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Artifact #1. A photo of an Indigenous Elder Performing a Smudging Ceremony

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Artifact #1. A photo of an Indigenous Elder Performing a Smudging Ceremony

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This photo holds profound meaning for me as it represents the strength and healing practices Indigenous peoples bring to healthcare despite the systemic challenges they face. Witnessing or learning about such ceremonies reminds me of the importance of creating spaces where cultural practices are honored, even within a healthcare setting. It inspires me to advocate for culturally safe environments where Indigenous professionals and patients feel valued and respected, fostering trust and improving outcomes.

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Artifact #2 Quote from Dr. Cindy Blackstock, a prominent Indigenous scholar and advocate for child welfare, from her work in advancing equity for Indigenous children in Canada

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Artifact #2 Quote from Dr. Cindy Blackstock, a prominent Indigenous scholar and advocate for child welfare, from her work in advancing equity for Indigenous children in Canada

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“Reconciliation means not having to say sorry twice.” This quote, often referenced in her speeches and writings, deeply resonates with me because it emphasizes the necessity of meaningful actions rather than superficial gestures in addressing historical and ongoing injustices. Dr. Blackstock’s advocacy highlights how systemic mistreatment and inequities faced by Indigenous people require lasting, proactive solutions rather than empty apologies. As a nursing student, this quote serves as a powerful reminder of my responsibility to not only recognize these injustices but also to actively work toward creating a healthcare environment rooted in equity and cultural safety. It inspires me to approach my future practice with a commitment to reconciliation that ensures tangible, impactful change for Indigenous colleagues and patients alike.

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Artifact #3 Beaded Stethoscope Lanyard Created by an Indigenous artist:

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Artifact #3 Beaded Stethoscope Lanyard Created by an Indigenous artist:

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This artifact symbolizes the integration of cultural identity into healthcare and highlights the resilience of Indigenous professionals who often face barriers in the workplace. The handcrafted detail reflects a connection to culture and community, which is central to Indigenous values. This artifact reminds me of the importance of celebrating diversity within healthcare teams and inspires me to advocate for workplaces where everyone feels respected and included.

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New Research on Mistreatment on Indigenous People in the Healthcare System

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New Research on Mistreatment on Indigenous People in the Healthcare System

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Links:

Article 1:https://journals.sagepub.com/doi/full/10.1177/11771801241235373

Article 2: https://search.informit.org/doi/abs/10.3316/ielapa.363028735038386

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Blackstock, C. (2016, February 17). Reconciliation means not having to say sorry twice: Implications of the historic ruling of the CHRT for reconciliation. Annie MacDonald Langstaff Lecture, McGill University, Faculty of Law.

Biddle, N., Howlett, M., Hunter, B., & Paradies, Y. (2013). Labour market and other discrimination facing Indigenous Australian. Australian Journal of Labour Economics, 16(1), 91-113.

D’souza, N. A., Field, M., Supino, T., Messer, M., Aleck, E., & Kirmayer, L. J. (2024). Mental health implementation research in Indigenous communities: creating culturally safe space to enhance collective strengths. AlterNative: An International Journal of Indigenous Peoples, 20(1), 194-204. https://doi.org/10.1177/11771801241235373

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In creating my collage, I drew on the Ways of Knowing—empirical, personal, aesthetic, and ethical—to express my vision for nursing marginalized communities with empathy and equity. This artwork holds deep meaning for me as it reflects my personal identity and commitment to inclusive care. Empirical knowing helped me highlight groups such as Black women, Indigenous elders, and LGBTQ+ individuals, whose documented health disparities resonate with my desire to address systemic inequalities. Personal knowing allowed me to draw from my experiences as a racialized individual, fostering a profound empathy for others facing similar struggles. The pride flag and imagery of reaching hands symbolize my commitment to advocating for dignity and social justice. Ethical knowing provided a moral foundation, reinforcing my responsibility to challenge injustices within healthcare. Relational Inquiry tied it all together, emphasizing how each individual’s unique social and cultural context shapes their health outcomes. This interconnectedness reflects my belief that effective nursing extends beyond addressing medical needs—it involves engaging with structural and social forces that influence well-being. Ultimately, this collage is a deeply personal representation of my journey as a student nurse. It captures my passion for creating equitable healthcare environments and reminds me of my dedication to championing dignity, understanding, and justice for all patients. This piece motivates me to remain vigilant in my advocacy and provides a visual reminder of the values that will guide me throughout my nursing career.

