Cultural safety in practice: Providing quality health care for First Nations, Inuit, and Métis children and youth

Abstract In Canada, cultural safety in health care has emerged in response to the racism and systemic discrimination that Indigenous peoples often face when accessing care. Grounded in cultural humility, antiracism, and trauma-informed care, cultural safety aims to ensure that Indigenous children and youth receive equitable, quality care. While understanding the principles of cultural safety is important, this statement focuses on applying these concepts in daily practice. Paediatric health care providers can pursue building a culturally safe practice by applying the ‘learn, self-reflect, and act’ framework. They should also consider the home environment, language, and cultural heritage of each child, youth, and family seen in practice, alongside the barriers to and facilitators of healthy living that Indigenous children and youth experience in Canada. Being mindful of health care system policies and practices—and how they affect patient care both locally and historically—is an important step toward offering culturally safe care in any practice setting.