Cultural orientation and safety app for new and short-term health care providers in Nunavut

Akearok, Gwen Healey; Tabish, Taha; Cherba, Maria

doi:10.17269/s41997-020-00311-8

Cited by 10 publications

(22 citation statements)

References 5 publications

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“…There is no doubt that a clear articulation of Inuit Nunangat research priorities, sustainable funding for research relevant for Inuit communities, investing in broadband access, and most importantly "Partner[ships] with governments and research institutions to develop Inuit-specific training and education programs to foster future generations of Inuit researchers" (24) will be incredibly helpful to future CBPR initiatives. Current examples of such partnerships pave the way to Inuit leadership in research (39). Qaujigiartiit Health Research Center in Iqaluit provides resources and networking opportunities for Indigenous scholars and allies working with circumpolar communities.…”

Section: Discussionmentioning

confidence: 99%

Learning to Fail Better: Reflections on the Challenges and Risks of Community-Based Participatory Mental Health Research With Inuit Youth in Nunavut

Anang

Gottlieb

Putulik³

et al. 2021

Front. Public Health

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Community-based participatory research (CBPR) is a mine field of moral dilemmas. Even when carefully planned for and continuously critically reflected upon, conflicts are likely to occur as part of the process. This paper illustrates the lessons learned from “Building on Strengths in Naujaat”, a resiliency initiative with the objective of promoting sense of belonging, collective efficacy, and well-being in Inuit youth. Naujaat community members over time established strong meaningful relationships with academic researchers. Youth took on the challenge of organizing community events, trips out on the land, and fundraisers. While their creativity and resourcefulness are at the heart of the initiative, this paper explores conflicts and pitfalls that accompanied it. Based on three themes – struggles in coming together as academic and community partners, the danger of perpetuating colonial power structures, and the challenges of navigating complex layers of relations within the community – we examine the dilemmas unearthed by these conflicts, including an exploration of how much we as CBPR researchers are at risk of reproducing colonial power structures. Acknowledging and addressing power imbalances, while striving for transparency, accountability, and trust, are compelling guiding principles needed to support Indigenous communities on the road toward health equity.

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Section: Discussionmentioning

confidence: 99%

Learning to Fail Better: Reflections on the Challenges and Risks of Community-Based Participatory Mental Health Research With Inuit Youth in Nunavut

Anang

Gottlieb

Putulik³

et al. 2021

Front. Public Health

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“…Such initiatives should involve individuals from Nunavut communities as the consideration of Indigenous persons in Canada’s forensic system should be considered within the context of social determinants of health, jurisdictional issues, and historical factors [ 4 , 52 , 58 , 60 ]. One of the barriers to care that Nunavut has faced is a lack of healthcare personnel and that many health professionals are within the region for a short period of time [ 2 , 27 , 28 , 61 ]. As discussed in our review of the literature, many healthcare workers outside of Nunavut are not oriented to the context, culture, and traditions of Inuit [ 26 , 61 ].…”

Section: Discussionmentioning

confidence: 99%

“…One of the barriers to care that Nunavut has faced is a lack of healthcare personnel and that many health professionals are within the region for a short period of time [ 2 , 27 , 28 , 61 ]. As discussed in our review of the literature, many healthcare workers outside of Nunavut are not oriented to the context, culture, and traditions of Inuit [ 26 , 61 ]. The use of technological applications (e.g.…”

Section: Discussionmentioning

confidence: 99%

Forensic psychiatry services in Nunavut

Upfold

Chaimowitz

2021

International Journal of Circumpolar Health

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There is a paucity of research on forensic psychiatry patients from Nunavut, including no published data concerning the prevalence and characterisation of patients in this territory. The lack of basic information hinders the evaluation of services and establishing best practices. The current paper aims to characterise forensic psychiatry patients from Nunavut and further the understanding of the challenges in organising forensic psychiatry healthcare in Nunavut. A retrospective chart review design was used to examine individuals from Nunavut who are engaged with the Ontario forensic psychiatry system. The sample included all Unfit to Stand Trial (26.7%) and Not Criminally Responsible (73.3%) patients (N = 15) under the jurisdiction of the Nunavut Review Board in a one-year period. The average distance between the patient's place of residence in Nunavut and the Ontario facilities was 2,517 km. Overall, 26.7% were living in Nunavut, 60.0% remained in Ontario, and 13.3% resided in Alberta. Results are presented for sociodemographics, forensic status, personal and familial history, psychiatric and criminal history, diagnoses, index offence characteristics, treatment, assessment tools, and aggression. The prevalence and many characteristics of forensic psychiatry patients from Nunavut differ from the rest of Canada and have important implications for the delivery of services.

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“…67 A recent study tested an application to increase the cultural safety of short-term providers working in Nunavut. 109 The researchers assessed the tool with a questionnaire that 18 participants completed. 109 The spectrum of engagement of community members varied during the development of these interventions.…”

Section: Interventions and Sustainabilitymentioning

confidence: 99%

“…109 The researchers assessed the tool with a questionnaire that 18 participants completed. 109 The spectrum of engagement of community members varied during the development of these interventions. Community members and local representatives were engaged in developing and implementing the interventions.…”

Section: Interventions and Sustainabilitymentioning

confidence: 99%

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

et al. 2022

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BackgroundThe National Inuit Strategy on Research focuses on advancing Inuit governance in research, increasing ownership over data and building capacity. Responding to this call for Inuit self-determination in research, academic researchers should consider cultural safety in research and ways to promote Inuit-led methods.MethodsThis scoping review collated academic literature on public health research in Inuit communities in Canada between 2010 and 2022. A critical assessment of methods used in public health research in Inuit communities examined cultural safety and the use of Inuit-attuned methods. Descriptive and analytical data were summarised in tables and figures. Knowledge user engagement in the research process was analysed with thematic analysis.Results356 articles met the inclusion criteria. Much of the published research was in nutrition and mental health, and few initiatives reported translation into promotion programmes. Almost all published research was disease or deficit focused and based on a biomedical paradigm, especially in toxicology, maternal health and chronic diseases. Recent years saw an increased number of participatory studies using a decolonial lens and focusing on resilience. While some qualitative research referred to Inuit methodologies and engaged communities in the research process, most quantitative research was not culturally safe. Overall, community engagement remained in early stages of co-designing research protocols and interventions. Discussion on governance and data ownership was limited. Recent years saw emerging discussions on these issues. Knowledge user capacity-building was limited to brief training on conventional data collection methods.ConclusionsThe last decade of published public health research has not responded to the National Inuit Strategy on Research. Participatory research is gaining ground, but has not reached its full potential. A shift from biomedical to decolonised methods is slowly taking place, and public health researchers who have not yet embraced this paradigm shift should do so.

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Cultural orientation and safety app for new and short-term health care providers in Nunavut

Cited by 10 publications

References 5 publications

Learning to Fail Better: Reflections on the Challenges and Risks of Community-Based Participatory Mental Health Research With Inuit Youth in Nunavut

Learning to Fail Better: Reflections on the Challenges and Risks of Community-Based Participatory Mental Health Research With Inuit Youth in Nunavut

Forensic psychiatry services in Nunavut

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

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