scholarly journals Cultural Safety within the Indigenous Health Context: Findings from a Review of Reviews

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 869-869
Author(s):  
Juanita-Dawne Bacsu ◽  
Christina Chakanyuka ◽  
Andrea DesRoches ◽  
Jennifer Walker ◽  
Jessy Dame ◽  
...  
Keyword(s):  
Older Adults ◽  
First Nations ◽  
Health Equity ◽  
Indigenous Health ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Cultural Safety ◽  
Care Providers ◽  
Safety Interventions ◽  
Review Of Reviews

Abstract First Nations, Inuit, and Métis older adults often face systemic barriers to accessing culturally safe and equitable healthcare, including racism, structural injustice, and a historical legacy of colonialism. However, there is a paucity of knowledge on cultural safety interventions and implementation strategies in care for older adults. This presentation aims to: 1) explore persistent barriers to achieving health equity and advancing cultural safety in healthcare; and 2) identify cultural safety interventions to improve healthcare for Indigenous older adults. Guided by Arksey and O’Malley’s scoping review framework, we conducted a review of reviews published between January 2010 to December 2020 on Indigenous cultural safety in healthcare. We searched five databases (CINAHL, PubMed, Scopus, Web of Science, and Google Scholar) and hand-searched reference lists of relevant articles. We conducted a thematic analysis to identify patterns and themes in the literature. Key barriers to achieving health equity and advancing cultural safety in healthcare included care providers lacking knowledge of Indigenous culture, power imbalances, racism, and discrimination. A range of cultural safety interventions were identified, from education and training initiatives for healthcare providers (emergency physicians and occupational therapists) to collaborative partnerships with First Nations, Inuit, and Métis communities. As First Nations, Inuit, and Métis populations age, there is a growing need for safe healthcare services for Indigenous older adults, and these findings suggest focusing on healthcare providers knowledge and attitudes is key. Research is necessary to develop, implement, and evaluate cultural safety interventions aimed at healthcare providers to improve healthcare for Indigenous older adults.

scholarly journals The challenges and opportunities of adopting artificial intelligence (AI) in Jordan’s healthcare transformation

2021 ◽  
Vol 11 (2) ◽  
pp. 35-46
Author(s):  
Shakir Karim ◽  
Raj Sandu ◽  
Mahesh Kayastha
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Health Sector ◽  
Healthcare Services ◽  
Care Providers ◽  
Challenges And Opportunities ◽  
Consistent Assessment ◽  
Local Awareness

Artificial Intelligence (AI) is the greatest development and promise in the present technology world, as it promises big contribution, massive changes, modernization, and coordination with and within people’s progressing life. This paper aims to provide an analysis of Jordan health care that are co-connected and interconnected with the consequences formed by Artificial Intelligence (AI) and focuses on the strengths and weaknesses of adopting AI in health sector. It also discusses the local awareness and familiarization of Artificial Intelligence (AI) in Jordan healthcare providers and gives a consistent assessment of current and future best practices. Data was gathered by using interviews from Jordan IT and health care providers. The investigation found that AI is consistently changing the way healthcare is to be directed in Jordan. AI can provide solid healthcare services to the stakeholders. As a developing country, Jordan has not fully adopted Artificial Intelligence (AI) in its healthbsector.   Keywords: Artificial Intelligence (AI); Challenges; Health care System; Jordan; Opportunities  

Improving the Service to Aboriginal and Torres Strait Islanders through Innovative Practices Between Aboriginal Hospital Liaison Officers and Social Workers in Hospitals in Victoria, Australia†

2020 ◽  
Author(s):  
Helen Bnads ◽  
Elizabeth Orr ◽  
C John Clements
Keyword(s):  
First Nations ◽  
Social Workers ◽  
Torres Strait Islander ◽  
Indigenous Health ◽  
Public Hospitals ◽  
Cultural Safety ◽  
Colonial Legacy ◽  
Torres Strait ◽  
First Nations People

Abstract Aboriginal and Torres Strait Islanders have suffered violence and extreme prejudice in every walk of life as a result of the European colonisation of Australia. We acknowledge the ongoing colonial legacy to this suffering and discuss how cultural safety is a solution to overcoming some elements of the disadvantages that still beset Aboriginal and Torres Strait Islander people in terms of accessing health care. Accessible and culturally safe health services are critical in reducing health inequalities for First Nations’ people because of the burden of ill-health they experience. ‘Cultural safety’ in this context refers to approaches that strengthen and respectfully engage with Aboriginal and Torres Strait Islander cultures in mainstream services. Alongside holistic Indigenous health and primary prevention approaches, a broad range of medical, socio-cultural and allied health support is needed to alleviate these inequalities. In this article, we describe how the working relationship between Aboriginal Hospital Liaison Officers and Social Workers in public hospitals in Victoria, Australia, contributes to cultural safety, and thereby improves the quality of care and a reduction in discharges against medical advice by Aboriginal patients. We conclude that elements of this model may be applicable to improving care for First Nation peoples in other countries.

