Ka Muri, Ka Mua Indigenous Nursing: How the Past Can Inform Moving Into the Future

Area of Science:

• Nursing
• Indigenous Health
• Health Equity

Background:

• Indigenous nurses were historically marginalized and undervalued.
• Significant underrepresentation of Indigenous nurses persists, particularly Māori nurses in Aotearoa New Zealand.
• Colonization, racism, and suppression of Indigenous knowledge have shaped the landscape of Indigenous nursing.

Purpose of the Study:

• To examine 50 years of Indigenous nursing, highlighting progress and persistent inequities.
• To discuss the impact of historical and contemporary factors on Indigenous nurses.
• To acknowledge milestones and ongoing challenges in Indigenous nursing.

Main Methods:

• This is a reflective commentary.
• It draws on historical and contemporary contexts.
• It references key leadership and initiatives like Cultural Safety.

Main Results:

• While Indigenous nursing numbers have grown, significant underrepresentation remains.
• Structural and systemic barriers impede recruitment, retention, and integration of Indigenous worldviews.
• Indigenous nurses offer culturally grounded, holistic care, building trust with communities.

Conclusions:

• Indigenous nurses' scholarly contributions and collaborations are advancing Indigenous methodologies.
• Addressing inequity, racism, and structural injustice requires culturally responsive strategies.
• A collective commitment is needed to ensure equitable futures for Indigenous nursing and health.