Care with Cultural Humility: An Indigenous Actor Simulation on Discharge Teaching

Abstract : The goal of this actor simulation was to create scenarios that focus on the development of essential skills in undergraduate nursing students when providing discharge teaching on cast care to an Indigenous client with a fracture. The intention was that learners would enhance their critical thinking and clinical judgment skills to deliver care with cultural humility and centered on the person.

This simulation revolved around a 46-year-old Indigenous client with a fractured left ankle, hearing impairment, history of tobacco use, and ongoing issues with pain management. The two scenarios include an effective and ineffective example of providing care using the principles of cultural humility. The first scenario revolves around the delivery of care using a Western medicine perspective, while the second scenario embraces the client’s identified cultural practices in the delivery of care. Upon completion of the simulation, learners are invited to take part in a post-simulation debrief where learners consider the impact of elements of these two scenarios and their performance during the simulation on their evolving and future nursing practice.

Uniquely, this simulation involved learners and a member of the Indigenous community on the simulation development team from conception to completion. An Indigenous actor was also cast to play the main client role. Both the Indigenous community member and advisor of the development team, and actor were compensated for their participation. Overall, this simulation has brought forth the possibility for learners to appreciate the diverse experiences and challenges faced by different populations when accessing healthcare.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: The goal of this actor simulation was to create scenarios that focus on the development of essential skills in undergraduate nursing students when providing discharge teaching on cast care to an Indigenous client with a fracture. The intention was that learners would enhance their critical thinking and clinical judgment skills to deliver care with cultural humility and centered on the person.