17 Cultural Safety Training and Education for Health Care Providers: Unsettling Health Care with Inuit in Canada

2021 ◽  
pp. 329-345
Author(s):  
Allison Crawford ◽  
Candice Waddell ◽  
Christine Lund
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Safety Training ◽  
Cultural Safety ◽  
Care Providers ◽  
Training And Education

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.

scholarly journals The United States Does CAIR About Cultural Safety: Examining Cultural Safety Within Indigenous Health Contexts in Canada and the United States

2016 ◽  
Vol 28 (3) ◽  
pp. 269-277 ◽  
Author(s):  
Francine Darroch ◽  
Audrey Giles ◽  
Priscilla Sanderson ◽  
Lauren Brooks-Cleator ◽  
Anna Schwartz ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Cultural Competence ◽  
American Indian ◽  
Health Care Providers ◽  
Cultural Sensitivity ◽  
Cultural Awareness ◽  
The United States ◽  
Cultural Safety ◽  
Care Providers

Purpose: This article examines the concept and use of the term cultural safety in Canada and the United States. Design: To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations. Findings: The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence. Discussion: Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety—despite not using the language. Conclusions: We recommend that health care providers and health researchers consider the tenets of cultural safety. Implications for Practice: To address health disparities between American Indian populations and non–American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.

scholarly journals Measuring health care experiences that matter to Indigenous people in Australia with cancer: identifying critical gaps in existing tools

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Monica Green ◽  
Joan Cunningham ◽  
Kate Anderson ◽  
Kalinda Griffiths ◽  
Gail Garvey
Keyword(s):  
Health Care ◽  
Indigenous People ◽  
Patient Experience ◽  
Health Care Providers ◽  
Cancer Care ◽  
Cultural Safety ◽  
Service Improvement ◽  
Care Providers ◽  
Indigenous Worldview ◽  
Critical Aspects

Abstract Background Measurement of patients’ healthcare experiences is increasingly used as an indicator of quality of care, but there are concerns that existing measures omit information that is meaningful to patients and that results may not be used systematically to inform service improvement. Further, current approaches may be inadequate for some population groups, such as Indigenous people in Australia, whose healthcare experience is impacted by the context of colonisation and discordance between Indigenous understandings of health and the Western biomedical health system. This study aimed to assess the extent to which existing patient experience measures used in Australia collect information about critical aspects of cancer care, as previously identified by Indigenous people affected by cancer and their health care providers. Methods A two-stage process was used to examine the adequacy of existing patient experience measures for Indigenous people in Australia: (1) relevant tools and measures were identified and assessed, and four measures selected as suitable comparators; (2) comparators were examined in detail and mapped against topics identified in earlier research as important to Indigenous people with cancer. Gaps in topic coverage in comparators were identified. Results No comparators completely captured the critical aspects of cancer care identified by Indigenous people affected by cancer and their health care providers. The number of topics ‘partially’ captured by the four comparators ranged from 4 to 7 out of 9. While most topics were partially covered, the lack of questions around culture and cultural safety was notable. Conclusions Existing tools are likely to miss key aspects of Indigenous peoples’ experiences of cancer care in Australia. Failure to adequately assess care experiences related to cultural safety may compromise efforts to improve health outcomes. Addressing gaps requires development of experience measures that are strengths-based, reflect an Indigenous worldview and measure aspects of experience relevant to Indigenous people.

scholarly journals It’s a Journey Not a Check Box: Indigenous Cultural Safety From Training to Transformation

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Lloy Wylie ◽  
Stephanie McConkey ◽  
Ann Marie Corrado
Keyword(s):  
Health Care ◽  
Education And Training ◽  
Safety Training ◽  
Cultural Safety ◽  
Care Staff ◽  
Health Care Staff ◽  
Culturally Appropriate ◽  
Care Providers ◽  
And Training ◽  
Safe Care

