Experience and representations of health and social services in a community of Nunavik

Fraser, Sarah; Nadeau, Lucie

doi:10.1080/10376178.2016.1171728

Cited by 24 publications

(55 citation statements)

References 40 publications

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“…These challenges include historical factors, ongoing colonial attitudes, fear of the consequences of obtaining services, limited mandates of services providers and the impact of language and culture on communication. These ndings complement Fraser and Nadeau's [31] research with Inuit families about the factors that affect families' desire to seek services. Bringing these family perspectives together with the service providers perspectives in the current study, we identify the following common themes: 1) the gap between perceived psychosocial needs and available service within communities, 2) experiences of prejudice resulting from racism and the negative attitudes of some service providers, and 3) the presence of strong negative social representations of services within communities.…”

Section: Discussion: Shifting How Service Providers See Participationsupporting

confidence: 68%

“…Psychosocial di culties experienced by children and youth can quickly turn into crisis situations, yet there are currently limited specialized services for such cases. Other realities include high staff turnover, and language barriers between staff and families (staff often having French as a rst language, families have Inuktitut as a rst language and communication generally takes place in English) [29][30][31].…”

Section: Contextmentioning

confidence: 99%

“…In previous qualitative research conducted in Nunavik [31], Inuit parents described their perceptions and experiences with services. They spoke of the practices that they appreciate, as well as the barriers they face in accessing and using available services.…”

Section: Contextmentioning

confidence: 99%

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On the move: Exploring health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

Fraser

Moulin

Gaulin

et al. 2020

Preprint

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BackgroundLiterature on participation in health and social services suggests that youth are difficult to engage within health and social services. Indigenous youth are less likely to access services or to actively participate in decision-making regarding their personal care. This article analyzes health and social service providers’ perspectives, experiences and expectations regarding the roles of a particular group of Indigenous youth, families and community in care settings in Nunavik, Quebec.MethodsA snowball sampling method was used to recruit participants. A total of 58 participants were interviewed including psychiatrists, general practitioners, nurses, social workers, school principals, teachers, student counsellors, representatives of local committees (education committee, health committee), and police officers. Of the 58 participants, 39 were non-Inuit and 19 were Inuit. The interviews focused on three broad themes: 1) participants’ current and past positions/roles; 2) participants’ perceptions of the clientele (youth and their families) they work with; and 3) participants’ understanding of collaborations taking place within and between services (who works with whom) and community. Applied thematic analyses were conducted. The model that we present allows us to describe health service provider expectations and experiences regarding patient and community participation. ResultsWe organize findings around three themes: I) The most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants speak of the challenges for families to go towards services as well as the challenges for services providers to go towards youth and families, including personal, organisational and historical factors. ConclusionWe adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families. We then use a constructive lens to amalgamate and build on service providers’ descriptions of challenges and successes to identify promising approaches that seem to encourage participation of youth and families.

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Section: Discussion: Shifting How Service Providers See Participationsupporting

confidence: 68%

Section: Contextmentioning

confidence: 99%

See 1 more Smart Citation

On the move: Exploring health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

Fraser

Moulin

Gaulin

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Cerigo [41] Inuit women's attitudes and experiences towards cervical cancer and prevention strategies in Nunavik, Quebec Fraser [42] Experience and representations of health and social services in a community of Nunavik Hordyk [1] End-of-life care in Nunavik, Quebec: Inuit experiences, current realities, and ways forward Hordyk [43] Inuit interpreters engaged in end-of-life care in Nunavik, Northern Quebec was included in the Qanuilirpitaa? 2017 survey.…”

Section: First Author Title Child Developmentmentioning

confidence: 99%

“…The following 4 articles placed Inuit experiences at the heart of their research, highlighting perspectives for improved health care: Cerigo et al 2012 [42] conducted interviews with members of a community in Nunavik to understand their experiences and representations of health and social services. Many elements were outlined in the interviews, including concerns for privacy, gaps between psychosocial needs and services, and contextual factors influencing the use of services.…”

Section: Inuit Perspectivesmentioning

confidence: 99%

Twenty “must-read” research articles for primary care providers in Nunavik: scoping study and development of an information tool

Paquin

Sandy

Perrault-Sullivan

et al. 2019

International Journal of Circumpolar Health

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While health needs in Nunavik are distinct, there is a scarcity of knowledge transfer intended for local primary care providers. We aimed to build an information tool in the form of a newsletter and a website to share with them a selection of relevant research articles. To identify such articles, a scoping study of Inuit health research published between 2012 and 2017 was conducted. Selection criteria were adapted from the framework of information mastery. After a database search yielding 2896 results, publications were screened for eligibility. Next, the 226 eligible articles were evaluated and scored for their relevance, their methods (including community participation), their local applicability and their clinical utility. The 20 highest-scored articles were selected for dissemination in a newsletter. They were summarised and presented in 6 thematic emails: Child Development, Infectious Diseases, Traditional and Modern Medicine, Metabolism, Nutrition and Contaminants, and Inuit Perspectives. The newsletter was sent to over 190 health workers and regional stakeholders in Nunavik and was also published online. We hope that this project will foster knowledge sharing and inter-sectorial collaboration between research, public health and clinical care. Trends in Inuit health research are discussed.

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Collaboration in Mental Healthcare for Indigenous Children and Youth: Using Actor-Network Analyses to Better Understand Dynamics, Strengths, and Ongoing Challenges in Collaboration

Fraser

Gaulin

Loutfi

et al. 2022

Int J Ment Health Addiction

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Experience and representations of health and social services in a community of Nunavik

Abstract: Reflections must be made on how to address the socio-economic needs of patients and how to go beyond the immediate requests to hear the psychosocial needs that patients might not feel safe to talk about.

Cited by 24 publications

References 40 publications

On the move: Exploring health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

On the move: Exploring health service providers’ perspectives about family participation in care in Nunavik, a qualitative study.

Twenty “must-read” research articles for primary care providers in Nunavik: scoping study and development of an information tool

Collaboration in Mental Healthcare for Indigenous Children and Youth: Using Actor-Network Analyses to Better Understand Dynamics, Strengths, and Ongoing Challenges in Collaboration

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