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Artifact #2: Excerpt from the book "The Spirit Catches You and You Fall Down

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Artifact #2: Excerpt from the book "The Spirit Catches You and You Fall Down

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“Neil felt that Nao Kao put up a ‘stone wall’ and was sometimes deliberately deceitful. Peggy felt that Foua was ‘either very stupid or a loonybird’ because her answers, even on those occasions when they were accurately translated. Often didn’t make sense. Neither doctor could tell how much of their inability to get through was caused by what they perceived as defects of intelligence or moral character, and how much was caused by cultural barriers.” (Fadiman, 1997)

This excerpt from The Spirit Catches You and You Fall Down holds significant meaning as it highlights the severe consequences of cultural misunderstandings in healthcare. The story of Lia Lee, a Hmong child with epilepsy, and her family's struggles with the American healthcare system, illustrates how a lack of cultural sensitivity and communication can lead to tragic outcomes. This particularly poignant moment in the book is where Neil and Peggy misinterpret the behaviors of Nao Kao and Foua highlights how cultural barriers can be misread as personal flaws. Neil feels that Nao Kao is putting up a “stone wall,” while Peggy perceives Foua as “either very stupid or a loonybird” due to communication difficulties. This misunderstanding emphasizes the importance of recognizing cultural differences in healthcare, reminding me to approach patients with empathy, understanding, and cultural humility to avoid similar misjudgments in my practice. This artifact serves as a reminder for me to prioritize cultural humility, deeply listen to patients and their families, and strive for better communication and understanding in my practice.

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New Research On Marginalization In the Healthcare System

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New Research On Marginalization In the Healthcare System

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Link to Article #1: https://pmc.ncbi.nlm.nih.gov/articles/PMC3140753/

Link to Article: #2: https://pmc.ncbi.nlm.nih.gov/articles/PMC5915910/

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Taylor, J., & Nolan, L. (2021). Health disparities and the role of implicit bias in healthcare delivery.

Howell, E. A., & Zeitlin, J. (2020). Reducing disparities in severe maternal morbidity and mortality: Global lessons for the US healthcare system.

Fadiman, A. (1997). The spirit catches you and you fall down: A Hmong child, her American doctors, and the collision of two cultures. Farrar, Straus and Giroux.

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Artifact #1: Certificate of Completion for Trauma Informed Care Principles

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Artifact #1: Certificate of Completion for Trauma Informed Care Principles

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This artifact holds great personal significance as it represents my commitment to understanding and applying trauma-informed care principles in nursing practice. Receiving this certificate is a milestone in my education, marking my dedication to learning about the profound impact trauma has on individuals, particularly in healthcare settings. Trauma-informed care emphasizes understanding the prevalence and effects of trauma and recognizing how these experiences shape a patient's physical, emotional, and psychological health. The certificate reminds me that, as a nurse, it’s crucial to approach every patient with empathy, patience, and awareness of their past experiences, recognizing that trauma can affect how they respond to care. It emphasizes the importance of creating a safe, supportive environment where patients feel respected and heard, fostering trust and improving care outcomes. This is especially important in maternal-child care, where patients may face past trauma related to childbirth, abuse, or systemic discrimination. It also applies to mental health care, where trauma often plays a key role in patients' conditions. The knowledge gained from this certificate allows me to better advocate for patients who may have been silenced or ignored in the past due to their trauma. It drives me to challenge traditional, often paternalistic, healthcare approaches and shift toward one that respects the whole person. As I continue my nursing journey, this artifact reminds me that integrating trauma-informed practices is not only a skill but a moral obligation to provide compassionate, patient-centered care.

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Artifact #2: Patient Testimony Video Clip:

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Artifact #2: Patient Testimony Video Clip:

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This video resonates with me because it offers a firsthand account of how trauma-informed care can transform a patient’s experience. Hearing a patient describe feeling safe and understood reinforces the value of this approach in nursing practice. It reminds me of the impact I can have on a patient’s recovery and encourages me to incorporate trauma-informed principles into my care.

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Artifact #3: Lyrics from "Rise Up" by Andra Day

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Artifact #3: Lyrics from "Rise Up" by Andra Day

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When the silence isn't quiet
And it feels like it's getting hard to breathe
And I know you feel like dying
But I promise we'll take the world to its feet
And move mountains
Bring it to its feet
And move mountains

And I'll rise up
I'll rise like the day
I'll rise up
I'll rise unafraid
I'll rise up
And I'll do it a thousand times again

For you
For you
For you
For you

All we need, all we need is hope
And for that we have each other
And for that we have each other
And we will rise
We will rise
We'll rise, oh, oh
We'll rise

I'll rise up

(Day, 2015)

These lyrics hold personal meaning for me as they symbolize resilience and hope, two qualities that trauma-informed care seeks to nurture in patients. The song inspires me to remain compassionate and patient, recognizing that every individual’s journey is unique. It serves as a reminder that my role as a nurse is not just to provide medical care but also to be a source of encouragement and support for those in need.

