The United States Does CAIR About Cultural Safety: Examining Cultural Safety Within Indigenous Health Contexts in Canada and the United States

Francine Darroch, Audrey Giles, Priscilla R Sanderson, Lauren Brooks-Cleator, Anna Schwartz, Darold Joseph, Roger Nosker

Research output: Contribution to journalArticle

5 Scopus citations


Purpose: This article examines the concept and use of the term cultural safety in Canada and the United States. Design: To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations. Findings: The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence. Discussion: Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety—despite not using the language. Conclusions: We recommend that health care providers and health researchers consider the tenets of cultural safety. Implications for Practice: To address health disparities between American Indian populations and non–American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.

Original languageEnglish (US)
Pages (from-to)269-277
Number of pages9
JournalJournal of Transcultural Nursing
Issue number3
StatePublished - 2017



  • cultural competence
  • cultural safety
  • participatory research

ASJC Scopus subject areas

  • Nursing(all)

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