Cultural Safety Concepts

The first key objective in fulfilling the College’s commitment to cultural humility and safety is to change and influence the values and attitudes of both its registrants and staff. This involves embedding the concepts and principles of cultural humility and safety into the College’s current internal processes. The College will also build on the First Nations Health Authority’s #ItStartsWithMe campaign to build awareness of cultural humility and safety, while encouraging pharmacy professionals and staff to reflect on cultural humility and safety and make a pledge as part of the campaign. Leadership from the College Board and executive will help set an example for pharmacy professionals and staff by demonstrating their commitment through participation in cultural safety activities.

Activity	Deliverables	Progress
Board member education on the concepts and principles of cultural humility and safety	Integrate the First Nations Health Authority’s cultural safety and humility webinars and the National Indigenous Cultural Safety Learning Series webinars into the Board’s annual orientation. Recommend Board members to complete the provincial San’yas Indigenous Cultural Safety Training. Encourage Board members to read the Truth and Reconciliation report and the Health Inequalities and Social Determinants of Aboriginal Peoples’ Health report.	In Progress – A College Board Cultural Safety and Humility content package is under development. The package will include: BC Health Regulators Declaration of Commitment to Cultural Safety and Humility in the Regulation of Health Professionals First Nations Health Authority’s Policy Statement on Cultural Safety and Humility Our Commitment to Cultural Humility (College Strategy) Cultural Safety and Humility Definitions Relevant webinars including the cultural safety and humility webinar series from FNHA and the National Indigenous Cultural Safety Learning Series webinars Recommended reading materials including the Truth and Reconciliation report and the Health Inequalities and Social Determinants of Aboriginal Peoples’ Health report Information on the San’yas Indigenous Cultural Safety Training including that the College can cover the cost of the course if requested. First Nations Health Authority’s Creating a Climate for Change Resource Booklet Information on how to make a cultural safety and humility pledge and join into the #itstartswith me campaign The Cultural Safety and Humility content package will included in the College Board’s intranet and included in the College Board’s orientation package.
Board members make a cultural safety and humility pledge as part of the “#ItStartsWithMe” campaign.	Board members and their cultural humility pledges captured through photos and shared online through ReadLinks and the “#ItStartsWithMe” Campaign	In Progress – While some College Board members have already made pledges, the College plans to encourage and provide information on how to participate in the campaign following completion of the College Board Cultural Safety and Humility content package.
Build on the Frist Nations Health Authority’s “#ItStartsWithMe” campaign to engage more pharmacist and pharmacy technicians	College extension of “#ItStartsWithMe” campaign with a focus on pharmacist and pharmacy technicians commitment to cultural safety and humility, including: ReadLinks articles to build awareness of cultural safety and humility concepts and principles and encourage “#ItStartsWithMe” pledges “#ItStartsWithMe” graphics and posts across all social media channels to build awareness of cultural safety and humility and encourage pharmacy professionals to make a cultural safety and humility pledge	In Progress – The College has joined into the #itstartswithme campaign primarily through social media. Moving forward the College intends to build greater awareness of the #istartswithme campaign with pharmacy professionals and the public through ReadLinks articles, and social posts and presentations.
Building staff awareness and understanding of cultural safety and humility	Sharing cultural safety and humility information, resources and events with staff through the College’s intranet.	In Progress – The College has begun sharing cultural safety and humility content with staff through its employee intranet. Moving forward the College plans on providing more information and resources, and sharing more cultural humility events through the College’s intranet and other communication methods.
Integrate cultural safety and humility into organizational policies	Develop a cultural safety and humility policy to be included in the College’s employee handbook. Support cultural safety and humility through the College’s wellness plan (currently under development).	In Progress – The College has developed a Workplace Diversity Policy and a Health and Wellness Policy which have been added into the College’s employee handbook. The Workplace Diversity Policy provides a definition and sets out expectations relating to workplace diversity. As part of this policy, in accordance with the Employment Equity Act, the College will make reasonable efforts to ensure that it is a representative employer of women and men, members of visible minority groups, people with disabilities and First Nations and Aboriginal Peoples at all the organization’s operations. The College will endeavor, where feasible, to make every effort to equalize the under-utilization of designated target groups. In order to establish a working environment that respects and values differences, the College is also committed to fostering open communication by sharing information and resources on diversity (including information on cultural safety and humility) with all its employees and stakeholders; and providing applicable educational programs relating to diversity management. Moving forward the College will continue to review and assess where organizational policies may need to be revised or developed to support cultural humility and safety for First Nations and Aboriginal Peoples.
Integrate cultural safety and humility into new staff onboarding process	Highlight the College’s commitment to cultural safety and humility when onboarding new staff including sharing the policy in the employee handbook. Encourage new staff to learn about and reflect on cultural safety by sharing resources (such as the cultural safety and humility webinars) and encourage new staff to make a cultural safety and humility pledge as part of the “#ItStartsWithMe” campaign. Include employment equity our recruitment strategy.	In Progress – The College’s new Workplace Diversity Policy includes expectations for employment equity. All job postings now reflect the College’s diversity commitment. Moving forward the College will be working on developing its approach for ensuring staff are aware of our commitment and are encouraged to learn about cultural safety and humility, including participation in the #itstartswithme campaign.
Demonstrated leadership and public acknowledgement of commitment to cultural safety and humility	Incorporate of College’s commitment to cultural safety and humility into all public reports and presentations. Recognize indigenous lands we are speaking on through a land acknowledgement.	Completed – The College has updated its processes to ensure it recognizes indigenous lands we are speaking on through a land acknowledgement and has incorporated its commitment to cultural safety and humility into all public reports and presentations.

