scholarly journals Gum yan asing Kaangas giidaay han hll guudang gas ga. I Will Never Again Feel That I Am Less Than: Indigenous Health Care Providers’ Perspectives on Ending Racism in Health Care

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Madeleine Kétéskwēw Dion Stout ◽  
Cornelia (Nel) Wieman ◽  
Lisa Bourque Bearskin ◽  
Becky C. Palmer ◽  
Lauren Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Indigenous Peoples ◽  
Health Care Providers ◽  
Indigenous Health ◽  
Care Providers ◽  
Speaking Up ◽  
Professional Experiences ◽  
System A ◽  
Racial Injustice ◽  
Speak Up

Racism toward Indigenous Peoples continues to permeate throughout the health care system, a reality the authors know all too well in their shared and yet unique personal and professional experiences. Although acknowledging and speaking up against racial injustice is daunting, and is often met with disregard or inaction, the authors contend that this is a necessary undertaking to redress the ongoing harms of colonialism. Correspondingly, those who do not speak up must not have their voices silenced. Instead, the perspectives that Indigenous Peoples have regarding their own experiences of racism must be heeded seriously and produce real and tangible solutions. In narrating their own encounters of confronting and challenging racism, the authors juxtapose activism and resistance with the preservation of Indigenous Knowledge as a catalyst for propelling the necessary changes forward within health care to end racism. To be truly impactful, all efforts taken to address racism must occur alongside advancing equity of care and human rights for and by Indigenous Peoples at individual, community, and systemic levels. Changes are not needed after more evidence. The time to act is now.

Creating Comics to Address Well-Being and Resilience During the COVID-19 Pandemic

2021 ◽  
pp. 152483992110654
Author(s):  
Kathryn West ◽  
Karen R. Jackson ◽  
Tobias L. Spears ◽  
Brian Callender
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Case Series ◽  
Narrative Medicine ◽  
Well Being ◽  
Small Scale ◽  
Care Providers ◽  
Graphic Medicine ◽  
Racial Injustice ◽  
Pilot Implementation

In this descriptive case series, we detail the theoretical basis, methodology, and impact of a small-scale pilot implementation of graphic medicine workshops as an innovative approach to well-being and resilience in the age of COVID-19 and increasing awareness of racial injustice. The data provided in this article are anecdotal and based on participation in the workshops. Images created during the workshops are also shared as examples of the types of reflection that graphic medicine can enable. The workshops themselves were designed collaboratively and are based on the theoretical principles of graphic medicine, narrative medicine, and racial and social justice. They were conducted as part of a larger wellness initiative and were offered to health care-focused faculty at our academic medical institution. Our findings suggest that this was a beneficial activity which helped participants to reflect and reconsider their experiences with the COVID-19 pandemic and surging awareness of racial injustice. Reflections also showed that drawings were correlated with ProQOL scores and may, in larger numbers, also help to mitigate or bring attention to issues of burnout in frontline providers. Drawings shared show the tremendous impact of COVID-19 and the simultaneous chaos and emptiness of practicing during dual pandemics. Our workshops engaged about 20 frontline health care providers and other health care faculty and highlight the utility of graphic medicine as a tool for building resilience and encouraging self-reflection. Further study is necessary, as is more rigorous analysis of the relationship between the graphics created and the ability to recognize and mitigate burnout.

scholarly journals Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers

2018 ◽  
Vol 28 (12) ◽  
pp. 1858-1870 ◽  
Author(s):  
Zoua M. Vang ◽  
Robert Gagnon ◽  
Tanya Lee ◽  
Vania Jimenez ◽  
Arian Navickas ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Indigenous Health ◽  
Indigenous Women ◽  
Care Providers

Using GIS Technology to Define and Assess a Rurality Scheme Suitable for Decision Support in Health and Patient Services

2018 ◽  
Vol 9 (3) ◽  
pp. 1-17 ◽  
Author(s):  
Liora Sahar ◽  
Rentonia Williams ◽  
Arthi Rao ◽  
Kassandra I. Alcaraz ◽  
Kenneth M. Portier
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Providers ◽  
Care Providers ◽  
Gis Technology ◽  
Care Needs ◽  
Non Profit ◽  
Public Health Programs ◽  
System A ◽  
Support Of Research

Labeling geographic areas into rural or urban classes has implications to public policy, distribution of funds and services, as well as analysis and research. Rural-Urban classifications are often limited to dichotomous, county-based comparisons on geographies that can be too large and diverse to effectively assess and resource health care needs and services. Using an existing census tract based classification system, a modified rurality classification layer is proposed and used as a foundation layer in support of research, mission and income programs at a National Non-profit Organization. This system is analyzed by integrating with health services and program data to better understand accessibility and availability of health services, to assess available program offerings, and to evaluate the geographic distribution of health care providers and facilities. The analysis illustrates how identifying intra-rural differences can play a pivotal role in understanding patient needs, assigning adequate resources and can further support public health programs and policy implementation.

