Guiding Principle 4.1

Guiding Principle 4.1: Nurses uphold the pursuit of truth and principles of reconciliation.

Context for Practice: Nurses uphold the principles of truth and reconciliation by understanding that First Nations, Inuit and Métis Peoples have land claims and treaty, constitutional, human and self-governing rights. Nurses place emphasis on respectful relationship building and are committed to supporting and advocating for the development of culturally safe Indigenous nursing practice.

Ethical Responsibilities: Nurses strengthen their ability to provide culturally safe quality care to First Nations, Inuit and Métis Peoples by
4.1.1 developing awareness of the Calls to Action contained in the Truth and Reconciliation Commission of Canada report to address racism and health inequity;
4.1.2 understanding the history of and the ongoing impacts of colonial policies and nursing practices on First Nations, Inuit and Métis Peoples’ health and well-being;
4.1.3 acknowledging the power imbalances that exist due to historical contexts leading to the mistrust of colonial systems such as the health-care system, recognizing that culturally safe care can only be defined by the client;
4.1.4 understanding intergenerational trauma and the impacts on clients, their families and communities; and
4.1.5 integrating strength and distinction-based approaches and a trauma-informed lens into practice with First Nations, Inuit and Métis Peoples.