Partnership and Engagement

In order to inform our transition to a more culturally inclusive healthcare environment for BC’s First Nations and Aboriginal People, the College will focus efforts toward building and strengthening relationships with local communities to involve them in the decisions that affect them.

Activity	Deliverables	Progress
Include First Nation’s groups in decisions that affect them	Identify, engage and partner with First Nations groups and organizations to reach out to and hear from more First Nations stakeholders. Produce engagement packages to help First Nation’s groups share engagement opportunities with the College. Collaborate on cross-social media promotion to strengthen relationships with local communities and involve them in College engagements.	In Progress – the College has begun to identify ways it can engage and partner with more First Nations and Aboriginal People in its consultations.
Partner and participate in Day of Wellness	Work with First Nations Health Authority to build awareness of the Day of Wellness with pharmacy professionals and patients across BC. Join into the online Day of Wellness campaign through social media and ReadLinks articles. Participate in local Day of Wellness events when possible.	In Progress – The College helped build awareness of ways to participate in the Day of Wellness with pharmacy professionals and the public through joining into the social media campaign. The College also featured the Day of Wellness through its employee intranet. Moving forward, the College plans to work more closely with the First Nations Health Authority to build greater awareness of the Day of Wellness, and encourage pharmacy professionals, patients, staff and Board members to participate in Day of Wellness events using various communications methods.
Engage with First Nations in their communities	When possible, participate in First Nations’ events that contribute to building cultural safety and humility. Use events to engage with First Nations patients, learn about local First Nations, and build awareness of the College’s role in protecting public safety and our commitment to help provide culturally safe health services for First Nations and Aboriginal people in BC.	Ongoing – In February 2018, the College was fortunate to be a part of the first Mental Health and Wellness Summit hosted by the First Nations Health Authority. We used this opportunity to talk with the public and members of BC’s First Nations Community about our commitment to improving BC pharmacy professionals’ work with First Nations and Aboriginal Peoples, and build awareness of the College’s role in protecting patient safety. We also encouraged attendees to share their thoughts on what cultural safety and humility within BC Pharmacies looks like to them so that we might share their responses with our registrants.
Build organizational awareness of First Nations cultural celebrations and events	Share First Nations cultural celebrations and events through the College’s intranet.	Not Started – Moving forward the College will learn more about First Nations cultural celebrations and events to increase our organizational awareness.

Learning, Knowledge Exchange & Quality Health

In order to address the healthcare service gaps and unmet needs of BC’s First Nations population, the College will work to build the principles of cultural humility and safety into its communications messaging and training requirements. This process will involve conducting culturally safe research respecting ceremony and tradition and encouraging pharmacy professionals to learn about and reflect on the best practices for cultural safety and humility in service delivery.