scholarly journals Tackling the Burden of Osteoarthritis as a Health Care Opportunity in Indigenous Communities—A Call to Action

2020 ◽  
Vol 9 (8) ◽  
pp. 2393
Author(s):  
Penny O’Brien ◽  
Samantha Bunzli ◽  
Ivan Lin ◽  
Tilini Gunatillake ◽  
Dawn Bessarab ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Indigenous Peoples ◽  
Health Care Providers ◽  
Indigenous Communities ◽  
Care Providers ◽  
Call To Action ◽  
Health And Wellbeing ◽  
The Impact ◽  
Similar Risk

Osteoarthritis is a highly prevalent and disabling disease, causing a significant individual and socioeconomic burden worldwide. Until now, there has been a dearth of research exploring the impact of osteoarthritis in global Indigenous communities. Osteoarthritis has a similar risk factor profile to many chronic diseases that disproportionately affect Indigenous peoples. In this editorial, we argue that osteoarthritis and associated mobility restrictions play a central role in the chronic disease profile of Indigenous peoples. We present a call to action for clinicians and health care providers, researchers and policymakers to begin to recognise the interrelated nature of osteoarthritis and chronic disease. We have an opportunity to change the way we do business, to improve access to culturally secure osteoarthritis care and the health and wellbeing of Indigenous communities.

Patients’ Perceptions of Health Care Providers’ Dismissive Communication

2021 ◽  
pp. 152483992110275
Author(s):  
Grace M. Hildenbrand ◽  
Evan K. Perrault ◽  
Rachel HeeJoon Rnoh
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Active Role ◽  
Care Providers ◽  
Supportive Communication ◽  
Patient Centered ◽  
Communication Behaviors ◽  
Speak Up ◽  
Patients Experience ◽  
Health Care Provider Communication

Some patients experience negative interactions with health care providers, such as when they perceive that their concerns are ignored by providers. The present study, guided by patient-centered communication, examined health care provider communication behaviors that resulted in patients feeling dismissed, and whether there were differences in providers who dismissed being perceived as (dis)similar to the patients in gender, race/ethnicity, or age. U.S. adults claiming they felt dismissed by a provider were asked to recall demographic information they perceived about the provider and what the provider said that was dismissive. Responses were coded for emergent themes. Results revealed that younger, female, and non-White participants most frequently reported being dismissed by a dissimilar provider. Patients felt dismissed when they perceived that providers were rude or did not take action, provided poor information, did not believe patients, rushed the visit, or were uninformed. Providers may want to avoid these behaviors and could consider obtaining training in supportive communication behaviors such as providing validation to patients and listening to patients in order to enhance patient satisfaction. Patients can also receive communication training to take a more active role in their medical encounters by learning to effectively ask questions, express preferences, and speak up for themselves.

Adaptations to the Serious Illness Conversation Guide to Be More Culturally Safe

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Elizabeth Beddard-Huber ◽  
Gina Gaspard ◽  
Kathleen Yue
Keyword(s):  
Health Care ◽  
British Columbia ◽  
First Nations ◽  
Indigenous Peoples ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Providers ◽  
Communication Tool ◽  
Clinical Tool ◽  
Serious Illness

The Serious Illness Conversation Guide (SICG) has been shown to be an effective communication tool used by health care professionals when interacting with patients facing a life-limiting illness. However, Ariadne Labs, the originators of the tool, have not tested it with First Nations and Indigenous Peoples. In this project, the British Columbia Centre for Palliative Care and the First Nations Health Authority in British Columbia (BC), Canada collaborated to adapt the SICG to be more culturally safe for First Nations and Indigenous Peoples. Multiple feedback strategies were employed. Feedback was received from 35 older adults, Elders, and community members from two First Nations communities plus approximately 80 nurses serving in First Nations communities across BC. Key areas of focus for feedback on the clinical tool included setting up the conversation, involving family, closing the conversation, and using principles of health literacy to reduce power differences. Three questions were added in response to feedback received. By creating a safe space for dialogue, it is hoped that health care providers and family members will develop a deeper understanding of what is important to the person with a life-limiting illness. These conversations promote patient-centred health care that aligns with patient values and wishes. Findings from this project directly informed modification of the tool to support a more culturally safe conversation. Further research will inform whether this tool is culturally safe for all seriously ill people.

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