scholarly journals Identity, Care and Rights: the Experience of Talking Circles about the Health of Indigenous People

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Willian Fernandes Luna ◽  
Cecília Malvezzi ◽  
Karla Caroline Teixeira ◽  
Dayane Teixeira Almeida ◽  
Vandicley Pereira Bezerra
Keyword(s):  
Indigenous People ◽  
Health Care Professionals ◽  
Indigenous Health ◽  
Disease Process ◽  
Indigenous Rights ◽  
Cultural Issues ◽  
Indigenous Leadership ◽  
Talking Circles ◽  
Teaching Learning ◽  
The University

Abstract: Introduction: There is a historical fragility regarding the training of health care professionals working with the Indigenous Health System in Brazil and the awakening of the growing sensitivity for the promotion of intercultural dialogue is recognized as essential in this context. Thus, the project “Talking Circles about the Indigenous People’s Health” in the university emerged in 2016, developed in a partnership between medical school professors and indigenous students from the Indigenous Tutorial Education Program - PET Indígena - Health Actions, UFSCar. Method: This report is based on the qualitative documental analyses, aiming to present and discuss the experiences, perspectives and dialogues carried out during those meetings, the construction of diversity, the description of the activities performed and the exposure of their potentialities and limits. Results: Based on both Paulo Freire’s Culture Circles and active teaching-learning methodology tools, those meetings dealt with topics related to Indigenous People’s Health, the results of which were here grouped into three categories: Identity; Care; and Indigenous Rights. The Talking Circles format fostered the construction of new knowledge in indigenous health’s field related to different cultures, specific health policies, concepts of health-disease process, providing an initial approach on the indigenous health context in Brazil. Additionally, they provided a space with indigenous leadership that dared to indicate innovative perspectives on identity issues and health understandings, disease and healing processes, as well as raising the epistemology inherent to these populations. Conclusions: Based on the dialogue between different actors, it was possible to arouse interest of the health professionals regarding ethnic and cultural issues and give visibility to the indigenous people at the University. Moreover, it can be a first step towards the construction of optional interdisciplinary disciplines and the insertion of the topic in undergraduate school curricula in the health area.

scholarly journals Identidade, Cuidado e Direitos: a Experiência das Rodas de Conversa sobre a Saúde dos Povos Indígenas

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Willian Fernandes Luna ◽  
Cecília Malvezzi ◽  
Karla Caroline Teixeira ◽  
Dayane Teixeira Almeida ◽  
Vandicley Pereira Bezerra
Keyword(s):  
Health Care Professionals ◽  
Indigenous Health ◽  
Disease Process ◽  
Indigenous Rights ◽  
Cultural Issues ◽  
Indigenous Leadership ◽  
The Awakening ◽  
Talking Circles ◽  
Teaching Learning ◽  
The University

Abstract: Introduction: There is a historical fragility regarding the training of health care professionals working with the Indigenous Health System in Brazil and the awakening of the growing sensitivity for the promotion of intercultural dialogue is recognized as essential in this context. Thus, the project “Talking Circles about the Indigenous People’s Health” in the university emerged in 2016, developed in a partnership between medical school professors and indigenous students from the Indigenous Tutorial Education Program - PET Indígena - Health Actions, UFSCar. Method: This report is based on the qualitative documental analyses, aiming to present and discuss the experiences, perspectives and dialogues carried out during those meetings, the construction of diversity, the description of the activities performed and the exposure of their potentialities and limits. Results: Based on both Paulo Freire’s Culture Circles and active teaching-learning methodology tools, those meetings dealt with topics related to Indigenous People’s Health, the results of which were here grouped into three categories: Identity; Care; and Indigenous Rights. The Talking Circles format fostered the construction of new knowledge in indigenous health’s field related to different cultures, specific health policies, concepts of health-disease process, providing an initial approach on the indigenous health context in Brazil. Additionally, they provided a space with indigenous leadership that dared to indicate innovative perspectives on identity issues and health understandings, disease and healing processes, as well as raising the epistemology inherent to these populations. Conclusions: Based on the dialogue between different actors, it was possible to arouse interest of the health professionals regarding ethnic and cultural issues and give visibility to the indigenous people at the University. Moreover, it can be a first step towards the construction of optional interdisciplinary disciplines and the insertion of the topic in undergraduate school curricula in the health area.

