ behaviours and attitudes. Various challenges to existing education and training included issues with implementation, limited follow up with health care staff to support practice changes, and/or limited commitment from senior leadership to change organizational policies and practices. As such, there is a clear need for systemic change within health care institutions to support staff participating in cultural safety training and to put that training into practice to create a culturally safe space for Indigenous individuals seeking health care.

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References

2005Three Approaches to Qualitative Content Analysis 1995Sample size in qualitative research 2014What can “thematic analysis” offer health and wellbeing researchers?2008Naturalistic inquiry and the saturation concept: a research note 1996Cultural Safety in Nursing: the New Zealand Experience 2016Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study 2005The relevance of postcolonial theoretical perspectives to research in Aboriginal health.2011Researching Indigenous Health: A practical guide for researchers

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2021Evaluation of a First Peoples-led, emotion-based pedagogical intervention to promote cultural safety in undergraduate non-Indigenous health professional students 2023Radiation Therapy and Indigenous Peoples in Canada and Australia: Building Paths Toward Reconciliation in Cancer Care Delivery 2022Developing culturally safe education practices in optometry schools across Australia and Aotearoa New Zealand 2022Navigating the burden of proof and responsibility: A narrative inquiry into Indigenous medical learners' experiences

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