Why is Speak-up Culture Regarding Indigenous-specific Racism Important to Nurses
In the healthcare career field, Aboriginal people are disproportionately underrepresented compared to the general population. Despite the fact that Aboriginal people make up 3.8 percent of the Canadian population, fewer than one percent of Canadian nurses report having Aboriginal ancestry at the moment (Wilk et al., 2018). It was during a period of colonialism and centralization that the connection between Aboriginal peoples and Western healthcare formed, in which healthcare workers considered it as their responsibility to assist Aboriginal peoples in “negotiating civilization” while neglecting the negative consequences of interfering in the process. As such, changes in the healthcare field are required to address the racism that Indigenous health care employees have personally experienced and observed firsthand. Among them are enhanced systems for health-care personnel to uphold a speak-up culture by exposing incidences of racism that occur in the workplace Why is Speak-up Culture Regarding Indigenous-specific Racism Important to Nurses.
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“Speak-up culture” refers to a positive, encouraging atmosphere in which team members are encouraged to express their ideas, thoughts, and issues without fear of reprisal or retribution; While it is often associated with calling out problematic organizational culture or even a specific member of staff, it may also relate to employees feeling secure in expressing alternative viewpoints that have previously gone untapped. The Canadian government maintains its efforts to promote a “speak-up” culture among employees across the whole healthcare system. This will enable healthcare workers to be able to detect and report information pertaining to Indigenous-specific racism or any other problem as a result of the application of the Public Interest Disclosure Act (PIDA) to personnel across the healthcare system without delay (BCCNM, n.d). According to the BCCNM, it is critical to promote a “speak-up” culture within the organization, including among its registrants, employees, members of the board, and members of the committee, in order for them to recognize and report incidences of Indigenous-specific racism. The first step in guiding this process is to launch a “speak-up culture support” movement with other authorities and healthcare system stakeholders since, although no one can do everything, everyone can do something in the face of overwhelming odds. The next step is to establish a culture of being the greatest person one can be, which entails speaking out when racism is observed or happens. Complaints, education, and acknowledgment are all examples of speaking up. Finally, it is critical to explore how to include behavioral standards that promote a “speak-up culture” into modifications to the practice standards for nurses and midwives Why is Speak-up Culture Regarding Indigenous-specific Racism Important to Nurses.
The speak-up culture regarding Indigenous-specific racism has proven to be important for nurses and nursing students. It has enabled Indigenous nursing professionals to have more opportunities to advance their careers into leadership roles, and institutions would be better positioned to facilitate this much-needed shift in nursing education programs. Establishing distinct Indigenous nursing leadership roles in every nursing school, for instance, would allow institutions to make major contributions to the advancement of Indigenous nursing curricula, resulting in improved higher education outcomes for Indigenous student nurses (Stuart, 2017). Improved overall health outcomes may be achieved by selecting medical students who are sensitive to the cultural needs of Indigenous Peoples (Power et al., 2020). Indigenous nursing academic professionals must be encouraged to collaborate with other Indigenous nursing academic scholars in order to develop better, more cohesive research combating racism in the health sector at the national scale (Stuart, 2017).
Through the speak-up culture, it is possible to transform the nursing curriculum to generate culturally safe non-Indigenous and Indigenous graduates by collaborating at the national level with top organizations that are positioned to make a pragmatic and credible change in the field of nursing. A coalition of practitioners, nurses, midwives, and supporters may be formed in a concerted effort to bring about change (Power et al., 2021). As a result, nursing education reform will be guided by strong leadership and strategic orientation, and substantial deficiencies in the evidence pertaining to the cultural safety of nursing education and learning will be resolved. This will give guidance, direction, and recommendations about the integration of cultural safety into nursing and midwifery programs as a means of ensuring that the curriculum satisfies the criteria of professional standards. As a coalition, it is possible to recognize the crucial role of educators in deciding indigenous people’s health outcomes, with the ultimate objective of addressing structural and individual racism in the health system via the reform of Aboriginal health and cultural safety education programs (Power et al., 2021). The goal is to improve the standard of medical care for Indigenous people by finding, coordinating, and conducting research guided by the ideas of Indigenes research, as well as by speaking with one voice Why is Speak-up Culture Regarding Indigenous-specific Racism Important to Nurses.
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As the globe’s health systems strive to eliminate systemic racism through speaking up, there is growing acknowledgment of the potential influence that a united and culturally safe nursing staff may have on the elimination of systematic racism. There are over 300,000 registered nurses (RNs) that were licensed to practice in Canada. Nursing degrees are held by the vast majority of these nurses. When all Canadian nursing degrees create culturally safe clinicians, who, via speaking up, grasp the actual history of Canada, and how the prosperity of the nation-state is intricately related to Indigenous Peoples’ oppression, expropriation, and poor health outcomes, the Canadian health system may be reformed for the betterment of everyone by simple power in numbers Why is Speak-up Culture Regarding Indigenous-specific Racism Important to Nurses.
References
British Columbia College of Nurses & Midwives. (n.d.). Constructive disruption to Indigenous-specific racism amongst B.C. Nurses and Midwives. https://www.bccnm.ca/Documents/cultural_safety_humility/Constructive_Disruption_BCCNM_Commitment_to_Action.pdf
Power, T., Geia, L., Adams, K., Drummond, A., Saunders, V., Stuart, L., Deravin, L., Tuala, M., Roe, Y., Sherwood, J., Rowe Minniss, F., & West, R. (2021). Beyond 2020: Addressing racism through transformative Indigenous health and cultural safety education. Journal of Clinical Nursing, 30(7-8). https://doi.org/10.1111/jocn.15623
Stuart, L. (2017). ‘Maroochy Dreaming’: The Stories of Aboriginal Nursing Academics Who Have Been Employed Within Schools of Nursing and Midwifery in Queensland Universities Between 2003 and 2013 (Doctoral dissertation, University of the Sunshine Coast). https://research.usc.edu.au/esploro/outputs/doctoral/Maroochy-Dreaming-The-Stories-of-Aboriginal/99451169702621
Wilk, P., Maltby, A., & Phillips, J. (2018). Unmet healthcare needs among Indigenous Peoples in Canada: Findings from the 2006 and 2012 Aboriginal peoples surveys. Journal of Public Health, 26(4), 475-483. https://doi.org/10.1007/s10389-017-0887-z Why is Speak-up Culture Regarding Indigenous-specific Racism Important to Nurses