A brief history of indigenous health in Brazil

2010 ◽  
Vol 4 (4) ◽  
pp. 1951
Author(s):  
Maria Neyrian Fátima Fernandes ◽  
Arieli Rodrigues Nóbrega ◽  
Rosinaldo Santos Marques ◽  
Ana Michele De Farias Cabral ◽  
Clélia Albino Simpson
Keyword(s):  
Indigenous People ◽  
Health Systems ◽  
Health Inequalities ◽  
Indigenous Health ◽  
Indigenous Rights ◽  
Social Diversity ◽  
Brazilian Legislation ◽  
History Of ◽  
The Right

ABSTRACTObjective: to provide a brief history context on the indigenous struggle for rights. It was at its peak in the 1970s, until the Indigenous Health Subsystem implementation in 1999. Method: it is a bibliographic review research made through BIREME and Scielo databases, including documents and publications of FUNASA, FUNAI, and the Brazilian legislation on indigenous, from 1970s to 2000s using the term: indigenous health. Results: after a myriad of movements that fought for indigenous rights recognition, the Indian Statute was sanctioned in 1973 regulating the indigenous issues in Brazil. Thereafter the Brazilian Constitution of 1988 it took a new direction, recognizing the right for cultural and social diversity, among others. Conclusion: the indigenous people integration to the health systems happened, and is still happening, according to the SUS purpose of reduce health inequalities among the whole population. Descriptors: nursing; indigenous health; Brazil.RESUMOObjetivo: traçar um breve histórico das lutas pelos direitos indígenas, cujo ápice foi nos anos 1970, até o estabelecimento do Subsistema de Atenção aos Povos Indígenas em 1999. Método: revisão a partir de levantamento bibliográfico nos bancos de dados, BIREME e Scielo, em documentos e publicações da FUNASA e da FUNAI, e na legislação brasileira indigenista, dos anos 1970 até 2000 com a utilização do descritor: saúde indígena. Resultados: após uma série de movimentos que lutavam pelo reconhecimento dos direitos indígenas, foi sancionado o Estatuto do Índio em 1973 que regulamentava a questão indígena no Brasil. Após Constituição do Brasil de 1988 houve um novo redirecionamento, reconhecendo o direito à diversidade cultural e social, entre outros. Conclusão: a integração dos povos indígenas aos sistemas de saúde aconteceu e está acontecendo conforme o propósito do SUS de redução das desigualdades em saúde na população como um todo. Descritores: enfermagem; saúde indígena; Brasil. RESUMENObjetivo: hacer un breve histórico de la lucha por los derechos indígenas que alcanzó su máximo en la década de 1970, hasta la creación de lo Subsistema de Atención a los Pueblos Indígenas en 1999. Método: revisión desde las búsquedas bibliográficas en bases de datos, BIREME y SciELO, en los documentos y publicaciones de la FUNASA, FUNAI y en la legislación indígena brasileña, desde los años 1970 hasta 2000 usando el descriptor: salud indígena. Resultados: después de una serie de movimientos que luchaban por el reconocimiento de los derechos indígenas, se promulgó el Estatuto de lo Indio en 1973, que regulaba la cuestión indígena en Brasil. Posteriormente a la Constitución brasileña de 1988 ocurrió una nueva dirección, reconociendo el derecho a la diversidad cultural y social, entre otros. Conclusión: la integración de los sistemas de salud indígenas ocurrió y está ocurriendo según el propósito del SUS de reducir las desigualdades en salud en toda la población. Descriptores: enfermería; salud indígena; Brasil. 