Transforming First Nations’ health governance in British Columbia

2016 ◽  
Vol 21 (4) ◽  
pp. 229-244 ◽  
Author(s):  
John O’Neil ◽  
Joe Gallagher ◽  
Lloy Wylie ◽  
Brittany Bingham ◽  
Josee Lavoie ◽  
...  
Keyword(s):  
British Columbia ◽  
Health System ◽  
First Nations ◽  
Indigenous Health ◽  
Service Planning ◽  
Cultural Safety ◽  
Health Governance ◽  
Content Type ◽  
Governance Process ◽  
First Nations People

Purpose The purpose of this paper is to present a study of the transformation of First Nations’ health governance, describing the development of partnerships between First Nations and provincial and federal governments for co-creating solutions to address First Nations’ health inequities in British Columbia (BC). The paper frames this transformation in the context of a Canada-wide reconciliation initiative stimulated by the Truth and Reconciliation Commission. Design/methodology/approach This qualitative case study was a joint initiative between Simon Fraser University and the BC First Nations Health Authority (FNHA), involving interviews with senior leaders within the BC health system, FNHA and First Nations communities. In addition, a policy roundtable was held in February 2015 which gathered 60 participants for further dialogue on the process. Findings Key themes included: partnership and relationships, governance and reciprocal accountability, First Nations perspectives on health and wellness, and quality and cultural safety. Findings indicate that significant transformational changes have happened in the relationship between First Nations and the mainstream health system. The creation of the FNHA has led to more representation for First Nations people at all levels of governance and health service planning, which will ultimately lead to more culturally safe health services that incorporate a First Nations perspective of wellness. Social implications The transformation of First Nations health governance in BC can serve as an example in other indigenous health settings both within Canada and internationally. Originality/value This paper describes a transformative health governance process in First Nations communities that is an historical first in Canada.

scholarly journals Ethical research engagement with Indigenous communities

2020 ◽  
Vol 7 ◽  
pp. 205566832092270
Author(s):  
Carrie Bourassa ◽  
Jennifer Billan ◽  
Danette Starblanket ◽  
Sadie Anderson ◽  
Marlin Legare ◽  
...  
Keyword(s):  
First Nations ◽  
Advisory Committee ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Cultural Safety ◽  
Community Research ◽  
Training Module ◽  
Research Engagement ◽  
Morning Star ◽  
Tribal Council

Introduction Canada’s colonial policies and practices have led to barriers for Indigenous older adults’ access to healthcare and research. As a result, there is a need for Indigenous-led research and culturally safe practices. Morning Star Lodge is developing a training module to assist AgingTech researchers on ethical, culturally safe ways to engage Indigenous communities. This includes exploring Indigenous health research, community-based partnerships, reciprocal learning, and cultural safety; this is presented through a case study on ethically engaged research. Methods Morning Star Lodge developed a research partnership agreement with File Hills Qu’Appelle Tribal Council and established a Community Research Advisory Committee representing the eleven First Nations within the Tribal Council. The work designing the culturally safe training module is in collaboration with the Community Research Advisory Committee. Results Building research partnerships and capacities has changed the way the eleven First Nation communities within File Hills Qu’Appelle Tribal Council view research. As a result, they now disseminate the Knowledge within their own networks. Conclusions Indigenous Peoples are resilient in ensuring their sustainability and have far more community engagement and direction. Developing culturally safe approaches to care for Indigenous communities leads to self-determined research. Culturally safe training modules can be applied to marginalized demographics.

scholarly journals Equity, Anti-Racism and Social Justice: Mission Statements, Vision and Values of British Columbia’s Health Delivery System

2020 ◽  
Author(s):  
Harminder Bindy Kaur Kang-Dhillon ◽  
Colleen Varcoe ◽  
Sheryl Reimer-Kirkham ◽  
Sunera Thobani
Keyword(s):  
Social Justice ◽  
Health Equity ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Universal Coverage ◽  
Mission Statements ◽  
Cultural Safety ◽  
Healthcare Leadership ◽  
Universal Healthcare ◽  
Health Delivery

