Abstract

The resurgence of the Western psychedelic movement has raised concerns among Indigenous Nations regarding colonization, bioprospecting, commodification, and cultural appropriation of sacred medicines. These practices perpetuate exclusion in research, scalability, and commercialization, silencing Indigenous voices and eroding the profound ecological and cultural wisdom contained therein (Celidwen, Redvers, Githaiga et al., 2023; Ens, 2021; Fotiou, 2020).

As Fotiou (2020) notes, the intensifying Western psychedelic movement faces a critical bifurcation: to perpetuate the hegemonic, ethnocentric paradigms of Western science or to re-examine Western frameworks through pluralistic, cross-epistemological approaches. The latter invites methodological expansion, ethical reflexivity, and deeper community engagement to drive future nursing research. Emerging from this transformative lens, the R3 Framework: Reverence, Reciprocity, and Relationality, introduces cultural accountability that challenges Western dominance and disrupts colonial legacies.

Settler colonialism, birthed from the Doctrine of Discovery, allowed colonialists to seize any terra nullius, providing legal, spiritual, and political justification for the dispossession and subjugation of Indigenous Peoples (Avalos, 2024; Chavez, 2024; O’Donnell, 2023). This enabled centuries of Indigenous genocide, beginning with the colonization of the Taino islands of Kiskeya/Ayiti, renamed as “Hispaniola” by Columbus. This colonialism endures in the “psychedelic renaissance,” where innovation and healing discourses continue extractive practices that sever sacred medicines from Indigenous ecosystems. Commodification, patenting, and commercialization mirror the epistemic violence of settler colonialism. Without reverence, reciprocity, and relationality, this "renaissance” risks repeating colonial exploitation and Western ethnocentrism.

The Entheogen-Assisted Care in Nursing Concentration, a first of its kind, strategically aligns AACN Essentials and NONPF Nurse Practitioner Role Competencies to establish a concentration within any Master of Science in Nursing program. This concentration reorients academic and clinical entheogenic education around the R3 Framework, teaching the science of these sacred medicines, while centering Indigenous epistemologies, sovereignty, and anti-colonial frameworks. This innovation cultivates nurses grounded in cultural humility, global accountability, and ethical stewardship.

Notes

Reference list included in attached slide deck.

Description

The Entheogen-Assisted Care in Nursing Concentration, a first of its kind, reframes entheogenic education through the R3 Framework, teaching the science of these sacred medicines, while centering Indigenous epistemologies, sovereignty, and anti-colonial ethics. Strategically aligned with AACN Essentials and NONPF Nurse Practitioner Role Competencies, this innovation cultivates clinicians grounded in cultural humility, global accountability, and honors the ethical stewardship of these compounds.

Author Details

Christine Rodriguez, DNP, APRN, FNP-BC, MDiv, MA, FNYAM, FAAN; Samantha Korbey, DNP, APRN, MSN, FNP-BC

Sigma Membership

Delta Mu

Lead Author Affiliation

Yale University, New Haven, Connecticut, USA

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Curriculum Development, DEI/BIPOC, Health Equity or Social Determinants of Health, Hallucinogens, Psychotropic Drugs, Rituals and Ceremonies

Conference Name

37th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Toronto, Ontario, Canada

Conference Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2026-08-03

Click above link to access the slide deck.

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R3: Reverence, Reciprocity, & Relationality: Indigenous Entheogen Perspectives in Health Curricula

Toronto, Ontario, Canada

The resurgence of the Western psychedelic movement has raised concerns among Indigenous Nations regarding colonization, bioprospecting, commodification, and cultural appropriation of sacred medicines. These practices perpetuate exclusion in research, scalability, and commercialization, silencing Indigenous voices and eroding the profound ecological and cultural wisdom contained therein (Celidwen, Redvers, Githaiga et al., 2023; Ens, 2021; Fotiou, 2020).

As Fotiou (2020) notes, the intensifying Western psychedelic movement faces a critical bifurcation: to perpetuate the hegemonic, ethnocentric paradigms of Western science or to re-examine Western frameworks through pluralistic, cross-epistemological approaches. The latter invites methodological expansion, ethical reflexivity, and deeper community engagement to drive future nursing research. Emerging from this transformative lens, the R3 Framework: Reverence, Reciprocity, and Relationality, introduces cultural accountability that challenges Western dominance and disrupts colonial legacies.

Settler colonialism, birthed from the Doctrine of Discovery, allowed colonialists to seize any terra nullius, providing legal, spiritual, and political justification for the dispossession and subjugation of Indigenous Peoples (Avalos, 2024; Chavez, 2024; O’Donnell, 2023). This enabled centuries of Indigenous genocide, beginning with the colonization of the Taino islands of Kiskeya/Ayiti, renamed as “Hispaniola” by Columbus. This colonialism endures in the “psychedelic renaissance,” where innovation and healing discourses continue extractive practices that sever sacred medicines from Indigenous ecosystems. Commodification, patenting, and commercialization mirror the epistemic violence of settler colonialism. Without reverence, reciprocity, and relationality, this "renaissance” risks repeating colonial exploitation and Western ethnocentrism.

The Entheogen-Assisted Care in Nursing Concentration, a first of its kind, strategically aligns AACN Essentials and NONPF Nurse Practitioner Role Competencies to establish a concentration within any Master of Science in Nursing program. This concentration reorients academic and clinical entheogenic education around the R3 Framework, teaching the science of these sacred medicines, while centering Indigenous epistemologies, sovereignty, and anti-colonial frameworks. This innovation cultivates nurses grounded in cultural humility, global accountability, and ethical stewardship.