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The Relevance of Indigenous Knowledge for Nursing Curriculum

  • Della Stansfield and Annette J. Browne EMAIL logo
Published/Copyright: June 25, 2013

Abstract

Indigenous knowledge (IK) has the potential to complement the dominant epistemologies central to nursing curricula. Acknowledging IK as a thriving set of worldviews, we discuss how nursing educators might access and integrate IK in ways that are respectful and sustainable. IK is highlighted as an entry point for understanding concepts such as cultural safety, ethical space, and relational practice and as a strength-based approach to learning about Aboriginal people’s health. As with any use of knowledge, consideration must be given to issues of ownership, misappropriation, institutional responsibility, Indigenous protocol, and the creation of partnerships. Recommendations are provided for educators wishing to explore how to incorporate IK into nursing curriculum. With appropriate partnerships, protocols, and processes in place, the incorporation of IK may provide educators and students an opportunity to explore divergent epistemologies, philosophies, and worldviews, thereby encouraging broader perspectives about the world, ways of being, various types of knowledge, and nursing care.

Acknowledgements

Thank you to Mary Kelly for her thoughtful approach to the editorial work she engaged in with us as we prepared this paper.

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  1. 1

    Epistemology can be understood as “the nature, source, scope and justification of knowledge” (Turner, 2011, p. 171).

  2. 2

    In Canada, the term Indigenous and Aboriginal refers to First Nations, Métis, and Inuit people, who comprise diverse “organic political and cultural entities that stem historically from the original peoples of North America, rather than collections of individuals united by so-called ‘racial’ characteristics” (Royal Commission on Aboriginal People’s, 1996, p. xii). We employ the terms Indigenous and Aboriginal to refer to all persons in Canada identifying as First Nations, Métis, or Inuit, status or non-status; however, this does not imply that these groups hold the same history, culture, identity, strengths, beliefs, knowledges, or educational desires.

  3. 3

    The term postcolonial does not imply that colonialism is a past era – or that our society has moved beyond colonialism. Rather, postcolonialism is used to refer to ongoing and new forms of colonialism that continue to be reproduced in current times (Browne, Smye & Varcoe, 2005; McConaghy, 2000).

  4. 4

    The ANAC was formed in Canada in 1975 as a non-governmental, non-profit organization concerned with improving the health of Aboriginal communities (ANAC website, http://www.anac.on.ca/).

  5. 5

    The concept of structural violence is increasingly seen in population and public health as a major determinant of the distribution and outcomes of health inequities (Browne et al., 2012). Paul Farmer (1993) defines it as “a host of offensives against human dignity: extreme and relative poverty, social inequalities ranging from racism to gender inequality, and the more spectacular forms of violence” (p. 8). The health of Aboriginal people’s in Canada can serve as a case in point (Browne et al., 2012): although overall health status has improved in recent years, inequities persist on virtually every measure of health and social status, including lower life expectancy, decreased access to health services, and disproportionately high rates of preventable, chronic, and acute health conditions (Adelson, 2005; Dion Stout, 2012; Haskell & Randall, 2009).

  6. 6

    The CIHR is Canada’s national health research funding agency.

  7. 7

    Elder as a designation is specific to particular communities and nations. Elders are not necessarily defined by age, and not all older people will be considered Elders. Rather, Elders are often those who show leadership in the community and have expertise or knowledge in particular areas (Barnhardt & Kawagley, 2005; Varcoe, Bottorff, Carey, Sullivan, & Williams, 2010).

Published Online: 2013-06-25

©2013 by Walter de Gruyter Berlin / Boston

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