Native Nurses Leading the Way with Care, Culture, and Community
Jeffery’s Story
Jeffrey Begay Jr. grew up connected to the Navajo reservation and saw first-hand how people living on the reservation had limited access to healthcare, healthy foods, transportation, and community resources, impacting their health.
In his first job as a paramedic on the reservation, responding to a great deal of trauma calls helped him understand the importance of emergency medical response. Alcohol abuse, domestic violence, diabetes, and their comorbidities were some of the most common ailments he was called to treat.
Jeffrey says he was inspired to seek a career in nursing not only from witnessing health disparities in his community but by his mother, the strongest influence in his healthcare journey. She instilled in him Navajo cultural values, along with his maternal grandfather, a medicine man. Jeffrey sees a connection between healing, service, and responsibility and focuses on advocacy, cultural humility, and meeting people where they are in his work.
Nearly a decade ago, Jeffrey moved to Denver, Colorado to pursue his nursing degrees, driven by the desire to expand his knowledge and scope of practice by contributing more to both his community and broader healthcare systems. Today he works two jobs, as a flight nurse with Intermountain Health’s Legacy Life Flight team, and as a PRN pediatric emergency nurse at Denver Health.
A cornerstone of Jeffrey’s personal healthcare philosophy incorporates his values as a Navajo, focusing on balance, respect, and wellness for the whole person. He says nursing is about deep relationships and not simply treating immediate illness or injury.
Jeffrey shares a story about responding to a call on the reservation where an elder with low blood sugar was home alone caring for her livestock without a vehicle. She needed more than temporarily boosting her blood sugar, so Jeffrey cooked her a meal and ensured someone was coming to stay with her before leaving.
A hardship many reservations and rural communities face is lacking the complex, comprehensive medical systems of urban areas. Witnessing firsthand this gap in care, Jeffrey wants to build systems that combine Western medicine with traditional concepts of what healing means and cultural awareness by medical staff. Evidence-based medicine improves patient care, but so does the involvement of healthcare workers who respect and understand their patients’ cultures.
He says there is also a need for patient health literacy, especially Native patients who may not understand the difference between what the Indian Health Service (IHS) offers and health insurance.
“We need healthcare workers who are clinically strong, but also culturally humble, who are community-centered and willing to advocate for patients beyond the bedside. We need nurses, paramedics, community health representatives, caseworkers, and leaders who can explain care clearly, coordinate referrals, support families, and protect the dignity of Native patients as they move through these complex healthcare systems,” Jeffrey says.
Healthcare workers also need support in the form of resources and sound leadership. Strong staffing, telehealth access, mental health resources, and sustainable funding are just some of the resources Jeffrey notes. Healthcare workers in Indian country need culturally grounded education to understand tribal sovereignty, the history of IHS, and federal trust responsibility. On the topic of personal trust, Jeffrey reminds healthcare workers trust isn’t automatic, especially in communities that have experienced historical trauma, underfunded systems, and inconsistent access. Time and communication are key between patients and healthcare workers
As a nursing student. Jeffrey remembers feeling unsure of his success and wondering if he truly belonged in higher education and healthcare. Jeffrey shares the sentiments of many Native students that education isn’t just about passing classes. It also includes finances, family responsibility, transportation, and leaving one’s community. But he also advises current and prospective Native nursing students that they come from resilient people and there are many pathways to becoming a nurse, all of which are meaningful.
“Our cultures teach us humility, respect, responsibility, and service. Those teachings are powerful leadership tools. They help us to become nurses who listen deeply, advocate strongly, and care for the whole person. And again, not just diagnosis. We bring something special to healthcare because we understand community, family, hardship, and the importance of culturally sensitive care,” he says
Jeffrey also encourages Native nursing students to seek out mentors, apply for scholarships, ask questions and accept help when it’s offered.
“Do not be afraid to take up space in nursing. Our communities need us and healthcare systems across this country need our voices. Native nurses are part of the bridge between traditional knowledge, Western medicine, health equity, and community healing.”
About the Author
Jeffrey Begay Jr. (Diné) serves as both a flight nurse and PRN pediatric emergency nurse based out of Denver, Colorado. Jeffrey has more than a decade of experience as a healthcare professional, having begun his career on the Navajo reservation. Jeffrey is currently enrolled at the University of Colorado–Denver pursuing a Master of Nursing and Nursing Leadership and Health Systems degree.
Jeffrey was inspired to pursue a career in healthcare by the Navajo cultural values passed down to him by his mother and the health inequities he witnessed growing up on the Navajo reservation growing up.
Jeffrey works to practice excellent Western medicine while also honoring Navajo values to ensure the wellness of the whole person he is treating and not only their current illness or injury.
Read More Student Success Blogs
Career Advice — Interviewing Tips
The interview is your opportunity to show a potential employer how great it would be to have you on their team. Use these tips and resources to create a successful experience.
Remember the interview is the employer’s opportunity to assess your fit for a position and the organization as a whole.
Career Advice — Professional Etiquette
Professional etiquette is not just knowing what to discuss during a business dinner or how to address colleagues; it is a way of presenting yourself in such a way that you will be taken seriously. You must be aware of how your actions, small or large, impact others’ opinions of you. Understand and practice appropriate behavior to impress others that may lead into promotions and, possibly, a job.
Career Advice — How to Develop a Career Plan
Work is part of life. A career is a more substantial way of thinking about your employment path. That is not to say your early jobs working at a fast food restaurant or a convenient store will not play out into your future plans, but if you make conscious choices about next steps you may be more aware of what you are learning while at them. And, if you take the time to think more intentionally about your career and work, you are more likely to enjoy it.
2017-19 Native Pathways to College Bridge Program Grantees
In the spring of 2017, the College Fund awarded four tribal college and university grantees $50,000 each for two consecutive years to implement a year-round program to increase the college readiness and college-going-environments for American Indian and Alaska Native high school sophomores, juniors and seniors preparing for a higher education.
Money Management — Making Common Cents
When tasked with the responsibility of clothing and feeding family, paying bills, keeping the car fueled and running, and paying for an education, you may feel overwhelmed. You are not alone. Understanding credit and debt management allows you to make fiscally responsible decisions. Financial literacy ranges from understanding how a checking account works to understanding your credit score.
Student Success — Managing Your Time as Student
Failing to manage your time effectively can lead to stress, which is detrimental to your health and the well-being of those around you. By using effective time management to balance work, school, and family life, you will be better equipped for the road ahead as a student and beyond.
Student Success — Self-Care
Life is full of big and small stresses, often simultaneously. Stress can come as a result of trauma, burnout, compassion fatigue, or other sources. Whatever the cause, establishing consistent self-care practices can help. Without self-care, you risk adopting unhealthy coping habits to find relief and escape.
Student Success — Giving Back
Black Elk said, “Everything the power of the world does is done in a circle.” Your education is part of that circle. As your vision of the future unfolds, we hope you will share what you have learned with others.
November is #CollegeBoundNative Month
The #CollegeBoundNative Campaign encourages high school seniors to apply for college. Native Americans are the least likely of any group to go to college. But college is essential to many careers, which require a certificate, associate or bachelor’s degree. The American Indian College Fund is setting out to change that statistic—and the future of Native students—through a campaign to get more Native high school seniors to apply for college.
A Life-Changing Summer at Beacon Lodge Camp
Cara Paolicelli, right, worked with counselors from across the globe, who volunteered their time to help those with special needs. My name is Cara Paolicelli and I am a rising senior at the University of North Carolina Wilmington. I am grateful that I’ve been able to continue my education in recreational therapy for the disabled thanks to my family, and the American Indian College Fund.
