The goal of Chapter nine is to assist nurses to engage in a morally inclusive
practice. A morally inclusive practice celebrates what people have in common as well
as their differences. Diversity reflects variations in belief systems and ways of living
and permeates everything that we do. Nurses are advised to diligently avoid
stereotyping, which is expecting all people from a particular group to respond in a
certain way based on perceived ideas. Systemic racism reinforces unfair inequalities
among ethnic or racial groups and is a serious problem in health care. Education is the
key to changing this culture. It is pointed out how Colonialism and Canadian
residential schools resulted in historical trauma to Indigenous peoples that still
negatively impacts large numbers of people. The Truth & Reconciliation Commission
of Canada (TRCC) (2015) made a specific recommendation that Canadian medical and
nursing schools include a mandatory course covering Aboriginal health issues.
Applying the principles of trauma-informed care (TIC), cultural safety and cultural
humility are recommended to help nurses be empathetic. Bullying is identified as a
negative but harsh reality in nursing. Witnesses of bullying are asked to intervene to
end bullying behaviours. A proposed Code of Conduct to encourage inclusion in
nursing is recommended. The Chapter ends with a Case in Point: The Sinclair Case:
Ignored to Death.
Keywords: Bullying, Culture, Cultural competence, Cultural awareness, Cultural
sensitivity, Cultural safety, Colonialism, Cultural humility, Civility, Diversity,
Ethnicity, Emotional intelligence, Inclusive practice, Incivility, Indigenous
peoples, Racialized ethnicity, Residential Schools, Resiliency, Relationship-based
care, Systemic racism, The Truth & Reconciliation Commission of Canada, The
United Nations Declaration on the Rights and Freedom of Indigenous Peoples,
Trauma-informed care, Trauma-sensitive, Trauma-responsiveness.