scholarly journals Principles guiding ethical research in a collaboration to strengthen Indigenous primary healthcare in Australia: learning from experience

2021 ◽  
Vol 6 (1) ◽  
pp. e003852
Author(s):  
Jodie Bailie ◽  
Alison Frances Laycock ◽  
Kathleen Parker Conte ◽  
Veronica Matthews ◽  
David Peiris ◽  
...  
Keyword(s):  
Indigenous People ◽  
Large Scale ◽  
Critical Reflection ◽  
Research Collaboration ◽  
Indigenous Health ◽  
Indigenous Communities ◽  
Indigenous Leadership ◽  
Evaluation Approach ◽  
Guiding Principles ◽  
Over Time

IntroductionIndigenous communities worldwide are leading calls for all research involving Indigenous people to be underpinned by values and principles articulated by them. Many researchers are explicitly adopting these principles to guide what, where, how and when research is undertaken with Indigenous people. With critical reflection to support the implementation of such principles largely absent from published literature, this paper explores both the implementation of, and the outcomes from a set of guiding principles used in a large-scale Australian research collaboration to improve Indigenous health.MethodsIn this inductive qualitative study, we adopted a principles-focused evaluation approach. Based on interviews with 35 actors in the collaboration and a review of project documents, we generated themes that were then iteratively discussed, refined and categorised into (1) ‘strategies’—activities by which implementation of our guiding principles were recognised; (2) ‘outcomes’—results seen from implementing the principles and (3) ‘conditions’—aspects of the context that facilitated and constrained implementation of the principles.ResultsRespondents found it difficult to articulate how the guiding principles were actually implemented, and frequently referred to them as part of the fabric of the collaboration. They viewed the set of principles as mutually reinforcing, and as providing a rudder for navigating complexity and conflict. Implementation of the principles occurred through five strategies—honouring the principles; being dynamic and adaptable; sharing and dispersing leadership; collaborating purposefully and adopting a culture of mutual learning. Outcomes included increased Indigenous leadership and participation; the ability to attract principled and values-driven researchers and stakeholders, and the development of trusting and respectful relationships. The conditions that facilitated the implementation of the principles were collaborating over time; an increasing number of Indigenous researchers and taking an ‘innovation platform’ approach.ConclusionOur findings show that principles guiding collaborations are valuable in providing a focus, direction and a way of working together when they are collaboratively developed, hold genuine meaning for all members and are implemented within a culture of continuous critical reflection, learning and adaptation, with ongoing reinterpretation of the principles over time.

scholarly journals Impressões sobre o atendimento na secretaria de um curso de licenciatura intercultural indígena: FIEI/UFMG / Experiences on work in a secretariat of an undergraduate course...

2017 ◽  
Vol 7 (1) ◽  
pp. 143
Author(s):  
Luciana Gomes da Luz Silva
Keyword(s):  
Higher Education ◽  
Indigenous People ◽  
Indigenous Peoples ◽  
Indigenous Rights ◽  
Intercultural Training ◽  
The Public ◽  
Indigenous Student ◽  
Indigenous Educators ◽  
The University ◽  
University Community

