scholarly journals Navigating Allyship through Indigenization, Decolonization, and Reconciliation: Perspectives from Non-Indigenous Pharmacy Educators

2020 ◽  
Vol 11 (1) ◽  
pp. 8
Author(s):  
Larry Leung ◽  
Jason Min
Keyword(s):  
North America ◽  
Indigenous Health ◽  
Collaborative Work ◽  
Learning Opportunities ◽  
Cultural Safety ◽  
Years Of Experience ◽  
Practical Applications ◽  
Article Type ◽  
Curricular Transformation

As pharmacy schools across Canada and North America work towards authentic and meaningful curriculum and learning opportunities in Indigenous health and cultural safety, the conversation of “why” we need to do this has become clearer, but the task of “how” we do this remains challenging. This curricular transformation can be increasingly more complex to navigate as a non-Indigenous ally and pharmacy educator. Defining your role as an ally is deeply personal and critically important, as it can transform based on the collaborative work undertaken with Indigenous partners and communities. The purpose of this article is to share perspectives gained over years of experience and practical applications of allyship through the lens of three key separate, but interconnected concepts – indigenization, decolonization, and reconciliation.   Article Type: Commentary

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 Intersection Sight Distance Characteristics of Turbo Roundabouts

Designs ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 16
Author(s):  
Akshay Salwan ◽  
Said M. Easa ◽  
Narayana Raju ◽  
Shriniwas Arkatkar
Keyword(s):  
North America ◽  
Mathematical Optimization ◽  
Critical Parameters ◽  
Practical Applications ◽  
Sight Distance ◽  
Large Numbers ◽  
Mathematical Formulas ◽  
Lateral Clearance ◽  
Intersection Geometry ◽  
Mathematical Characteristics

A turbo roundabout uses spiral circulatory roads for effectively counteracting the problems faced in modern multilane roundabouts. First developed in 1996, the turbo roundabout has an advantage over the conventional roundabout regarding capacity and safety. Turbo roundabouts are still in the developing phase in North America, but even in the European subcontinent where they exist in large numbers, reliable analytical studies on the critical parameters of roundabout visibility are lacking. Visibility (sight distance) helps to shape the geometry of the intersection and aids in safety. This paper presents the mathematical characteristics of the intersection geometry and intersection sight distance (ISD) of the turbo roundabout. Mathematical formulas are presented for the sight distance from the approaching vehicle to the conflicting-entering and circulating vehicles. The maximum lateral clearances to the conflicting vehicles are derived using mathematical optimization. The developed analytical method is verified graphically using AutoCAD. To assist in practical applications, design aids for the maximum lateral clearance are presented. The presented method and design aids should aid in promoting safety at turbo roundabouts.

scholarly journals P033: Engaging Indigenous patients in addressing cultural safety in an emergency department: a pilot initiative

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S89-S89
Author(s):  
E.M. Dell ◽  
M. Firestone ◽  
J. Smylie ◽  
W. Whitebird ◽  
S. Vaillancourt
Keyword(s):  
Emergency Department ◽  
Data Collection ◽  
Focus Groups ◽  
Indigenous Health ◽  
Clinical Care ◽  
Contact Point ◽  
Cultural Safety ◽  
Emergency Department Care ◽  
Perceived Safety ◽  
Transient Population

Introduction: Cultural safety is integral to good clinical care, particularly for Indigenous patients. However, it remains poorly defined in emergency department care (ED). Practitioners at an urban Canadian ED serving a significant Indigenous population sought to engage with the community to define areas for improvement in culturally safe emergency department care. Methods: A participatory action approach was used. A Steering Committee was created, including emergency clinicians and Indigenous health researchers. The Committee collaborated with a local Indigenous health study (Our Health Counts) to aid recruitment. Relevant Indigenous community organizations were identified and engaged via email and personal visits. Recruitment posters were placed in common areas at community sites and the ED. Convenience and snowball sampling was used - potential participants called an ED research coordinator and inclusion criteria were confirmed (self identify as Indigenous, >18 years old, ED visit within the past year). Eligible participants were invited to attend a focus group facilitated by an Aboriginal Elder. Results: 31 individuals called to enroll for a total of 4 potential focus groups. 1 was successfully held: 5 participants were confirmed, 2 attended. Many recruitment challenges were identified, including difficulty maintaining contact/follow-up with a transient population, poster dissemination before recruitment start date, non-Indigenous patients attracted by compensation, and potential participant safety concerns regarding non-Indigenous contact point. Conclusion: Our initiative highlights challenges in engaging vulnerable populations in a large city. Focus groups may be logistically too challenging for this transient population. Other real-time data collection methods, such as phone interviews or surveys may be promising. An Indigenous contact point would likely improve perceived safety. The lack of socio-demographic data collection makes identifying potential participants challenging.

scholarly journals From Fragmented Practice to Rich Professional Learning: The Collaborative Work of Teachers of Learners With Deafblindness

2020 ◽  
Vol 5 ◽  
Author(s):  
Elizabeth S. Hartmann
Keyword(s):  
Professional Learning ◽  
Collaborative Work ◽  
Learning Opportunities ◽  
Sensory Loss ◽  
Professional Collaboration ◽  
School Professionals ◽  
Dual Sensory Loss ◽  
Academic Year

In this study, school professionals provided a rich context for understanding how collaboration can lead to learning when educating a child with deafblindness. Analysis of the collaboration of five professionals during an academic year showed that although they thought it was critical that they learn from each other, only one sub-set engaged in ways that led to rich learning opportunities. The findings from this study suggest that professional collaboration and learning, which is a hallmark of supporting learners with dual sensory loss, may be elusive even when it is a valued and mandated practice. In addition, professional learning more readily occurs when teachers are open to educating all children yet are also focused on how to best teach children with deafblindness.

