The importance and promise of integrating Indigenous knowledges in nursing education
DOI:
https://doi.org/10.25071/2291-5796.46Keywords:
Canada, Decolonization, Nursing Ethics, relationality, holismAbstract
This paper explores the relevance of Indigenous perspectives within the nursing profession, and the importance of weaving these perspectives into nursing education. We suggest that Indigenous perspectives can support nursing’s core ethical values of relationality and holism and may hold representational and transformational possibilities for students and educators alike. Guided by principles of Indigenous learning, we provide several exemplars from Canadian schools of nursing that have already begun the process of decolonizing their programs. We conclude by describing some of the challenges and considerations that may arise when Indigenous perspectives and approaches are considered for inclusion into nursing education programs.
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Aboriginal Nurses Association of Canada. (2009). Cultural competence and cultural safety in nursing education: A framework for First Nations, Inuit and Métis nursing. Author. https://www.cnaaiic.ca/~/media/cna/page-content/pdfen/first_nations_framework_e.pdf
Aboriginal Nurses Association of Canada. (2007). Twice as good: a history of Aboriginal nurses. Author.
Allen, D. (2014). Re-conceptualising holism in the contemporary nursing mandate: From individual to organisational relationships. Social Science & Medicine, 119, 131–138. DOI: https://doi.org/10.1016/j.socscimed.2014.08.036
Battiste, M. (2002). Indigenous knowledge and pedagogy in First Nations education: A literature review with recommendations. https://www.afn.ca/uploads/files/education/24._2002_oct_marie_battiste_indigenousknowledgeandpedagogy_lit_review_for_min_working_group.pdf
Battiste, M. (2010). Nourishing the learning spirit: Learning is our purpose in life. Education Canada, 50(1), 14–18. https://www.edcan.ca/wpcontent/uploads/EdCan-2010-v50-n1-Battiste.pdf
Beavis, A. S. W., Hojjati, A., Kassam, A., Choudhury, D., Fraser, M., Masching, R., & Nixon, S. A. (2015). What all students in healthcare training programs should learn to increase health equity: Perspectives on postcolonialism and the health of Aboriginal Peoples in Canada. BMC Medical Education, 15(1), 155. DOI: https://doi.org/10.1186/s12909-015-0442-y
Bourque-Bearskin, R. L. (2011). A critical lens on culture in nursing practice. Nursing Ethics, 18(4), 548. DOI: https://doi.org/10.1177/0969733011408048
Bourque-Bearskin, R., Cameron, B., Weber-Pillwax, C., Stout, M., Voyageur, E., Reid, A., Bill, L., & Martial, R. (2016). Mâmawoh Kamâtowin, “Coming together to help each other in wellness”: Honouring Indigenous nursing knowledge. International Journal of Indigenous Health, 11(1), 18–33. DOI: https://doi.org/10.18357/ijih111201615024
Bouvier, R., Battiste, M., & Laughlin, J. (2016). Centering Indigenous intellectural traditions on holistic lifelong learning. In F. Deer & T. Falkenberg (Eds.), Indigenous perspectives on education for well-being in Canada (pp. 21–40). Education for Sustainable Well-Being Press.
Browne, A. J., Varcoe, C., Lavoie, J., Smye, V., Wong, S. T., Krause, M., Tu, D., Godwin, O., Khan, K., & Fridkin, A. (2016). Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study. BMC Health Services Research, 16(1). DOI: https://doi.org/10.1186/s12913-016-1707-9
Bullen, J., & Flavell, H. (2017). Measuring the “gift”: Epistemological and ontological differences between the Academy and Indigenous Australia. Higher Education Research and Development, 36(3), 583–596. DOI: https://doi.org/10.1080/07294360.2017.1290588
Canadian Nurses Association & Aboriginal Nurses Association of Canada. (2014). Aboriginal health nursing and Aboriginal health: Charting policy direction fornursing in Canada. (No. 978-1-55119-416–5). https://www.cna-aiic.ca/-/media/cna/page-content/pdfen/aboriginal-health-nursing-andaboriginal-health_charting-policydirection-for-nursing-incanada.pdf?la=en&hash=59F4641D59EBDE29D9CC573CAF19FA8706647625
Chilisa, B. (2012). Indigenous research methodologies. SAGE Publications.
