Cultural Competence & Cultural Safety in Nursing Education

Cultural Competence and

Cultural Safety for Health

Service Professionals

Audrey Lawrence & Cheryl Teeter

FNHMA Conference November 2011

Achieving Perspective

Background

Attrition rates - 10 – 50% loss in nursing schools

2007 – meeting with A.N.A.C., CASN, CNA and representatives from national and regional, Aboriginal, First Nation, Métis and Inuit organizations.

2005 – 2008 - work done by IPAC

2008/09 Funding for Framework Development by FNIHB of Health Canada 2009/11 school projects and work with CHA distance learning course.

Friendly website Ease of Application

Funder support

System change - Bridging Culture Safety

Cohort recruiting Community visits

Community and Elder

Support

Why: Students need support

Goal: Cultural Safety

Cultural

Awareness

Cultural

Sensitivity Cultural

Competency

Cultural

Safety

Cultural Safety - Move beyond Awareness

Developed by Maori

Nurses (1980s) as

response to discontent of

Maori clients with nursing care

Now Internationally Used!

Cultural safety involves shifting the attention from the culture of the other to the culture of health care, social inequities and power relationships.

- Dr. Victoria Smye (UBC)

Can be small changes…

Or, systemic oriented

Aboriginal Student Centres

Elders used as Counselors

Cultural safety Environment

Supportive curriculum and environment

Involvement with Aboriginal health facilities/communities

Aboriginal Nursing Students Association – Sault College

What Helps! Understanding of intersectionality and

impact on Aboriginal peoples

Structured Social Supports

Training

(Aboriginal values, background)

Curriculum Modification

Distance Learning

Challenges/ Opportunities

Reaching target Audience:

Using Framework Competencies

Deeper focus on cultural safety (not just surface)

Ensure cultural safe learning environments

Support recruitment and retention of Aboriginal and minority health care student professionals

Support cultural safety needs of health workers under the direction of nurses

Association of Canadian Community Colleges and the Association of Continuing Care Educators Report - 2011

Curriculum Principles with CHA

Incorporates all competencies in Framework in credit courses

(also Health Director Competencies in CHA course)

Have Aboriginal writer and reviewers in course development

Ensure that regional community is inclusive (i.e. include info on Métis and Inuit in additional to regional First Nation communities)

Emphasis on Cultural Safety and

Constructivist Understanding of Culture

Work Done!

CHA Course on Cultural Safety and Modern Management Module

Ongoing Work with

schools of nursing ,

Accreditation

Canada, CIHI

The Canadian Healthcare Association (CHA) is Canada’s only federation of provincial and territorial health associations and organizations. Through its members, CHA represents a broad continuum of services, including acute care, home and community care, long term care, public health, mental health, palliative care, addiction services, children, youth, and family services, and housing services. These services are provided through regional health authorities, hospitals, and other facilities and agencies that serve all Canadians and are governed by trustees who act in the public interest.

Who are we?

Our Mission

CHA is a leader in developing,

and advocating for, health policy

solutions that meet the needs of

Canadians.

CHA Learning is dedicated to providing education

opportunities to Canadian health service professionals,

regardless of their geographic locations.

CHA Learning

Each year hundreds of students expand their

knowledge base and improve their career

possibilities with CHA Learning’s distance

education programs.

To help students succeed, CHA Learning is committed to: Providing timely student support using phone, email and online

communication tools

Recruiting and selecting qualified Education Consultants (EC)

Assigning EC’s to meet student needs

Reviewing program content on a yearly basis

Including the most up-to-date information available

Working closely with its Advisory Committees to maintain the quality

of the programs

Maintaining appropriate partnerships with professional healthcare

organizations

CHA Learning’s Commitment to

Students

Programs Modern Management

Health Services Management

Long Term Care Management

Risk Management & Safety in Health Services

Continuous Quality Improvement for Health Services

Cultural Competence and Cultural Safety in Health Services NEW

Food Service & Nutrition Management

Health Information Management

Short Courses Nutrition & Diet Therapy Refresher Course

Medical Terminology Short Course UPDATED

HIM Practice Test NEW

Programs Offered

The Cultural Competence and Cultural Safety in Health

Services program is designed for health service professionals

who work in aboriginal settings and with First Nation, Inuit and

Métis peoples. The course offers health service providers at all

levels, from frontline staff to supervisors

and managers, the knowledge that will help

them integrate cultural safety and cultural

competence in all healthcare settings.

Program Components:

1. Seven home study units

2. A major paper or project

3. Four-day intramural session in Ottawa

The program is completely online.

There is no final exam.

Students are able to set their assignment due dates in

consultation with their EC.

Cultural Competence and Cultural Safety

in Health Services

Seven Study Units:

1. Introduction

2. Postcolonial Understanding

3. Communication

4. Inclusivity

5. Respect

6. Indigenous Knowledge

7. Mentoring and Supporting Students for

Success

Cultural Competence and Cultural Safety

in Health Services

Future Plans…

What’s next?

For More Information:

Cheryl Teeter

Director, Learning & Conferences

Canadian Healthcare Association

17 York St.

Ottawa, ON

K1N 9J6

Tel. 613-241-8005 ext. 228

Email: [email protected]

Cultural Safety in

my community is:

Now

Step 3

Resources

Step 4

Building

Strength Step 5

Indicators

of the Vision Step 2

Vision

28

Why do we do this? For today and for the

next generation… Can we meet the

challenge?

Questions?

Thank you!

Merci!

Meegwetch!

Audrey Lawrence

Cheryl Teeter