Guiding Principle 4.2

Guiding Principle 4.2: Nurses value the importance of integrating First Nations, Inuit and Métis knowledge in their practice.

Context for Practice: Nurses provide culturally responsive care to First Nations, Inuit and Métis Peoples by incorporating Indigenous knowledge, world views and cultural protocols in their respective fields of practice in collaboration with clients and communities.

Ethical Responsibilities: Nurses demonstrate respect for Indigenous knowledge, world views and distinct cultural practices by
4.2.1 supporting the cultural safety of clients by being aware of the diverse Indigenous cultures and practising cultural humility;
4.2.2 using a holistic approach to nursing that ensures the well-being of First Nations, Inuit and Métis Peoples; and
4.2.3 developing cultural competence through engaging in education and professional development activities created, led and delivered by First Nations, Inuit and Métis Peoples that is related to the Indigenous world views and ways of knowing, and the social determinants of Indigenous health in Canada.

In addition, nurses in formal and informal leadership roles (e.g., administration, clinical care, education, policy and research), advocate for

4.2.4 university and college curriculums that enhance knowledge and respect for Indigenous world views and diverse cultural practices and enact the Truth and Reconciliation Commission of Canada’s Calls to Action related to health;
4.2.5 systemic changes to health institutions on the importance of integrating Indigenous knowledge into clinical practice;
4.2.6 the hiring and retention of First Nations, Inuit and Métis staff;
4.2.7 research into nursing practices from an Indigenous perspective with Indigenous researchers;
4.2.8 government policy to address the social determinants of health related to First Nations, Inuit and Métis Peoples; and
4.2.9 systemic change to nursing policies and practices to better engage with First Nations, Inuit and Métis Peoples and to mitigate the impacts of intergenerational trauma and colonial practices that still exist today in health-care systems.