Dion Stout, M. D., & Downey, B. (2006). Epilogue: Nursing, Indigenous peoples and cultural safety: So what? Now what? Contemporary Nurse, 22(2), 327–332. DOI: https://doi.org/10.5172/conu.2006.22.2.327
Dei, G. J. S. (2000). Rethinking the role of Indigenous knowledge in the academy. International Journal of Inclusive Education, 4(2), 111–132. DOI: https://doi.org/10.1080/136031100284849
Doane, G. (2002). Beyond behavioral skills to human-involved processes: Relational nursing practice and interpretive pedagogy. Journal of Nursing Education, 41(9), 400-404. DOI: https://doi.org/10.3928/0148-4834-20020901-08
Edgecombe, N., & Robertson, A. (2016). The Nunavut nursing program: A retrospective reflection. Northern Review, (43), 83–103. https://thenorthernreview.ca/index.php/nr/article/view/594
Etowa, J., Jesty, C., & Vukic, A. (2011). Indigenous nurses’ stories: perspectives on the cultural context of aboriginal health care work. The Canadian Journal of Native Studies, 31(2), 29-46,187-189.
Green, B. (2016). Decolonizing of the nursing academy. Canadian Journal of Native Studies, 36(1), 131.
Hartrick Doane, G. & Varcoe, C. (2015). How to nurse? Relational inquiry with individuals and families in changing health and healthcare contexts. Lippincott, Williams & Wilkins. Hill, D. M. (2003). Traditional medicine in contemporary contexts protecting and respecting Indigenous knowledge and medicine. National Aboriginal Health Organization.
Holmes, D., Roy, B., & Perron, A. (2008). The use of postcolonialism in the nursing domain: Colonial patronage, conversion, and resistance. Advances in Nursing Science, 31(1), 42–51. DOI: https://doi.org/10.1097/01.ANS.0000311528.73564.83
Hunter, L., Logan, J., Barton, S., & Goulet, J. G. (2004). Linking Aboriginal healing traditions to holistic nursing practice. Journal of Holistic Nursing, 22(3), 267–285. DOI: https://doi.org/10.1177/0898010104266750
Kincheloe, J., & Steinberg, S. (2008). Indigenous knowledge in education. In N. K. Denzin, Y. S. Lincoln, & L. T. Smith (Eds.), Handbook of critical and Indigenous methodologies (pp. 135–156). SAGE publications.
Kovach, M. (2013). Treaties, truths and transgressive pedagogies: Re-imagining Indigenous presence in the classroom. The Journal of the Society for Socialist Studies, 9(1), 109–127. DOI: https://doi.org/10.18740/S4KS36
Lowe, J., & Struthers, R. (2001). A conceptual framework of nursing in Native American culture. Journal of Nursing Scholarship, 33(3), 279–283. DOI: https://doi.org/10.1111/j.1547-5069.2001.00279.x
Mahara, M. S., Duncan, S. M., Whyte, N., & Brown, J. (2011). It takes a community to raise a nurse: Educating for culturally safe practice with Aboriginal peoples. International Journal of Nursing Education Scholarship, 8(1). DOI: https://doi.org/10.2202/1548-923X.2208
Marker, M. (1998). Going native in the academy: Choosing the exotic over the critical. Anthropology & Education Quarterly, 29(4), 473-480. DOI: https://doi.org/10.1525/aeq.1998.29.4.473
McEvoy, L., & Duffy, A. (2008). Holistic practice – A concept analysis. Nurse Education in Practice, 8(6), 412–419. DOI: https://doi.org/10.1016/j.nepr.2008.02.002
McGibbon, E., & Lukeman, S. (2019). Critical social justice: The moral imperative for critical perspectives in nursing. Witness: The Canadian Journal of Critical Nursing Discourse, 1(1), 3-12. DOI: https://doi.org/10.25071/2291-5796.21
McGibbon, E., Mulaudzi, F. M., Didham, P., Barton, S., & Sochan, A. (2014). Toward decolonizing nursing: The colonization of nursing and strategies for increasing the counter-narrative. Nursing Inquiry, 21(3), 179–191. DOI: https://doi.org/10.1111/nin.12042
Moffitt, P. (2016). Mobilizing decolonized nursing education at aurora college: Historical and current considerations. Northern Review, (43), 67. https://thenorthernreview.ca/index.php/nr/article/view/593
Nakata, M. N. (2007). Disciplining the savages, savaging the disciplines. Aboriginal Studies Press.
