The messaging Indigenous Peoples receive in society, is that “culture counts”(Bishop & Berryman, 2006; Bishop, 2008). It is also both a simple and powerful message that speaks to the many who organize and participate in the delivery and provision of Indigenous health programs, initiatives, interventions, and activities every day. Captured within this idea, is that enduring and respectful relationships for, with and beside Indigenous Peoples remains of paramount importance to the goal of Indigenous Peoples being well, and able to lead and live active healthy lifestyles. Invariably, developing, implementing, and assessing the impact of Indigenous cultural safety training programs in Canada is as much about determining how culturally safe health is for Indigenous Peoples in Canada, as it is about learning how to improve the quality of health care delivered and provisions supplied. Moreover, the idea that “culture counts” suggest a reduction in culturally unsafe practices and commitment to developing health programs, policies, and processes that are anti-racist and anti-oppressive. In this workshop, the idea of developing an Indigenous cultural safety training impact assessment is about determining whether or not the knowledge or activities facilitated within the training make a difference to one’s personal and professional attitudes (commitment to diversity, accessibility, anti-racism, anti-oppression, and acts of decolonization), models of practice (inclusive excellence), and collective capability (understanding and working towards equity as just, fair). From a perhaps a NEIHR perspective, developing, implementing, and assessing the impact of Indigenous cultural safety training in various health contexts requires a culturally relational and inclusive process that we can all understand and apply in the various health contexts where on-going health disparities, adversities, and inequalities exist. In this regard, I will aim share a four-step culturally iterative and reasoned process related to how to design an Indigenous-informed impact assessment that participants who attend the workshop will have an opportunity to engage with and learn more about. This will also include highlighting an Indigenous cultural safety training impact assessment tool that was developed in collaboration with four post-secondary institutions on Vancouver Island which was then piloted at the University of Victoria in 2022. Finally, this work is more than simply supporting people who work in health to understand the important social and cultural links between Indigenous health and wellbeing, and the collective and relational responsibility we all have to reduce Indigenous health disparities or adversities based on agreed targets (inputs, outputs, outcomes, impacts) we can assess; rather it is about enabling
Indigenous Peoples to take greater responsibility for our own health outcomes, on our own terms. The question we need to ask is, what has the dominant health care system learned about itself from the backlash of the Truth and Reconciliation: Calls to Action”, and what is it going to do to address an equally important question of what does an effective, excellent and optimal health care system for all Canadians, inclusive of Indigenous Peoples enjoying and leading health change as Indigenous Peoples, look like?
Key words: Indigenous cultural safety training, impact assessment development, health provision and delivery, health quality assurance, professional learning, decolonization, Indigenization, anti-racism,
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