What do nurse leaders need to know working with Indigenous communities

1. What do nurse leaders need to know
working with Indigenous
communities?
CNUR 301
Greg Riehl RN BScN MA
May 13 2020

2. From your text book
1. Identify the differences between your own
worldviews and Indigenous worldviews.
2. Critique how different worldviews affect
leadership decisions.
3. Recognize Indigenous leadership structures
within Indigenous communities.
4. Determine the advantages of working with
Indigenous community members.

3. From your text book
1. Describe the increasing complexity of health care needs in the
community and the implications of that complexity within our
current health system.
2. Explore the need for interprofessional collaboration in community
care.
3. Examine the importance of client and family engagement in their
care.
4. Identify parallels between leadership characteristics or styles and
interprofessional leadership within collaborative practice.
5. Determine specific skills and practices that support
interprofessional leadership and collaboration.
6. Recognize cornerstone components that can lead to successful
collaboration.
7. Explore relational dynamics of positive teams

4. WELCOME TO TREATY 4
"Our gathering (virtual) is being held on the traditional lands
of the Treaty Four people and I wish to acknowledge the
elders, knowledge keepers, as the traditional owners and
keepers for nurturing the sacred connection to the land and
one another that fosters healing and wholeness for all."

5. Land Acknowledgment - why
 Where did you and do you come from?
 Indigenous teachings-
– Humans not at the top of the hierarchy, focus on
balance with all creatures
 Land based programs and interventions
– Mentors mentees (the land is a mentor) are co-
learners

6. môniya:s
 Especially among North American Indians in
Canada: a newcomer.
 Origin - Late 19th century; earliest use found
in Dictionary Canadianisms. From Plains
Cree môniya:s non-Indian, white person,
diminutive of môniya:w from Southern
Algonquian mo:niya:winini from mo:niya
Montreal + -inini man.

7. The Value of Trust to Nursing.
Trust, one of nursing's intangible assets, impacts nurses'
ability to form meaningful relationships with patients and
this connection positively impacts health outcomes.
Linking trust to the fabric of nursing and investing in its
measurement will become essential to nursing's valuation
and the resulting investment in nursing. Trust, as
nursing's core value, should be fostered by nurse
educators as they prepare the next generation of nurses.
. . Nursing's trustworthiness is an intangible asset that
warrants protection, as trust once lost is hard to recapture

8. Image is Very Important p12 handbook
 Accountability, responsibility, respect for privacy and
confidentiality, and consent are among the
registered nurses’ ethical values (CNA, 2017).
Registered nurses must practice according to
professional standards and ethical, regulatory, and
legal codes (CASN, 2015; CNA, 2017; SRNA, 2013).
Leadership is an important aspect of professionalism
in nursing; nurses must act as a role model for the
intraprofessional nursing team, delegate to others,
influence and guide change, and understand the
importance of participating in professional
organizations (CASN, 2015; SRNA, 2013).

9. Image is Very Important

10. What is my role as an Ally working with
Indigenous communities?
 Am I an Ally? Who Decides?
 I am not Indigenous, but I work in Indigenous communities, research,
and I am joined by allied researchers
 Always include wise people
 Circles, not squares, not lines.
 Land based, seasonality, balanced approaches.

11. How to Be an Informed Indigenous
Ally
 Being an ally is not part of my identity but is part of an action
or a practice that I take
 Allies operate behind the scenes, it is not about taking credit, it
is about giving and supporting credit
 by Madison Burns
 Learn about Treaties
 Treaty 6 medicine chest clause to supply all that was required
to maintain proper health
 FSIN AFN ISC FNIHB TC NIHB BCR Red Tape White Tape
OCAP TRC UNDRIP TCPS Chapter 9 CIHR

12. Recognizing my Privilege.
 Firstly, to be an effective ally I need to recognize the privileges I may
(unknowingly) be benefitting from.
 As a true ally I am aware of my privilege and I am willing to speak up
about it without taking attention away from those who are marginalized.
 As a true ally this can only be decided by those who I am working with,
that is, it is not up to me at all.
 Really, I am aligning myself with others, it is an action, and an act of
doing something, and not something to be turned on or off when it is
convenient.

