Aim
To demonstrate the value of dedicated First Nations clinical & cultural leadership in supporting the wellbeing, retention, and professional development of the First Nations McGrath Cancer Care Nurse workforce.
Background
Cancer outcomes for First Nations peoples are improving, supported by the growth of a culturally informed cancer workforce. First Nations nurses often undertake additional cultural responsibilities alongside their clinical roles, including advocacy, cultural navigation, and supporting patients and families through complex health systems. These responsibilities can contribute to professional isolation, fatigue, and cultural burnout if appropriate supports are not available.
Methods
The McGrath Foundation established a First Nations Nurse Clinical Lead and Educator role to provide cultural leadership, mentorship, advocacy, and clinical support to First Nations MCCNs. Key strategies included structured onboarding, regular individual support, monthly yarning and peer support sessions, and clinical mentoring for nurses transitioning into cancer care. Feedback was gathered from First Nations MCCNs, non-First Nations MCCNs, and Nursing Program staff to explore the role’s impact on workforce wellbeing, professional connection, retention, cultural support, and sustainability.
Results
Participants reported that dedicated cultural and professional support fostered trust, connection, confidence, and resilience. Monthly yarning forums created culturally safe spaces for nurses to share experiences, discuss challenges, and reduce feelings of isolation. The role supported nurses to balance clinical and cultural responsibilities, reducing cultural burden while strengthening professional confidence and retention. Participants also highlighted the contribution of the role in building cultural capability across the broader McGrath nursing workforce through education, consultation, and culturally responsive service planning.
Conclusion
Dedicated First Nations clinical & cultural leadership strengthens workforce wellbeing, reduces cultural burden, supports retention within the First Nations cancer nursing workforce. This model demonstrates how culturally responsive leadership can enhance culturally safe care, strengthen workforce sustainability, and contribute to improved outcomes for First Nations peoples affected by cancer.