{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:56:29Z","timestamp":1790668589866,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim and Design<\/jats:title>\n                    <jats:p>Indigenous knowledge systems offer enduring, relational and strengths\u2010based frameworks for health and wellbeing. This theory and framework paper critically analyses how colonial legacies embedded in nursing curricula marginalise Indigenous knowledges and perpetuate inequities for Aboriginal and Torres Strait Islander peoples. We argue that current approaches, often fragmented, tokenistic and additive in nature, fail to address the structural and pedagogical roots of unsafe cultural practices and institutional racism in nursing education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In response, we present the Integrated Indigenous and Person\u2010centred Practice Theory (IIPPT) and the associated Curriculum Framework (IIPCF) as a transformative, decolonising and Indigenising approach to nursing education.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The IIPPT and IIPCF were developed through sustained collaborative critical inquiry between Indigenous and non\u2010Indigenous academics with a focus on developing an integrated curriculum, supported by institutional structures and processes and community\u2010accountable practice, rather than solely abstract theorising. Grounded in Indigenous Standpoint Theory, Freirean pedagogy, Ramsden's theory of Cultural Safety and person\u2010centred theory, the IIPPT situates relational accountability, cultural humility and Indigenous self\u2010determination at the heart of nursing professional identity formation. The IIPCF operationalises these principles across curriculum design, pedagogy, faculty responsibilities and systems\u2010level governance. Drawing on decolonising pedagogy, this work reconstitutes McCormack and McCance's Person\u2010centred Practice Framework through Indigenous self\u2010determination, Cultural Safety and relational accountability. It repositions nursing as a culturally and politically situated discipline, and nursing education as a key site through which Indigenous self\u2010determination, person\u2010centred practice and culturally safe care can be enacted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We conclude by calling for Indigenous leadership and governance and a radical re\u2010imagining of nursing education accountable to Country, community and historical truths. This paper offers a theoretical and pedagogical blueprint for nursing curriculum reform that advances education and health equity and the right to self\u2010determined education by and with First Nations peoples.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70750","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:16:16Z","timestamp":1790666176000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Decolonising Healthcare Through Curricula: Integrating Indigenous Knowledges and Person\u2010Centred Practice Through the Integrated Indigenous and Person\u2010Centred Practice Theory and Framework"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0583-658X","authenticated-orcid":false,"given":"Roianne","family":"West","sequence":"first","affiliation":[{"name":"Sydney Nursing School, The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8525-8905","authenticated-orcid":false,"given":"Brendan","family":"McCormack","sequence":"additional","affiliation":[{"name":"Sydney Nursing School, The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3334-0322","authenticated-orcid":false,"given":"Tamara","family":"Power","sequence":"additional","affiliation":[{"name":"Sydney Nursing School, The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4586-8925","authenticated-orcid":false,"given":"Reakeeta","family":"Smallwood","sequence":"additional","affiliation":[{"name":"Sydney Nursing School, The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4025-4457","authenticated-orcid":false,"given":"Tonia","family":"Crawford","sequence":"additional","affiliation":[{"name":"Sydney Nursing School, The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5045-0558","authenticated-orcid":false,"given":"Andrea","family":"McCloughen","sequence":"additional","affiliation":[{"name":"Sydney Nursing School, The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"The National Scheme's Aboriginal and Torres Strait Islander Health and Cultural Safety Strategy 2020\u20132025","author":"Ahpra","year":"2020"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20108500.12400"},{"key":"e_1_2_12_4_1","volume-title":"Registered Nurse Accreditation Standards 2019","author":"Australian Nursing and Midwifery Accreditation Council","year":"2019"},{"key":"e_1_2_12_5_1","volume-title":"Inclusion of Aboriginal and Torres Strait Islander Peoples' Health and Cultural Issues in Courses Leading to Registration or Enrolment","author":"Australian Nursing and Midwifery Council","year":"2007"},{"key":"e_1_2_12_6_1","volume-title":"Gettin' em, Keepin' em, and Growin' em \u2013 GENKE II: