Cultural Competence and Cultural Safety: A Knowledge Translation Symposium

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Cultural Competence and Cultural Safety: A Knowledge Translation Symposium Courtyard by Marriott Downtown Toronto Hotel Monday, March 19 th, 2012 and Tuesday, March 20 th,2012

Welcome Bienvenue

Special thanks to the Aboriginal Health Human Resource Initiative, First Nations and Inuit Health Branch for funding this project, and

Learning from Previous Initiatives of Cultural Competence and Cultural Safety Sylvia Barton, RN, PhD, University of Alberta Cathy Graham, RN, MSc, Trent/ Fleming School of Nursing Jane Moseley, RN, BScN, MAdEd, St. Francis Xavier University Wanda Pierson, RN, BSN, MSN, PhD, Langara College Terry Penny, RN, BScN, MSN, Nova Scotia Community College

Integration and Assessment of the Aboriginal Cultural Competence & Cultural Safety Course in our Practical Nursing Program Terry Penny, RN, BScN, MSN Nova Scotia Community College

Nova Scotia 6

Our College NSCC is a province-wide comprehensive community college system. Thirteen campuses located across NS provide applied education to adults of all ages. This system blends the advantages of a community-focused approach, offering local visibility and recognition, while benefiting from a provincial organizational design. 7

Nova Scotia Community College 8

Our Team 9

Our Plan Utilize content and guidance from the A.N.A.C. document Cultural Competence and Cultural Safety in Nursing Education, to: 10

Our Plan Review present curriculum for opportunities to reinforce and integrate Cultural Competency and Cultural Safety throughout the Practical Nursing Education Program curriculum. 11

Practical Nursing Conceptual Framework 12

Our Plan Develop a specific course that would further Practical Nursing students understanding of Mi kmaq culture and help develop the competencies of inclusivity, respect and indigenous knowledge required to partner in the caring of /for First Nation clients, their families and communities. 13

The learner would be introduced to cultural competencies via theory and be accountable to demonstrate cultural awareness during their clinical experiences. By delivering the cultural awareness content in a specific course and then applying the theory in the clinical setting the new learning would support NSCC s philosophies of 14 significant learning.

Our Plan The learner will be introduced to cultural competencies via theory and be accountable to demonstrate cultural awareness during their clinical experiences. By delivering the cultural awareness content in a specific course and then applying the theory in the clinical setting the new learning is both supported and reinforced. 15

Our Plan 16

Aboriginal Cultural Competence & Cultural Safety Focusing on the strengths of Aboriginal Communities, learners will gain an understanding of the impact of historical events experienced by Aboriginal peoples. Building on this understanding, learners will develop the competencies required to partner in caring for Aboriginal persons, including competencies in the concepts of inclusivity, respect, and indigenous knowledge 17

Course Outcomes Demonstrate compassionate, culturally safe, relationship centered care with Aboriginal clients, their families and communities Demonstrate a commitment to engage in dialogue and relationship building with Aboriginal peoples, cultures and health practices Describe Aboriginal cosmologies, ontology, epistemology and explanatory models as they relate to health & healing Identify health care approaches that place Aboriginal clients at risk for cultural harm and describe measures to rectify these approaches 18

Learning Activities The richness of the content supports a myriad of learning opportunities within this course such as: Visit/volunteer at a First Nations Community Health Centre Elders as teachers Identify core cultural elements in a local First Nations community and examine current nursing care approaches to determine relevancy & appropriateness Identify several barriers that First Nations clients face when accessing health care Identify several strategies to overcome the above noted barriers. Submit a Nursing Care Plan for a First Nations client with a 19 focus on cultural awareness

Integration of Course Course facilitated by core faculty with support of Aboriginal campus staff Focus of course was on self-reflection, discussion and transformational learning Extensive involvement of Community Elders All students completed a clinical experience in a Mi kmaq Community Health Center 20

The benefits of this learning journey: Provided opportunities to become aware of own biases and cultural backgrounds Provide an opportunity to focus on First Nations culture exclusively. Provide opportunity for PN students to explore care and caring in First Nations Communities 21

Looking Forward 22

Looking Forward Other Programs Other Cultures 23

Evaluation In December 2011, formal evaluation of the course was conducted by a 3 rd party, Kathryn Hayward, Dalhousie University, Nova Scotia All involved parties interviewed (students, faculty, administration and community health partners) Final report will be submitted to A.N.A.C. by March 31, 2012 Based on anecdotal comments the evaluation is expected to be positive and this course will be included as a core requirement in all our PN programs 24

Our Vision PN students will respect and appreciate the range and diversity of indigenous health practices both traditional and non traditional. 25