Original ArticlesAccess Denied Nurses' Perspectives of Access to Oncology Care Among Indigenous Peoples in CanadaHorrill, Tara C. PhD, RN; Martin, Donna E. PhD, RN; Lavoie, Josée G. PhD; Schultz, Annette S. H. PhD, RN Author Information School of Nursing, University of British Columbia (Dr Horrill), and Nursing and Allied Health Research and Knowledge Translation, BC Cancer (Dr Horrill), Vancouver, British Columbia, Canada; College of Nursing (Drs Martin and Schultz) and Department of Community Health Sciences (Dr Lavoie), University of Manitoba, Winnipeg, Manitoba, Canada. Correspondence: Tara C. Horrill, PhD, RN, School of Nursing, and Nursing and Allied Health Research and Knowledge Translation, BC Cancer, University of British Columbia, 2211 Westbrook Mall, Vancouver, BC V6T 2B5, Canada ([email protected]). Author Contributions: T.C.H.: Conceptualization, methodology, investigation, formal analysis, writing—original draft, project administration, funding acquisition. D.E.M.: Conceptualization, methodology, writing—review and editing, funding acquisition. J.G.L.: Conceptualization, methodology, writing—review and editing, funding acquisition. A.S.H.S.: Conceptualization, methodology, formal analysis, writing—review and editing, supervision, funding acquisition. The authors acknowledge and thank Dr Moneca Sinclair and Ms Lea Mutch for their insightful feedback on an earlier version of the manuscript. The authors also thank the Manitoba Centre for Nursing and Health Research and Mr James Plohman for their technical support in facilitating the online survey. This research was funded by the Manitoba Centre for Nursing and Health Research at the University of Manitoba (UM51047). The funder had no role in the study design, analysis, or preparation of the manuscript. Advances in Nursing Science: October/December 2022 - Volume 45 - Issue 4 - p 292-308 doi: 10.1097/ANS.0000000000000428 Buy Metrics Abstract Inequitable access to oncology care is a significant issue among Indigenous Peoples in Canada; however, the perspectives of oncology nurses have not been explored. Guided by an interpretive descriptive methodology, we explored nurses' perspectives on access to oncology care among Indigenous Peoples in Canada. Nurses described the health care system as “broken” and barriers to accessing oncology care as layered and compounding. Lack of culturally safe care was articulated as a significant issue impacting equitable access, while biomedical discourses were pervasive and competed with nurses' attempts at providing culturally safe and trauma- and violence-informed care by discounting the relational work of nurses. © 2022 Wolters Kluwer Health, Inc. All rights reserved.