O presente trabalho tem como objetivo discorrer sobre algumas experiências vividas durante o desenvolvimento das atividades de secretaria do curso de Formação Intercultural Para Educadores Indígenas, no que se refere ao atendimento aos estudantes, aos docentes e ao público em geral. Serão apresentados alguns desafios do processo de institucionalização do curso assim como da inserção e aceitação do estudante indígena pela comunidade universitária. Observa-se que os indígenas buscam fortalecer suas identidades na interação com os não indígenas e mesmo entre indígenas. Há também um esforço por parte dos professores e outros profissionais mais próximos deles no curso de que os mesmos tenham seus direitos assegurados. A inserção dos povos indígenas na universidade demonstra o quão importante e necessário é a troca de experiências entre os dois mundos: indígena e não indígena. Aponta também para a necessidade de que se promova o debate e reflexão sobre os povos indígenas e suas demandas. Nesse sentido, considera-se que a reflexão sobre o dia a dia da secretaria poderá contribuir para o aprimoramento da inserção indígena na universidade uma vez que neste espaço o exercício de compreensão do mundo indígena para atendimento às suas demandas é potencializado.Palavras-chave: Povos indígenas; Direitos; Ensino Superior. ABSTRACT: The present work aims to discuss some experiences during the development of the activities of secretariat of the course of Intercultural Training for Indigenous Educators, regarding the attendance to students, teachers and the public in general. It will present some challenges of the process of institutionalization of the course as well as the insertion and acceptance of the indigenous student by the university community. It is observed that indigenous peoples seek to strengthen their identities in interaction with non-indigenous people and even among indigenous peoples. There is also an effort on the part of teachers and other professionals who are closest to them in the course that they have their rights guaranteed. The insertion of indigenous peoples in the university demonstrates how important and necessary is the exchange of experiences between the two worlds: indigenous and non-indigenous. It also points to the need to promote debate and reflection on indigenous peoples and their demands. In this sense, it is considered that the reflection on the day-to-day work of the secretariat can contribute to the improvement of the indigenous insertion in the university since in this space the exercise of understanding of the indigenous world to attend to their demands is enhanced.Keywords: Indigenous people; Indigenous rights; Higher Education.

scholarly journals Illuminating Indigenous health care provider stories through forum theater

2021 ◽  
Vol 17 (1) ◽  
pp. 61-70
Author(s):  
Vanessa Van Bewer ◽  
Roberta L Woodgate ◽  
Donna Martin ◽  
Frank Deer
Keyword(s):  
Higher Education ◽  
Health Care ◽  
Health Care Professionals ◽  
Indigenous Health ◽  
Indigenous Education ◽  
Cultural Safety ◽  
Lateral Violence ◽  
Indigenous Students ◽  
Current Context ◽  
Physical Spaces

Learning about the historical and current context of Indigenous peoples’ lives and building campus communities that value cultural safety remains at the heart of the Canadian educational agenda and have been enacted as priorities in the Manitoba Collaborative Indigenous Education Blueprint. A participatory approach informed by forum theater and Indigenous sharing circles involving collaboration between Indigenous and non-Indigenous health care professionals ( n = 8) was employed to explore the above priorities. Through the workshop activities, vignettes were created and performed to an audience of students and educators ( n = 7). The findings emerging from the workshop illuminated that Indigenous people in nursing and higher education face challenges with negotiating their identity, lateral violence and struggle to find safe spaces and people due to tokenism and a paucity of physical spaces dedicated to Indigenous students. This study contributed to provoking a greater understanding of Indigenous experiences in higher education and advancing reconciliation.

scholarly journals Knowledge, attitudes and behaviours towards vaccination: a survey of university students in Europe

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Callegaro ◽  
L Chinenye Ilogu ◽  
O Lugovska ◽  
S Mazzilli ◽  
A Prugnola ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care Professionals ◽  
Online Survey ◽  
Educational Interventions ◽  
Cross Sectional ◽  
High Level ◽  
Coverage Rates ◽  
The University ◽  
Vaccination Knowledge

