Developing a Practice Standard to Address Indigenous-Specific Racism in Healthcare: A Case Study

Racism in healthcare directed toward Indigenous Peoples in Canada is an ongoing issue resulting in significant disparities in morbidity and mortality. The British Columbia College of Nurses and Midwives (BCCNM) is the health profession regulatory college for all nursing designations and registered midwives. In 2021-2022, BCCNM developed and implemented the Indigenous Cultural Safety, Cultural Humility, and Anti-Racism practice standard, the first of its kind in Canada, which applies to all British Columbia nursing and midwifery registrants. This case study describes the policy development process and lessons learned for developing the Indigenous Cultural Safety, Cultural Humility, and Anti-Racism practice standard.