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Article 1 Link: https://psycnet.apa.org/record/2021-45632-001

Article 2 Link: https://journals.sagepub.com/doi/abs/10.1177/1524838018791304?casa_token=Y8uGS0OtIQ0AAAAA:bzIvuFTk0PDECOqj44ZuOgR1r9DNb4z73djpW7oR2enCzOwkLU38Pr17ccDhAGc5qdCsm57Zto-DGrk&casa_token=IG27Ow3oz_MAAAAA:nD29k7-338_G22OJw3FQ0ySquh06DMhudalQ4J7LKCDoV06-I_ZZFNvzvC5K2-XQMDUPoYzUf5ddehM

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Day, A. (2015). Rise up [Song]. In Cheers to the fall. Warner Bros. Records

Purtle, J. (2020). Systematic review of trauma-informed care training in healthcare settings.

Raja, Sheela, Emily P. Rabinowitz, and Matt J. Gray. "Universal screening and trauma informed care: Current concerns and future directions." Families, Systems, & Health 39.3 (2021): 526.

Purtle, J. (2020). Systematic review of evaluations of trauma-informed organizational interventions that include staff trainings. Trauma, Violence, & Abuse, 21(4), 725-740.

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This visual is significant because it provides a clear framework for incorporating relational inquiry into my practice. It reminds me of the importance of considering the broader social, cultural, and systemic factors that influence patient care. This artifact inspires me to approach every patient interaction with curiosity and openness, fostering better communication and understanding.

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Artifact #2:  Team Photo from a Nursing Simulation

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Artifact #2:  Team Photo from a Nursing Simulation

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This photo holds meaning for me because it highlights the collaborative nature of relational inquiry. While this isn't my photo, working as part of a team during the simulation showed me the value of strong relationships among healthcare professionals in providing effective patient care. It reminds me of the importance of teamwork and communication in achieving positive outcomes.

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Link to Article 1: https://books.google.ca/books?hl=en&lr=&id=uZ76DwAAQBAJ&oi=fnd&pg=PT20&dq=Hartrick+Doane,+G.,+%26+Varcoe,+C.+(2021).+Relational+inquiry+for+nursing+practice:+Developing+relational+consciousness.&ots=Oznfy7Ug79&sig=5Yq8ILV8AUJmjIjCVvq2MN6QKSw

Link to Article 2: https://pubmed.ncbi.nlm.nih.gov/34547956/

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Manankil-Rankin L, Schwind JK, Aksenchuk S. Understanding How Nursing Students Experience Becoming Relational Practitioners: A Narrative Inquiry. Can J Nurs Res. 2022 Sep;54(3):272-282. doi: 10.1177/08445621211034358. Epub 2021 Sep 21. PMID: 34547956; PMCID: PMC9379380.

Doane, G. H., & Varcoe, C. (2020). How to nurse: Relational inquiry in action. Lippincott Williams & Wilkins.

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Artifact #2: Clip of a Lullaby in Croatian Culture 

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Artifact #2: Clip of a Lullaby in Croatian Culture 

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This artifact resonates with me because it symbolizes the universal connection between mother and child, transcending cultural differences. It reminds me of the importance of finding common ground with patients and using that connection to provide compassionate, culturally sensitive care. This artifact inspires me to continue learning about diverse cultural practices to better support the patients and families I serve.

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Lullabies from Around the World - Croatia

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New Research on Cultural Humility in Maternal Child Nursing

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New Research on Cultural Humility in Maternal Child Nursing

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This photo is meaningful to me as it celebrates the beauty of cultural diversity in maternal-child nursing. It serves as a reminder that every patient’s experience is shaped by their cultural beliefs and practices. This artifact inspires me to approach each patient with curiosity and respect, ensuring that their cultural values are honored in their care.

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Tervalon, M., & Murray-García, J. (2020). Cultural humility versus cultural competence: A paradigm shift in healthcare education and delivery.

Beavis, A. S. W., et al. (2021). Culturally safe care in maternal-child health: Perspectives from Indigenous women.