Activity	Deliverables	Progress
Reflect on our cultural safety and humility progress	Report on activities to improved cultural safety and humility within our Annual Report, including number of: pledges made webinars participated in by College staff and Board events attended to engage with First Nations, articles and educational materials releases hours committed in work associated with improving cultural safety and humility ReadLinks articles that capture the organization’s reflection and successes on cultural safety and humility, including Board member reflections on their pledges where possible.	In Progress – The College featured the Declaration of Cultural Safety and Humility in Health Services Delivery for First Nations and Aboriginal Peoples in BC and its pledge to improving BC pharmacy professionals’ work with First Nations and Aboriginal Peoples in the College’s 2016/17 Annual Report. The College’s 2017/18 Annual Report sets out a new annual process of reflecting on progress towards meeting our commitments each year.
Build pharmacy professional and patient awareness of cultural humility, cultural safety and systematic racism	Establish ReadLinks series on cultural safety, humility to build understanding of the concepts and principles, educate pharmacy professionals and patients and identify how to prevent instances of systematic racism. The series will feature: First Nations Health Authority cultural humility webinars other cultural safety and humility training opportunities, such as the San'yas Indigenous Cultural Safety Training. insight into First Nation’s culture and communities across BC important statistics and information about First Nations people that dramatically differ and what the numbers are social media to promote the series with pharmacy professionals and patients Continue to expand the information and resources available on the dedicated cultural safety and humility landing page bcpharmacists.org/humility	In Progress – The College has published some ReadLinks articles and established a dedicated landing page at bcpharmacists.org/humility to share cultural safety and humility information with pharmacy professionals and patients. Moving forward the College will be developing and recruiting more articles for the ReadLinks Series and adding additional resources to the landing page.
Build organizational awareness of cultural humility, cultural safety and systematic racism	Establish Lunch and Learns for College staff to learn about cultural safety, humility and systematic racism using First Nations Health Authority cultural humility webinars and discussion questions to encourage reflection. Establish a cultural safety and humility article series for the College’s intranet to share information about First Nation’s culture and communities and educational resources with staff.	Not Started – Moving forward the College will be developing and sharing more resources with College staff through the employee intranet as well as through Lunch and Learns.

Activity

Deliverables

Progress

Reflect on our cultural safety and humility progress

Report on activities to improved cultural safety and humility within our Annual Report, including number of:
- pledges made
- webinars participated in by College staff and Board
- events attended to engage with First Nations,
- articles and educational materials releases
- hours committed in work associated with improving cultural safety and humility
ReadLinks articles that capture the organization’s reflection and successes on cultural safety and humility, including Board member reflections on their pledges where possible.

In Progress – The College featured the Declaration of Cultural Safety and Humility in Health Services Delivery for First Nations and Aboriginal Peoples in BC and its pledge to improving BC pharmacy professionals’ work with First Nations and Aboriginal Peoples in the College’s 2016/17 Annual Report.

The College’s 2017/18 Annual Report sets out a new annual process of reflecting on progress towards meeting our commitments each year.

Build pharmacy professional and patient awareness of cultural humility, cultural safety and systematic racism

Establish ReadLinks series on cultural safety, humility to build understanding of the concepts and principles, educate pharmacy professionals and patients and identify how to prevent instances of systematic racism. The series will feature:
- First Nations Health Authority cultural humility webinars
- other cultural safety and humility training opportunities, such as the San'yas Indigenous Cultural Safety Training.
- insight into First Nation’s culture and communities across BC
- important statistics and information about First Nations people that dramatically differ and what the numbers are
- social media to promote the series with pharmacy professionals and patients
Continue to expand the information and resources available on the dedicated cultural safety and humility landing page bcpharmacists.org/humility

In Progress – The College has published some ReadLinks articles and established a dedicated landing page at bcpharmacists.org/humility to share cultural safety and humility information with pharmacy professionals and patients.

Moving forward the College will be developing and recruiting more articles for the ReadLinks Series and adding additional resources to the landing page.

Build organizational awareness of cultural humility, cultural safety and systematic racism

Establish Lunch and Learns for College staff to learn about cultural safety, humility and systematic racism using First Nations Health Authority cultural humility webinars and discussion questions to encourage reflection.
Establish a cultural safety and humility article series for the College’s intranet to share information about First Nation’s culture and communities and educational resources with staff.

Not Started – Moving forward the College will be developing and sharing more resources with College staff through the employee intranet as well as through Lunch and Learns.