CATSINaM Education and Workforce Strategy 2020\u20132025","author":"Congress of Aboriginal and Torres Strait Islander Nurses and Midwives","year":"2022"},{"key":"e_1_2_12_7_1","volume-title":"Aboriginal and Torres Strait Islander Health Curriculum Framework","author":"Department of Health","year":"2014"},{"key":"e_1_2_12_8_1","volume-title":"Deficit Discourse and Indigenous Health: How Narrative Framings of Aboriginal and Torres Strait Islander People Are Reproduced in Policy","author":"Fogarty W.","year":"2018"},{"key":"e_1_2_12_9_1","volume-title":"Pedagogy of the Oppressed","author":"Freire P.","year":"1972"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10734\u2010020\u201000648\u20106"},{"key":"e_1_2_12_11_1","unstructured":"Indigenous Nursing Education Working Group.2002.\u201cGettin' em n Keepin' em: Report of the Indigenous Nursing Education Working Group.\u201d"},{"key":"e_1_2_12_12_1","volume-title":"Position Statement: Health Inequities, Discrimination\u2014ICN's Position Statement Addresses Role of Nurses","author":"International Council of Nurses","year":"2023"},{"key":"e_1_2_12_13_1","first-page":"392","volume-title":"Routledge Handbook of Philosophy and Nursing","author":"Jackson D.","year":"2023"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(08)61690\u20106"},{"key":"e_1_2_12_15_1","volume-title":"Please Knock Before You Enter: Aboriginal Regulation of Outsiders and the Implications for Researchers","author":"Martin K.","year":"2008"},{"key":"e_1_2_12_16_1","first-page":"23","volume-title":"Fundamentals of Person\u2010Centred Healthcare Practice","author":"McCance T.","year":"2021"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/17449871241281428"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.35.10.86.s40"},{"key":"e_1_2_12_19_1","volume-title":"Person\u2010Centred Practice in Nursing and Health Care: Theory and Practice","author":"McCormack B.","year":"2017"},{"key":"e_1_2_12_20_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/978-3-030-27868-7_2","volume-title":"Person\u2010Centred Nursing Research: Methodology, Methods and Outcomes","author":"McCormack B.","year":"2021"},{"key":"e_1_2_12_21_1","volume-title":"Fundamentals of Person\u2010Centred Healthcare Practice","author":"McCormack B.","year":"2021"},{"key":"e_1_2_12_22_1","first-page":"213","volume-title":"Disciplining the Savages: Savaging the Disciplines","author":"Nakata M.","year":"2007"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2025.2503300"},{"key":"e_1_2_12_24_1","unstructured":"Ramsden I.2002.\u201cCultural Safety and Nurse Education in Aotearoa and Te Waipounamu.\u201d Doctoral thesis Victoria University of Wellington."},{"key":"e_1_2_12_25_1","unstructured":"Sherwood J.2010.\u201cDo No Harm: Decolonising Aboriginal Health Research.\u201d Doctoral thesis University of New South Wales."},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659620935955"},{"key":"e_1_2_12_27_1","unstructured":"Smith G. H.1997.\u201cThe Development of Kaupapa M\u0101ori: Theory and Praxis.\u201d Doctoral dissertation University of Auckland."},{"key":"e_1_2_12_28_1","volume-title":"Decolonizing Methodologies. Research and Indigenous Peoples","author":"Smith L. T.","year":"2012"},{"key":"e_1_2_12_29_1","unstructured":"Sydney Nursing School (The University of Sydney Susan Wakil School of Nursing and Midwifery).2024.\u201cBachelor of Nursing (Advanced Studies); Master of Nursing; Bachelor of Arts\/Master of Nursing; Bachelor of Science\/Master of Nursing Volume 1.\u201d ANMAC."},{"key":"e_1_2_12_30_1","unstructured":"United Nations.2007.\u201cUnited Nations Declaration on the Rights of Indigenous Peoples.\u201dhttps:\/\/www.un.org\/development\/desa\/indigenouspeoples\/wp\u2010content\/uploads\/sites\/19\/2018\/11\/UNDRIP_E_web.pdf."},{"key":"e_1_2_12_31_1","doi-asserted-by":"crossref","unstructured":"West R.2012.\u201cIndigenous Australian Participation in Pre\u2010Registration Tertiary Nursing Courses: An Indigenous Mixed\u2010Methods Study.\u201d Doctoral thesis James Cook University.","DOI":"10.5172\/conu.2013.4195"},{"key":"e_1_2_12_32_1","volume-title":"Equity, Social Determinants and Public Health Programmes","author":"World Health Organization","year":"2010"},{"key":"e_1_2_12_33_1","volume-title":"Global Strategic Directions for Nursing and Midwifery 2021\u20132025","author":"World Health Organization","year":"2021"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.70750","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.70750","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.70750","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:16:21Z","timestamp":1790666181000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.70750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,29]]},"references-count":32,"alternative-id":["10.1111\/jan.70750"],"URL":"https:\/\/doi.org\/10.1111\/jan.70750","archive":["Portico"],"relation":{},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,29]]},"assertion":[{"value":"2026-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jan.70750"}}