Abstract Background Framed by a universal healthcare philosophy, publically funded Canadian healthcare delivery organizations are presumed to provide primary care for all residents. However, despite this universal coverage, healthcare inequity is evidenced for non-dominant racialized patients and healthcare providers. Methods To examine the diversity commitments of healthcare delivery organizations in British Columbia, we analyzed mission statements, visions and values with a list of 23 health equity markers. Results Our findings reveal that health equity for racialized non-dominant communities is not prioritized in the mission, vision or value statements for 7 of the 8 healthcare delivery organizations. Conclusion The absence of these markers reaffirms that anti-racist ideologies are not conceptualized into the institutional identities of British Columbia’s healthcare delivery organizations. Further, without an anti-racism equity framework embedded into institutional identity, organizations have a limited ability to meaningfully address inequities experienced by racialized non-dominant patients and healthcare providers. We recommend that healthcare delivery organizations review and revise their guiding documents with a lens of equity, social justice and cultural safety; and to incorporate education for all healthcare leadership and staff through the lens of anti-racist pedagogy.

scholarly journals Disruptions to Care and the Use of Telehealth Among Older Adults During the COVID-19 Pandemic

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 943-943
Author(s):  
Beth Prusaczyk ◽  
Brian Carpenter ◽  
Nancy Morrow-Howell ◽  
Eric Lenze
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Dental Care ◽  
Speech Therapy ◽  
Healthcare Providers ◽  
Care Providers ◽  
Rehabilitation Care ◽  
The Impact ◽  
Vision Care

Abstract Reports emerged early in the 2020 COVID-19 pandemic that older adults were foregoing non-COVID19-related care, due to fears of contracting the virus during appointments and because of healthcare providers’ reduced operations. Beginning in July, 2020, we explored the impact of the pandemic on disruptions to care and older adults’ use of telehealth. Preliminary results from 53 older adults aged 66 to 93 (mean: 72.6) found that many older adults experienced disruptions in their care, ranging from 30-50% depending on the type of care. The most commonly disrupted care types were mental health and rehabilitation care (occupational, physical, or speech therapy), with 50% of older adults reporting disruptions to mental health and 50% to rehabilitation care. The most common reason for the disruptions was closed care providers’ offices. Similar results were found for primary care (46% reporting disruptions), dental care (44%), and vision care (30%), with between 62-71% citing closed offices as a reason for the disruption. The use of telehealth among the sample was high (44%), and the majority (83%) of these older adults reported never having used it previously. All who used it reported being very or somewhat comfortable with the technology, and 83% said they would use it again even if in-person care was available. These findings suggest the pandemic has had a significant impact on older adults’ care and that the expansion of telehealth could be increase access to care during and after the pandemic.

scholarly journals Relating Almutairi’s critical cultural competence model for healthcare providers transitioning to Qatar

2018 ◽  
Vol 8 (9) ◽  
pp. 12
Author(s):  
Cathy D. MacDonald ◽  
Jessie M. Johnson ◽  
Rianne Carragher ◽  
Marti Harder ◽  
Linda Oliver
Keyword(s):  
Professional Development ◽  
Nursing Education ◽  
Middle East ◽  
Cultural Competence ◽  
Health Care Providers ◽  
Personal Narratives ◽  
Healthcare Providers ◽  
Cultural Safety ◽  
Competence Model ◽  
Care Providers

Healthcare providers can be enticed to work in the Middle East due to fascinations with the culture, wealth, and opportunities for personal and professional development. Working in multicultural healthcare environments requires addressing complexities with cultural hierarchies, religion, class systems, and gender. It also requires understanding of the region’s history, as well as knowledge about cultural and social norms. The authors use qualitative accounts, from lived experiences to illuminate their transition to work in Qatar. Upon reflection of their experiences, the authors recommend using a Critical Cultural Competence model as a guide for healthcare providers undergoing transition and longer-term adaptation for promoting cultural safety for healthcare providers and their patients. Some authors of this article have previously published “Recommendations for healthcare providers preparing to work in the Middle East: A Campinha-Bacote cultural competence model approach” (Journal of Nursing Education and Practice, 2017). However, after reflecting upon their experiences as nurse educators living in the Middle East, the authors concluded that Almutairi, Dahinten, and Rodney’s (2015) Critical Cultural Competence Model is more suitable for health care providers transitioning to Qatar. This model addresses necessary elements needed to transition to a new culture, but also includes personal narratives and experiences, which maybe helpful to transitioning to work in another culture. Almutairi et al.’s model (2015) reconceptualises and enriches the concept of transitioning to Middle Eastern multicultural contexts. The aim of this paper is to provide recommendations using Almutairi et al.’s Cultural Competence Model to assist healthcare providers in transitioning to work in Qatar. Another aim is to provide guidance for healthcare professional development in multicultural contexts. Discussion as to how the model may foster a more relevant approach will ensue. Experiential knowledge and narratives are threaded throughout the paper to provide a lived account of the use of this Critical Cultural Competence model by healthcare workers, who have transitioned to the Middle East.