Abstract Background Immunisation programs are still facing substantial challenges in achieving target coverage rates. This has been attributed to the growing negative individual vaccination attitudes and behaviours. Most of the current studies assessing vaccination knowledge, attitude and beliefs targets adults. However, young people represent future parents and health care professionals. The objective of this study was to investigate vaccination knowledge attitudes and behaviours among university medical and non-medical students in Europe. Methods We performed a cross-sectional online survey between April and July 2018. The study participants were students attending different faculties at the University of Antwerp, Belgium and the University of Pisa, Italy. We described sample characteristics. The effect of risk factors was tested with univariate and multivariate logistic regressions. Results A total of 2079 participants completed the survey including 873 medical students and 1206 from other faculties. The average of vaccination knowledge, attitudes, and confidence was respectively 5.51 (SD: 1.41), 4.66 (SD: 0.14) and 5.28 (SD: 0.57) on the 6-points scale. Our respondents demonstrated a high level of awareness with respect to their vaccination history. In total, 67.7% (n = 1407) reported to have received at least one vaccine in the previous five years; only 6.0% (n = 35) did not receive any vaccine in the previous 10 years. According to logistic regression analysis Italian students had significantly higher knowledge, attitude and confidence scores than Belgium respondents. Students of medicine scored significantly higher compared to non-medical students. Conclusions In order to reduce the gaps in vaccinations knowledge between non-medical and medical students we should plan educational interventions. In this way the number of future sceptical parents could be decreased. Further studies are required to explain the differences between countries. Key messages Young adults are the parents and the health care professionals of the future, for this reason their vaccination knowledge attitudes and behaviours should be carefully monitored. European non-medical students have lower vaccinations knowledge, attitudes and confidence compared with medical student. In order to fill these gaps, we should plan educational interventions.

scholarly journals Clinical Features and Outcomes of a Racially Diverse Population with Fibrillary Glomerulonephritis

2017 ◽  
Vol 45 (3) ◽  
pp. 248-256 ◽  
Author(s):  
Fernanda Payan Schober ◽  
Meghan A. Jobson ◽  
Caroline J. Poulton ◽  
Harsharan K. Singh ◽  
Volker Nickeleit ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Disease Process ◽  
Signs And Symptoms ◽  
Patient Characteristics ◽  
Underlying Disease ◽  
Fibrillary Glomerulonephritis ◽  
Black Patients ◽  
End Stage ◽  
20 Nm ◽  
The University

Background: Fibrillary glomerulonephritis is characterized by randomly arranged fibrils, approximately 20 nm in diameter by electron microscopy. Patients present with proteinuria, hematuria and kidney insufficiency, and about half of the reported patients progress to end-stage kidney disease within 4 years. The dependence of patient characteristics and outcomes on race has not been explored. In this study, we describe a cohort of patients with fibrillary glomerulonephritis and compare their clinical characteristics and outcomes with those of patients previously described. Methods: The University of North Carolina (UNC) Nephropathology Database was used to retrospectively identify patients diagnosed with fibrillary glomerulonephritis between 1985 and 2015. Of these patients, those treated at UNC were selected. Their demographic and clinical characteristics - including signs and symptoms, comorbidities, laboratory values, treatments and outcomes - were compared with those of patients described earlier. Results: Among the 287 patients identified, 42 were treated at the UNC Kidney Center. When compared to earlier cohorts, a higher frequency of black race, hepatitis C virus (HCV) infection and use of hemodialysis were noted in both black and HCV-positive patients. Autoimmune diseases, infections and malignancies were frequently observed, present in over half of all cases. Conclusion: According to this study, fibrillary glomerulonephritis represents a secondary glomerular disease process (associated with autoimmune disease, infection or malignancy) in many cases and hence screening is essential. As the screening for comorbidities increased over time, more underlying causes were identified. We noted a high frequency of HCV among black patients, suggesting a possible causative association. Treatment of underlying disease is essential for patients for the best outcome.