13. Coronavirus: Nurse's Photo Goes Viral and
Her Words Will Give You Goosebumps
 "I'm a nurse and in this situation, I am facing this sanitary emergency. I too am
scared, but not of going buying groceries, I am scared of going to work. I am
scared my mask is not sticking properly, or that I touched it with dirty gloves by
mistake, or maybe that lenses do not fully cover my eyes and something goes
through. I am physically exhausted because personal protective equipment hurts
my body, the white coat makes you sweat and after I dress myself I can't go to
the bathroom or even drink for 6 hours. I'm psychologically tired, and just like me
also all my coworkers, which have been working in this situation for weeks. But
this will not prevent us from doing our job as we have always done. I will keep
curing and caring after my patients, because I am proud and in love with my job.
What I am now asking to whoever is reading is not to make this effort vain.
Please be altruistic and stay home, so that you can protect those who are weak.
We young people are not immune to the coronavirus, we can get sick too, or
even worse, we can make others get the virus. I don't have the luxury of going
home in quarantine, I have to go to work and do my part. You do yours, I beg
you." - @alessiabonari_ (originally written in Italian, translated to English)

14. As a nurse someone is always
watching you…

15. Social Media
It is important to remember that social
media is not all bad. In fact, when used
correctly, medical professionals can use
social media to share important messages
about health and wellness.
Just like at any other job, talking negatively
about your place of business, or school,
could put a sour taste in the mouths of
management, or faculty, and you could find
yourself out of a job, or school.

16. Western Culture of Leadership

17. My Principles of Leadership
 Collaboration
 Consultation
 Communication
 Respect
 Intercultural Communication
 Patient/Student First
 Inclusion
 Mentorship & Partnership
 Professional Nursing Image
 Inter/Intra-professionalism
 To For With

19. Leadership differs
from management, we need
both at
different times.

21. Culture of Leadership
Culture - Everybody does it, everybody knows
about it, no one talks about it…
K. Bartholomew

23. From your text book
1. What do we mean by patient-centred care?
2. What is disease-centred care?
3. Which professionals are on a patient-
centred care team?
4. Why is it important to have multiple
professionals on a patient-centred team?

24. SRNA
 Vision
– Registered Nurses as partners in an Informed, Healthy
Society.
 Mission
– Competent, caring, knowledge-based registered nursing for
the people of Saskatchewan.
– Competent, ethical practice of registered nursing.
– Professional self-regulation for RNs and RN(NP)s.
– Practice environments conducive to safety and quality.
– Support for the Principles of Primary Health Care.
– Registered Nursing as a Leadership Profession.

25. OCAP
 What happens after the program, intervention?
 Cultural Teachings – drumming, singing, smudge, tobacco, whole
family, storytelling, sharing/talking circles,
 Cultural lens – more Indigenous and cultural approaches
 Cultural Continuity & Transformation Research, Social Continuity, and
Change
 Do not focus on the development of the research; do focus on the
development of the members of the Indigenous people
 Project Scope, ultimate benefits,
 Data collection, how to analyze multi methods of collection modalities
 GIS – mapping – OCAP, community should get software and own it
and use it and maintain this data and tools
 Indicators or markers of success – what will the program add to?

26. Health care - To For With
 Western thought – increase awareness of effects of colonialism BUT
most Indigenous populations already know about the effects
 Resiliency – bouncing back hopefully more than that – thriving,
striving, more than just surviving
 Actively include/recruit the underrepresented – gender, sexuality,
youth, marginalized, vulnerable, … those with low opportunity, hard to
reach, often this population is not represented
 Client centred –

27. You are a leader
 Your network connects you to others, but also
connects others to each other
 This is your value, and it is enhanced when your
network trusts you and your recommendations.
 Follow-up
 Allow networking to happen, but make sure you plant
the seed and nurture the relationship.

28. Platinum Rule
 Golden rule
 Platinum rule
 Trusting relationships
 Give more than people expect, never expect more than
you give
 Always leave on a high note, and leave anyplace better
than when you arrived

29. Nurses do not know everything
 There needs to be a link between all health
professionals that is respectful and client
centred.

30. Connections
 Don’t slam the door or burn the bridge
 DON’T BE AN ……….

31. Do you have any questions?

32. Contact information
Greg Riehl RN BScN MA
Indigenous Nursing Student Advisor
Indigenous Nursing Success Strategy
Saskatchewan Polytechnic
Regina Campus
Email: greg.riehl@saskpolytech.ca