2-Spirit Indigenous Health Care and Cultural Humility

Colonization introduced devastating intergenerational effects on health that continue to impact "2-spirit" Indigenous people who experience poor health outcomes. Nurse practitioners (NPs) can improve health outcomes by addressing harmful implicit bias in health care settings, especially toward Indigenous genderdiverse individuals in Canada. Through cultural humility, NPs can implement meaningful clinical interventions that aim to promote positive health and wellness. For all NPs working with gender-diverse populations, important first steps include self-reflective practice and enhanced cultural knowledge. NPs can incorporate Indigenous healing strategies as clinical interventions and use strength-based approaches to provide safe, high-quality care for this vulnerable population. Crown Copyright (c) 2023 Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).