Pijl-Zieber, E. M., & Hagen, B. (2011). Towards culturally relevant nursing education for Aboriginal students. Nurse Education Today, 31(6), 595–600. DOI: https://doi.org/10.1016/j.nedt.2010.10.014
Richmond, C. (2015). The relatedness of people, land, and health. In M. Greenwood, S. De Leeuw, N. M. Lindsay, & C. Reading (Eds.), Determinants of Indigenous peoples’ health in Canada: Beyond the social (pp. 47–63). Canadian Scholars’ Press.
Rohatinsky, N., Exner-Pirot, H., Parent-Bergeron, M., Bosevski, K., & Pratt, C. (2018). Indigenous nursing students’ readiness for practice perceptions - Les perceptions d’étudiantes autochtones en sciences infirmières quant à leur préparation à la pratique," Quality Advancement in Nursing Education - Avancées en formation infirmière, 4(2), Article 3. DOI: https://doi.org/10.17483/2368-6669.1133
Rowan, M. S., Rukholm, E., Bourque-Bearskin, L., Baker, C., Voyageur, E., & Robitaille, A. (2013). Cultural competence and cultural safety in Canadian schools of nursing: A mixed methods study. International Journal of Nursing Education Scholarship, 10(1), 1–10. DOI: https://doi.org/10.1515/ijnes-2012-0043
Sium, A., Desai, C. & Ritskes, E. (2012). Towards the ‘tangible unknown’: Decolonization and the Indigenous future. Decolonization: Indigeneity, Education & Society, 1(1), I-XIII.
Stansfield, D., & Browne, A. J. (2013). The relevance of Indigenous knowledge for nursing curriculum. International Journal of Nursing Education Scholarship, 10(1), 1-9. DOI: https://doi.org/10.1515/ijnes-2012-0041
Statistics Canada. (2017). Focus on geography series, 2016 Census [Data file]. Ottawa, ON: Government of Canada. https://www12.statcan.gc.ca/censusrecensement/2016/as-sa/fogs-spg/Indexeng.cfm
Thorne, S. (2019). Genocide by a million paper cuts. Nursing Inquiry, 26(3), 1-3. DOI: https://doi.org/10.1111/nin.12314
Truth and Reconciliation Commission of Canada. (2015). Truth and Reconciliation Commission of Canada: Calls to action. Author. http://trc.ca/assets/pdf/Calls_to_Action_English2.pdf
Tuck, E., & Yang, K. (2012). Decolonization is not a metaphor. Decolonization: Indigeneity, Education & Society, 1(1), 1-40.
United Nations. (2007). United Nations Declaration on the Rights of Indigenous Peoples. https://www.un.org/development/desa/indigenouspeoples/wpcontent/uploads/sites/19/2018/11/UNDRIP_E_web.pdf
Varcoe, C., & McCormick, J. (2007). Racing around the classroom margins: Race, racism, and teaching nursing. In L. E. Young & B. L. Paterson (Eds.), Teaching nursing: Developing a student-centered learning environment (pp. 437–466). Lippincott, Williams, & Wilkins.
Zeran, V. (2016). Cultural competency and safety in nursing education: A case study. Northern Review, (43), 105–115. https://thenorthernreview.ca/index.php/nr/article/view/591
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