Evidence of meeting #28 for Indigenous and Northern Affairs in the 42nd Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was communities.

A video is available from Parliament.

On the agenda

MPs speaking

Also speaking

Marion Crowe  Executive Director, First Nations Health Managers Association
Calvin Morrisseau  Board of Directors, Executive and Ontario Representative, First Nations Health Managers Association
Lisa Bourque Bearskin  President, Canadian Indigenous Nurses Association
Lindsay Jones  Indigenous Nursing Student, Canadian Indigenous Nurses Association

4:25 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

Great, Cathy. Yes, I'm very new to Thompson Rivers. I was very excited to come to the university here. They recruited me here very aggressively because of their program on indigenous health research.

When I look at health careers across the board, yes, you're absolutely right. I totally agree with you. Those whom we're targeting at 90%, sometimes book smart does not translate into a really good, awesome bedside nurse.

One of the things I advocate for is this pathway to health careers, starting them in grade 3 and 4, teaching them that medical terminology, levelling it up so by the time they get to grade 7 they have a little more knowledge. They do the anatomy and physiology. There's a really good way to strengthen that so we could create a pipeline from high school into a health career position. They do health career for 27 weeks. They work and take care of their families. They go back, and they do the LPN for two years. Then we create the pipeline further and extend it into the registered nursing program and the baccalaureate program.

Right now, as you know, Thompson Rivers has committed to developing the first indigenous master's program in the country. It will have a specific focus on indigenous nursing leadership. I think that's really telling. As I mentioned earlier, our indigenous nursing pool is a really untapped resource. You have an expertise here to fill a gap. We know they are the most trusted health professionals in our community. Our communities see that too. We are at the bedside, in the alleys, in the back of cars. We have that relationship with our youth. We have to start building that bridge strongly, looking at equity seats and equity funding.

I know TRU has an aboriginal health careers program here. Circulating in some of the communities here was interesting. I asked students how come we don't have more aboriginal students. They believe they are not smart enough. I talked to three or four adults in the last two weeks, trying to encourage them to go into an LPN program. They are mature students, and I always use my own life example.

I was a single parent with four kids, and I went through every health career program from the time I was 18, and I just finished my Ph.D. in 2014. I was able to be a better health care provider with the school because I was able to navigate around my classes. I ended up being at home for my children more so than if I were committed to doing a 12-hour shift.

That for me is a dream, and I think a lot of kids come with life experience already. They know how to get their grannies to the doctors, how to interact with the emergency services. They know all about emergency by the time they are 12 years old. They are already navigating the system and the health care system at a very young age. I think we can draw on those strengths.

4:30 p.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

Thank you.

I was only 30 years old. I better correct that for the record.

4:30 p.m.

Liberal

The Chair Liberal Andy Fillmore

Cathy, I'm so sorry. You're out of time. It was a five-minute question, and we're over five.

4:30 p.m.

Conservative

Arnold Viersen Conservative Peace River—Westlock, AB

Five minutes is short.

4:30 p.m.

Liberal

The Chair Liberal Andy Fillmore

Yes, they go fast.

4:30 p.m.

Conservative

Cathy McLeod Conservative Kamloops—Thompson—Cariboo, BC

Thank you.

4:30 p.m.

Liberal

The Chair Liberal Andy Fillmore

The next question is from Mike Bossio, please.

October 17th, 2016 / 4:30 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Thank you all so much for being here today. We really appreciate the discussion.

There are 9,000 nurses in the Canadian Indigenous Nurses Association. I assume all 9,000 are indigenous.

4:30 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

We do not have 9,000 members as part of our organization. We have under 200.

4:30 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

I'm sorry. I thought I had heard that number somewhere.

4:30 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

We have the potential to reach 9,000 nurses.

4:30 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Okay. If you were to fully staff all indigenous communities, do you estimate it would take 9,000 nurses to do so? Is that where the 9,000 number comes from?

4:30 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

The 9,000 is a number that was collected through the 2011 community health survey where it was self-reported whether or not they were registered nurses. A question on that survey asked if you were aboriginal and a registered nurse. That's where the number comes from. I'm saying there's that potential for us to reach those numbers.

One of the historical things about CINA is people see us as a home base where they are able to be supported by other indigenous nurses with that same mindset.

Yes, we only have 200, and we have no public funding, no core funding to keep us. We're all registered nurses working full time, working off the sides of our desks to do this voluntarily.

4:30 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Thank you.

Marion, maybe you could help with this. Do we have an idea as to how many nurses there are in indigenous communities today and what percentage of those nurses are indigenous?

4:30 p.m.

Executive Director, First Nations Health Managers Association

Marion Crowe

Thank you for that question, but I would go respectfully to my colleague, Lisa, to answer the question about how many indigenous nurses are required across Canada.

Lisa.

4:30 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

If you're just looking at the first nations communities, in each of the communities, to be truly effective, as Marion suggested, it depends on the size. If we have 655 indigenous first nations communities, then you need to at least create a support system to do that work, so three to four nurses in each of those communities. The needs are huge for what we can do and what we need for the system. If you have the numbers that we were—

4:35 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Sorry, I apologize for cutting you off, but I don't want to run out of my five minutes. Do we know how many nurses we have today supporting indigenous communities?

4:35 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

No. That's one of the issues that CINA would like to entertain. We want to do an official count of how many indigenous nurses there are across Canada. That's never been discussed. If we went through our provincial bodies, we still wouldn't even know, because it's not a requirement of voluntary self-identify.

4:35 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Right now, one of the questions—

4:35 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

That's the gap that we need—

4:35 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Okay.

One of the questions earlier was around nurse training and the funding for that. Is there dedicated funding today for training for indigenous nurses?

4:35 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

There is funding available through Indspire. They do offer health career training, and that's a national one.

Each of the provinces targets some small bursaries to support indigenous nurses.

4:35 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

Okay.

4:35 p.m.

President, Canadian Indigenous Nurses Association

Dr. Lisa Bourque Bearskin

The Canadian Nurses Foundation this year launched a big initiative hoping to hit the $1-million mark to support indigenous nurses.

4:35 p.m.

Liberal

Mike Bossio Liberal Hastings—Lennox and Addington, ON

The only type of funding that is there for indigenous nurses is the same funding that's available for any post-secondary students of indigenous background today.