scholarly journals Creating a Future of Our Own Design: The International Indigenous HealthFusion Team Challenge as a Promising Practice to Support Indigenous Students in Health Fields

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Shandryn Kozin ◽  
Hailey Matheson ◽  
Tatyana Daniels ◽  
Brittany Mullin ◽  
Bret Watts ◽  
...  
Keyword(s):  
British Columbia ◽  
First Nations ◽  
Health Professionals ◽  
Indigenous Health ◽  
Governance Structure ◽  
Cultural Safety ◽  
Transformative Change ◽  
Health Governance ◽  
Indigenous Students ◽  
Promising Practice

Training and recruitment of First Nations and Indigenous health professionals is part of reconciliation, addressing health disparities and embedding cultural safety and humility into the health ecosystem of the province of British Columbia (BC), Canada. Calls to develop the First Nations and Indigenous health workforce are articulated within the Truth and Reconciliation Commission of Canada’s Call to Action 23, BC’s Transformative Change Accord: First Nations Health Plan, and the seven directives that guide the work of the First Nations Health Authority in BC and its health governance partners. This article brings forward the voices of current Indigenous students training in allied health professions at the University of British Columbia and their Indigenous mentors who participated in the 2018 International Indigenous HealthFusion Team Challenge in Sydney, Australia. The Challenge represents a promising practice in training Indigenous health professionals here in BC as it: (1) Affirmed their Indigenous identity, knowledge, and aspirations, supporting them to become more “visible” as Indigenous students; (2) Created a space where both Indigenous and mainstream health discipline knowledges were encouraged, valued, and respected; (3) Provided opportunity to connect with Indigenous peers and health leaders; and (4) Built students’ confidence to take on leadership roles. First Nations and Indigenous students studying in health fields represent the future of BC’s health and wellness ecosystem that brings together the best of Indigenous and mainstream healing approaches. Creating opportunities for students to grow as Indigenous health leaders is part of reconciliation and the new relationship represented by the BC First Nations Health Governance Structure.

scholarly journals Adoption of Telehealth Among Older Adults During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 427-427
Author(s):  
Weidi Qin
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Medicare Beneficiaries ◽  
Health Issues ◽  
Remote Communication ◽  
Technology Learning ◽  
Online Technology ◽  
Logistic Regressions

Abstract The COVID-19 pandemic has disrupted older adults’ in-person healthcare services. Many individuals rely on remote communication with their healthcare providers for non-urgent health or mental health issues. The present study investigated the effects of technology learning and depressive symptoms on new adoption of telehealth (e.g. online messaging, video call) to communicate with healthcare providers during the COVID-19 pandemic. A sample of 1,500 Medicare beneficiaries aged 65 or older was selected from the National Health and Aging Trend Study. A series of logistic regressions were performed. Results showed that older adults who learned a new online technology during the COVID-19 outbreak were more likely to adopt telehealth. Also, older adults with a higher level of depressive symptoms were more likely to start using telehealth. The findings highlight the importance of technology training to help older adults go online. Telehealth can be an important coping tool for depressive symptoms during the pandemic.

scholarly journals Long journeys: Healthcare providers’ perspectives about promoting equity and community-based palliative care for rural, remote, and indigenous communities in northern British Columbia.

2020 ◽  
Author(s):  
◽  
Kimberley Thomas
Keyword(s):  
British Columbia ◽  
Palliative Care ◽  
Healthcare Providers ◽  
Indigenous Communities ◽  
Cultural Safety ◽  
Care Providers ◽  
Community Based ◽  
Indigenous Geographies ◽  
Frontline Healthcare Workers

Inequitable access to palliative care in Canada is a pressing issue. People with life-limiting illnesses in rural and remote northern and Indigenous geographies in British Columbia (BC) face ethically problematic barriers to receiving palliative care. Palliative approaches that are equity-oriented and community-based bring significant improvements to the healthcare system and to people's quality of life. The purpose of this qualitative study was to find ways to promote health equity and community-based palliative care. This research is informed by action-oriented, anti-colonial, and critical Indigenous methodologies. As perspectives of frontline healthcare workers offer transformative insights, palliative care providers working in northern BC were interviewed, and, from their interviews, three main themes emerged. These were (1) Support Primary Palliative Care, (2) earlier and inclusive Integration of Palliative care, and (3) Culturally Safe Palliative Care. The implications of these findings are situated at the intersection of cultural safety, public health, and health promotion.

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