Regional Studies of Indigenous Health: Europe and Russia

2019 ◽  
Author(s):  
Peter Bjerregaard
Keyword(s):  
North America ◽  
Indigenous Peoples ◽  
Minority Groups ◽  
Indigenous Health ◽  
Regional Studies ◽  
Ethnic Minority Groups ◽  
Northern Norway ◽  
American States ◽  
Russian North ◽  
Northern Russia

The indigenous peoples of Europe and Russia comprise the Inuit in Greenland, the Sami in northern Norway, Sweden, Finland and Russia and forty officially recognized ethnic minority groups in northern Russia plus a few larger-population indigenous peoples in Russia. While the health of the Inuit and Sami has been well studied, information about the health of the indigenous peoples of Russia is considerably scarcer. The overall health of the Sami is in many aspects not very different from that of their non-indigenous neighbors in northern Scandinavia; the health of the Inuit is similar across Greenland and North America and far less favorable than that of Denmark, southern Canada and the lower 48 American states, respectively; the health of the indigenous peoples of the Russian north is poor, partly due to poverty and alcohol.

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.

Culturally safe health care practice for Indigenous Peoples in Australia: A systematic meta-ethnographic review

2021 ◽  
pp. 135581962110418
Author(s):  
Stephanie De Zilva ◽  
Troy Walker ◽  
Claire Palermo ◽  
Julie Brimblecombe
Keyword(s):  
Health Care ◽  
Indigenous Peoples ◽  
Health Care Services ◽  
Torres Strait Islander ◽  
Indigenous Health ◽  
Cultural Knowledge ◽  
Cultural Safety ◽  
Care Practice ◽  
Health Care Practice ◽  
Torres Strait

Objectives Culturally safe health care services contribute to improved health outcomes for Aboriginal and Torres Strait Islander Peoples in Australia. Yet there has been no comprehensive systematic review of the literature on what constitutes culturally safe health care practice. This gap in knowledge contributes to ongoing challenges providing culturally safe health services and policy. This review explores culturally safe health care practice from the perspective of Indigenous Peoples as recipients of health care in Western high-income countries, with a specific focus on Australian Aboriginal and Torres Strait Islander Peoples. Methods A systematic meta-ethnographic review of peer-reviewed literature was undertaken across five databases: Ovid MEDLINE, Scopus, PsychINFO, CINAHL Plus and Informit. Eligible studies included Aboriginal and Torres Strait Islander Peoples receiving health care in Australia, had a focus on exploring health care experiences, and a qualitative component to study design. Two authors independently determined study eligibility (5554 articles screened). Study characteristics and results were extracted and quality appraisal was conducted. Data synthesis was conducted using meta-ethnography methodology, contextualised by health care setting. Results Thirty-four eligible studies were identified. Elements of culturally safe health care identified were inter-related and included personable two-way communication, a well-resourced Indigenous health workforce, trusting relationships and supportive health care systems that are responsive to Indigenous Peoples’ cultural knowledge, beliefs and values. Conclusions These elements can form the basis of interventions and strategies to promote culturally safe health care practice and systems in Australia. Future cultural safety interventions need to be rigorously evaluated to explore their impact on Indigenous Peoples’ satisfaction with health care and improvements in health care outcomes.

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.

Culturally Safe Health Initiatives for Indigenous Peoples in Canada: A Scoping Review

2018 ◽  
Vol 50 (4) ◽  
pp. 202-213 ◽  
Author(s):  
Lauren Brooks-Cleator ◽  
Breanna Phillipps ◽  
Audrey Giles
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Scoping Review ◽  
Indigenous Population ◽  
Specific Interaction ◽  
Power Sharing ◽  
Cultural Safety ◽  
Care Providers ◽  
Practical Applications ◽  
Health Initiatives

Background Cultural safety has the potential to improve the health disparities between Indigenous and non-Indigenous Canadians, yet practical applications of the concept are lacking in the literature. Purpose This study aims to identify the key components of culturally safe health initiatives for the Indigenous population of Canada to refine its application in health-care settings. Methods We conducted a scoping review of the literature pertaining to culturally safe health promotion programs, initiatives, services, or care for the Indigenous population in Canada. Our initial search yielded 501 publications, but after full review of 44 publications, 30 were included in the review. After charting the data, we used thematic analysis to identify themes in the data. Results We identified six themes: collaboration/partnerships, power sharing, address the broader context of the patient’s life, safe environment, organizational and individual level self-reflection, and training for health-care providers. Conclusion While it is important to recognize that the provision of culturally safe initiatives depend on the specific interaction between the health-care provider and the patient, having a common understanding of the components of cultural safety, such as those that we identified through this research, will help in the transition of cultural safety from theory into practice.

Sign in / Sign up

Export Citation Format

Share Document