Case 75: Cultural Competence: Truth and Reconciliation in Action
Alex Sylliboy has been referred to the diabetes clinic and this is his first appointment. He identifies as Indigenous on the intake form. Andrew Sullivan, the nurse, has read recently that the experience of residential schools has long-lasting, intergenerational effects on health, but isn’t sure if he should ask about it in the context of addressing Alex’s diabetes and is also uncertain about how to bring it up.
Discussion:
- What are the ethics concerns raised here?
- How might Andrew proceed with this encounter?
- What are some words or phrasing that Andrew might find helpful?
Resources:
- Honouring the truth, reconciling for the future, summary of the final report of the Truth and Reconciliation Commission of Canada, page 158-164. Honouring the Truth, Reconciling for the Future
- Cultural competence and cultural safety in nursing education. A framework for First Nations, Inuit and Métis Nursing. Cultural Competence and Cultural Safety in Nursing Education