Library Impact Practice Brief: Freshman Fellows: Implementing and Assessing a First-Year Primary-Source Research Program

2021 ◽  
Author(s):  
Margaret Burri ◽  
Joshua Everett ◽  
Heidi Herr ◽  
Jessica Keyes
Keyword(s):  
Primary Source ◽  
Structured Interview ◽  
First Year ◽  
Special Collections ◽  
Johns Hopkins University ◽  
College Career ◽  
Library Impact ◽  
Teaching Learning ◽  
The University ◽  
Impact Framework

This practice brief describes the assessment project undertaken by the Sheridan Libraries at Johns Hopkins University as part of the library’s participation in ARL’s Research Library Impact Framework initiative to address the question “(How) do the library’s special collections specifically support and promote teaching, learning, and research?” The research team investigated how the Freshman Fellows experience impacted the fellows’ studies and co-curricular activities at the university. Freshmen Fellows, established in 2016, is a signature opportunity to expose students to primary-source collections early in their college career by pairing four fellows with four curators on individual research projects. The program graduated its first cohort of fellows in spring 2020. The brief includes a semi-structured interview guide, program guidelines, and a primary research rubric.

Promoting Healthy Medication Use Through Indigenous Knowledge Sharing: A Coyote Story

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Gina Gaspard ◽  
Carrie Gadsby ◽  
Cindy Preston
Keyword(s):  
Health Care ◽  
Knowledge Sharing ◽  
First Nations ◽  
Indigenous People ◽  
Health Authority ◽  
Health Care Professionals ◽  
Claims Data ◽  
Medication Management ◽  
Medication Use ◽  
Care Services

Polypharmacy is the administration of more medications than clinically required or appropriate, and it can negatively impact wellness. Prescribers, pharmacists, nurses, and those receiving care services all have an important role to play in promoting healthy medication use and minimizing the risk related to polypharmacy. Medication management involves health care professionals regularly reviewing drug therapies with patients for any needed changes. This strategy is a key way to reduce the harms of polypharmacy. A review of the First Nations Health Authority Health Benefits Claims data in 2015 confirmed that polypharmacy is an issue for First Nations in British Columbia, Canada. This was further validated in a series of meetings held in four First Nations communities. The learnings from these meetings were that many people do not know the names of their medications, the reasons for taking them, or how to advocate for themselves during health care interactions. A unique strategy was needed to both encourage and empower First Nations and Indigenous people to discuss managing their medications, and to support health care professionals to better understand how to engage First Nations patients about their medications.

Relationship between Utilisation of Electronic Books and Users’ Satisfaction in University Libraries in North East Zone, Nigeria

2018 ◽  
Vol 8 (2) ◽  
pp. 61-64
Author(s):  
Zainab Mohammed Abdullahi ◽  
Abbas Lamido Gora Adamu ◽  
Abubakar Mohammed
Keyword(s):  
Sampling Technique ◽  
Electronic Books ◽  
University Libraries ◽  
North East ◽  
Research Activities ◽  
Library Users ◽  
Conducting Research ◽  
Level Of Significance ◽  
Teaching Learning ◽  
The University

Electronic books (e-books) are vital information resources in every university library as they are utilised by users in search of information for conducting research activities, teaching, learning and assignment. This study investigated the relationship between utilisation of e-books and users’ satisfaction in university libraries in North East Zone, Nigeria. Correlational research method was used. The population of the study comprised of five thousand three hundred and seventy nine (5,379) registered library users spread across the five sampled university libraries under study. Stratified random sampling technique was used in drawing the samples and the sample size for this study was one thousand three hundred and seventy two (1,372) registered library users drawn using Krejcie and Morgan (2006) table. Questionnaire was used as the research instrument. Data collected were analysed using descriptive statistics to answer the two research questions, while, inferential statistics of Pearson Product Moment Correlation Coefficient (PPMC) was used to test the formulated null hypothesis at 0.05 level of significance. Findings from the study revealed that users’ utilisation of e-books and users’ satisfaction with utilisation of e-books for research, learning, assignment and information in university libraries in North East Nigeria were generally moderate. The study also established that there was significant relationship between utilisation of e-books and users’ satisfaction in university libraries in North East Zone, Nigeria. The study recommended teaching of information literacy for library users, acquisition of adequate and relevant e-books in the university libraries as well as discouraging users from using information obtained from online sources such as Google and other search engines as they are mostly ineffective for their research activities, teaching, learning and assignment.

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