title: A critical lens on culture in nursing practice.
abstract: Increasing evidence demonstrates that the Aboriginal population experience greater health disparities and receive a lower quality of health care services. The Canadian Nurses Association (CNA) code of ethics states that nurses are required to incorporate culture into all domains of their nursing practice and ethical care. The aim of this article is to examine the concepts of cultural competency and cultural safety by way of relational ethics. To address these disparities in health care, cultural competency training programs are being widely advised. Recent research into cultural safety has not only recognized the importance of culture in nursing practice and organizational structures, but also extended the concepts to the culture of the client. In recognizing this diversity, nurses must pay close attention to their relationships with their clients. It is argued that the answers lie in relational ethics, which honors indigenous people's connection to self, others, the environment, and the universe.
authors.affiliation: Faculty of Nursing, University of Alberta, Canada. rbourque@ualberta.ca
authors.forename: R Lisa
authors.initials: RL
authors.lastname: Bourque Bearskin
mesh_terms: D002170:Canada; D054521:Cultural Competency; D006303:Health Services, Indigenous / Q000458:organization & administration*; D054625:Healthcare Disparities; D006801:Humans; D007198:Indians, North American; D009723:Nurse-Patient Relations / Q000941:ethics*; D015404:Nursing Methodology Research; D016746:Transcultural Nursing / Q000193:education