B.C. universities plan Indigenous nursing program for Indigenous nurses

Six universities in B.C. are working to create a master’s of Indigenous nursing program, hoping to tackle racism in health care, better support Indigenous health-care providers and meet the unique needs of communities by incorporating Indigenous knowledge into mainstream practice.

Nursing schools at six schools — Thompson Rivers University, University of Victoria, Trinity Western University, University of Northern British Columbia and UBC Okanagan and UBC Vancouver — received $683,000 from the Canadian Institutes of Health Research for the project.

Leading the project is Lisa Bourque Bearskin, a registered nurse leader who holds an Indigenous health research chair in nursing with the Institutes of Health Research. She is also a former president of the Canadian Indigenous Nursing Association.

She hopes the master’s program will eventually train 30 Indigenous nurses to a higher level of expertise to work with their communities and within their own knowledge systems.

Adopting a holistic approach to health — one that incorporates the land and its medicines to aid with spiritual, mental and physical wellness — will be a major focus, she said.

“It’s that uniqueness that Indigenous nurses have, coming from that place of Indigeneity, to know that we are related to that rock.”

Incorporating an Indigenous lens is needed in health care, she said. This includes “how we are connected to the land, the people, our culture and language.”

She said the schools are now working to strengthen relationships with Indigenous communities.

“We really need to create a place where communities see themselves in this,” said Bearskin, an associate professor of nursing at the University of Victoria.

Historically, she said, schools of nursing have not had good relationships with Indigenous communities. So it’s the communities, she said, that are helping design the project.

Canada has is a shortage of health-care providers, but while there are Indigenous people who want to get into nursing, they ultimately choose not to “because the system is designed to be racist,” said Bearskin.

“It’s not a safe place to learn, so there’s a reluctance to come into nursing and there’s a fast exit of leaving nursing,” she said. “We can’t just keep recruiting nurses into nursing if we don’t change the system.”

According to the In Plain Sight report in 2020, 59 per cent of Indigenous health-care workers in B.C. said their colleagues had expressed discriminatory or hateful comments in front of them.

“Listening to all these stories around racism, I think about the fatigue that we hold as Indigenous nurses,” said Bearskin.

The In Plain Sight report said few degree programs exist to maintain or successfully meet targets for Indigenous enrolment. “Racism exists in the learning environment, poses challenges to successful completion of their studies, and has negative personal impacts.”

One of the report’s recommendations was a degree program for nursing.

The Truth and Reconciliation Commission also called for an increase the number of Indigenous professionals working in the health-care field and providing cultural training for all health-care professionals.

While training Indigenous nurses is the priority, Bearskin said the new master’s program in development would welcome non-Indigenous health-care providers who want to build relationships with Indigenous communities.

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