Indigenous Peoples in Canada continue to experience racism and discrimination when accessing health care. Competencies of health care staff urgently need to be improved through cultural safety education and training programs to inform culturally appropriate and safe care practice among care providers serving Indigenous individuals and families. This paper explores current educational strategies, the perspectives of Indigenous and non-Indigenous care providers on training approaches, and recommendations for improving training. Qualitative semi-structured interviews were conducted with 31 participants to explore the current provision of culturally appropriate and safe care. Interviews were voice recorded and transcribed verbatim, and a thematic analysis was completed. The three key themes related to training that emerged from data analysis were (a) addressing the knowledge gaps, (b) challenges of current training approaches, and (c) recommendations for improvements in training. Each key theme had three subthemes that were further explored. Cultural safety training is a long and iterative process that has the potential to change care providers’ behaviours and attitudes. Various challenges to existing education and training included issues with implementation, limited follow up with health care staff to support practice changes, and/or limited commitment from senior leadership to change organizational policies and practices. As such, there is a clear need for systemic change within health care institutions to support staff participating in cultural safety training and to put that training into practice to create a culturally safe space for Indigenous individuals seeking health care.

scholarly journals Measuring Health Care Experiences that Matter to Indigenous People in Australia with Cancer: Identifying Critical Gaps in Existing Tools

2020 ◽  
Author(s):  
Monica Green ◽  
Joan Cunningham ◽  
Kate Anderson ◽  
Kalinda Griffiths ◽  
Gail Garvey
Keyword(s):  
Health Care ◽  
Indigenous People ◽  
Patient Experience ◽  
Health Care Providers ◽  
Cancer Care ◽  
World View ◽  
Cultural Safety ◽  
Care Providers ◽  
Care Experience ◽  
Critical Aspects

Abstract Background: The measurement of patients’ experiences of healthcare is increasingly used as an indicator of the quality of care. There are concerns that many mechanisms used to collect patient experience data produce large amounts of superficial data, while missing deeper, more nuanced information that is meaningful to the patient, and that insufficient attention is paid to whether the information is used to make a difference to health care. This is particularly so for Indigenous people in Australia, whose health care experience is impacted by the context of colonisation and discordance between Indigenous understandings of health and the biomedical health system. The aim of this study was to assess the extent to which existing patient experience measures currently in use in Australia collect information about the most critical aspects of cancer care, as identified by Indigenous people affected by cancer and their health care providers in previous research. Methods: A two-stage process was used to examine the adequacy of existing patient experience measures for Indigenous people in Australia: (1) relevant tools and measures were identified and assessed, and four measures were selected as suitable comparators; (2) the comparators were examined in detail and mapped against the topics identified in our earlier research as important to Indigenous people affected by cancer. Gaps in topic coverage in the comparators were identified. Results: No comparators completely captured the critical aspects of cancer care identified by Indigenous people with cancer and their health care providers. The number of topics ‘partially’ captured by the four comparators ranged from 4 to 7 out of 9. While most topics were at least partially covered, the lack of questions around culture and cultural safety was notable. Conclusions: Existing patient experience measurement tools are likely to miss some key aspects of Indigenous peoples’ experiences of cancer care in Australia. Failure to adequately assess experiences of care related to cultural safety may compromise efforts to improve health outcomes. Addressing the gaps requires the development of experience measures that are strengths-based, reflect an Indigenous world view and measure aspects of experience that are relevant to Indigenous people.

Health Care Providers' Knowledge and Attitudes in Perinatal Care for Women with Disabilities

2021 ◽  
Vol 5 (3) ◽  
pp. 1-5
Author(s):  
Antigoni Sarantaki ◽  
Maria Vasiliki Zambeli ◽  
Athina Diamanti ◽  
Aikaterini Lykeridou
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Perinatal Care ◽  
Care Providers ◽  
Negative Attitudes ◽  
Training And Education ◽  
Women With Disabilities ◽  
Undergraduate Level ◽  
Inadequate Knowledge

Background: Disability is a global phenomenon counting more than one billion people reaching the percentage of 15% of the population worldwide and it will be rising constantly in the coming years. Women with disabilities are getting pregnant more and more. Although perinatal care has been extensively researched and is constantly being improved for women without disabilities, health care professionals are not adequately educated and fully experienced for caring for pregnant women with disabilities. As a result of that they are negatively inclined towards disabled women. Objective: The purpose of this review is to investigate health care providers’ behaviors and attitudes towards women with disabilities whilst providing perinatal care. Conclusion: Overall, it seems that health care providers feeling insecure and not confident in providing perinatal care to women with disabilities which results in them having negative attitudes and behaviors. This stems from the inadequate knowledge they have about disability conditions and pregnancy. Upgrading their training and education from undergraduate level is an urgent need. Constant contact with disabled patients seems to be a beneficial factor for better treatment.

scholarly journals Challenges in a Newly Established Cancer Centre in Tanzania: Staff’s Perspectives

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 221s-221s
Author(s):  
O. Henke ◽  
Z. Alwash
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cancer Care ◽  
Qualitative Content Analysis ◽  
Professional Staff ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Training And Education ◽  
Patient Side

Background: Cancer is a growing public health issue in low and middle income countries (LMIC). From estimated 14 million new cases each year, 8 million are diagnosed in LMIC. Case fatality rate is 75% in comparison with 46% in high income countries. Causes are low literacy levels, lack of awareness and knowledge about cancer among the population as well as limited education of health care providers leading also to late detection and diagnosis. In Tanzania, one of the poorest economies in the world, cancer incidences will double in the year 2030. To address the needs of cancer patients, the tertiary hospital of northern Tanzania established a new chemotherapy center in December 2016. However, there is limited knowledge about perceptions of professional staff toward chemotherapy treatment and cancer care in general in East Africa. This study aims to understand attitudes and perspectives of health care professionals and treatment related spectrum of challenges in the newly established center to assist future efforts in this field. Aim: This study aims to understand and analyze the attitudes and perspectives of the health care staff at the newly established Cancer Care Centre toward chemotherapy and the challenges they face on daily basis at their workplace. This understanding will assist future efforts to further apprehend the possible cancer treatment related spectrum of challenges that occur in low resource settings. Methods: As the research field is widely unknown, qualitative methods using in-depth interviews were chosen for inductive conceptualization of the topic. Analysis of data was performed according to qualitative content analysis. Results: 11 interviews were conducted with 3 males and 8 females with an average working experience was 7 years. 6 main categories were found: training and education of staff, interaction with the patients, availability of financial support, challenges in management, interests in future development and job satisfaction. Subcategories elaborated further within the main categories. Conclusion: Limitations in staffing, in training and education about chemotherapy were a major concern among the interviewees. The importance of sustainable funding and the needed cooperation of the government with international aid were mentioned as a key to avoid shortage of medication and equipment. Beside these concerns, the health care workers expressed their satisfaction with the new possibilities of treating cancer and the rewarding feedback of the patients. Misconceptions and poor knowledge on the patient side were mentioned as a reason for delayed health seeking behavior. Screening and awareness programs were mentioned as possible useful interventions.

scholarly journals Measuring health care experiences that matter to Indigenous people in Australia with cancer: identifying critical gaps in existing tools

2020 ◽  
Author(s):  
Monica Green ◽  
Joan Cunningham ◽  
Kate Anderson ◽  
Kalinda Griffiths ◽  
Gail Garvey
Keyword(s):  
Health Care ◽  
Indigenous People ◽  
Patient Experience ◽  
Health Care Providers ◽  
Cancer Care ◽  
Cultural Safety ◽  
Service Improvement ◽  
Care Providers ◽  
Indigenous Worldview ◽  
Critical Aspects

Abstract Background: Measurement of patients’ healthcare experiences is increasingly used as an indicator of quality of care, but there are concerns that existing measures omit information that is meaningful to patients and that results may not be used systematically to inform service improvement. Further, current approaches may be inadequate for some population groups, such as Indigenous people in Australia, whose healthcare experience is impacted by the context of colonisation and discordance between Indigenous understandings of health and the Western biomedical health system. This study aimed to assess the extent to which existing patient experience measures used in Australia collect information about critical aspects of cancer care, as previously identified by Indigenous people affected by cancer and their health care providers.Methods: A two-stage process was used to examine the adequacy of existing patient experience measures for Indigenous people in Australia: (1) relevant tools and measures were identified and assessed, and four measures selected as suitable comparators; (2) comparators were examined in detail and mapped against topics identified in earlier research as important to Indigenous people with cancer. Gaps in topic coverage in comparators were identified. Results: No comparators completely captured the critical aspects of cancer care identified by Indigenous people affected by cancer and their health care providers. The number of topics ‘partially’ captured by the four comparators ranged from 4 to 7 out of 9. While most topics were partially covered, the lack of questions around culture and cultural safety was notable. Conclusions: Existing tools are likely to miss key aspects of Indigenous peoples’ experiences of cancer care in Australia. Failure to adequately assess care experiences related to cultural safety may compromise efforts to improve health outcomes. Addressing gaps requires development of experience measures that are strengths-based, reflect an Indigenous worldview and measure aspects of experience relevant to Indigenous people.

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