Perspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: A scoping review

Berg, Kelsey; McLane, Patrick; Eshkakogan, Nicole; Mantha, Jennifer; Lee, Tracy; Crowshoe, Chelsea; Phillips, Ann Lee

doi:10.1016/j.ienj.2019.01.004

Cited by 34 publications

(28 citation statements)

References 7 publications

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“…A study in Australia suggested that health care services managed by Indigenous patients are the best way to maximise their access to care [ 137 ]. A scoping review published in 2009 grouped articles regarding Indigenous patients’ experience within emergency departments in Canada [ 138 ]. The author’s concluded that developing cultural competency is essential in order to upgrade the quality of health care.…”

Section: Discussionmentioning

confidence: 99%

“…In order to achieve this, it is necessary to have a shared understanding of Indigenous communities and to collaborate with them. It is also essential to prevent discrimination by providing appropriate training to professionals and by promoting access to health care services [ 138 ]. A systematic review published in 2015 obtained the same conclusions.…”

Section: Discussionmentioning

confidence: 99%

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Acute health care among Indigenous patients in Canada: a scoping review

Vigneault

Diendéré

Sohier-Poirier

et al. 2021

International Journal of Circumpolar Health

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A recent report by the Chief Public Health Officer of Canada demonstrates the inferior health status of Indigenous Peoples in Canada when compared to non-Indigenous populations. This scoping review maps out the available literature concerning acute health care for Indigenous Peoples in Canada in order to better understand the health care issues they face. All existing articles concerning health care provided to Indigenous Peoples in Canada in acute settings were included in this review. The targeted studied outcomes were access to care, health care satisfaction, hospital visit rates, mortality, quality of care, length of stay and cost per hospitalisation. 114 articles were identified. The most studied outcomes were hospitalisation rates (58.8%), length of stay (28.0%), mortality (25.4%) and quality of care (24.6%) Frequently studied topics included pulmonary disease, injuries, cardiovascular disease and mental illness. Indigenous Peoples presented lower levels of satisfaction and access to care although they tend to be over-represented in hospitalisation rates for acute care. Greater inclusion of Indigenous Peoples in the health care system and in the training of health care providers is necessary to ensure a better quality of care that is culturally safe for Indigenous Peoples.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute health care among Indigenous patients in Canada: a scoping review

Vigneault

Diendéré

Sohier-Poirier

et al. 2021

International Journal of Circumpolar Health

View full text Add to dashboard Cite

show abstract

“…Although many providers are capable of providing culturally safe care to people from diverse backgrounds, the continued racism and inequities faced by Indigenous peoples suggest that significant improvement to health professional training is necessary to improve health care for Indigenous peoples (Allan & Smylie, 2015;Kurek et al, 2016;Shen et al, 2018;Wylie & McConkey, 2018). Recognizing the urgent need to improve health care for Indigenous peoples, various Indigenous and non-Indigenous organizations, health leaders, scholars, and health profession students have emphasized the need for mandatory training in order to improve the health status of Indigenous peoples (Berg et al, 2019;Canadian Federation of Medical Students, 2015;Greenwood et al, 2017;Health Council of Canada, 2011;Henderson & Crowshoe, 2019;Shah & Reeves, 2012). Considering the clear need for improved education for health care providers in relation to Indigenous peoples, it is problematic that many health profession programs provide little or no mandatory training in this regard (Henry, 2012;Paul et al, 2014;Vang et al, 2018).…”

Section: Training and Education To Improve Health Care For Indigenous Populationsmentioning

confidence: 99%

Barriers to Including Indigenous Content in Canadian Health Professions Curricula

Doria

Biderman²,

Sinno³

et al. 2021

CJE/RCE

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Indigenous peoples in Canada continue to face health care inequities despite their increased risk for various negative health outcomes. Evidence suggests that health professions students and faculty do not feel their curriculum adequately prepares learners to address these inequities. The aim of this study was to identify barriers that hinder the inclusion of adequate Indigenous content in curricula across health professions programs. Semi-structured interviews were conducted with 33 faculty members at a university in Canada from various health disciplines. Employing thematic analysis, four principal barriers were identified: (1) the limited number and overburdening of Indigenous faculty, (2) the need for non-Indigenous faculty training and capacity, (3) the lack of oversight and direction regarding curricular content and training approaches, and (4) the limited amount of time in curriculum and competing priorities. Addressing these barriers is necessary to prepare learners to provide equitable health care for Indigenous peoples. Keywords: Indigenous health, health professions, curricula, faculty perspectives, barriers, Canada

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“…The Canadian healthcare system is informed by and operates a cultural standpoint that many Indigenous peoples consider "colonial" and delivering culturally unsafe models of care in their communities. 1,2 The federal and provincial healthcare systems seem to alternatively be unaware of or ignore traditional health knowledge and healing ways upon which some Indigenous peoples rely to achieve and maintain their health and wellbeing. 3,4 Within this arrangement, First Nations (FN) peoples and communities have consistently called for balanced, holistic and integrated approaches to support their pursuit of wellbeing.…”

Section: Introductionmentioning

confidence: 99%

The Two Great Healing Traditions: Issues, Opportunities, and Recommendations for an Integrated First Nations Healthcare System in Canada

Achan

Eni

Kinew

et al. 2021

Health Systems & Reform

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The First Nations in Manitoba, Canada, are calling for active recognition and incorporation of holistic traditional healing and medicine ways and approaches by the mainstream healthcare system that has hitherto tended to ignore all but biomedical approaches. This request for recognition requires elaboration on areas of opportunity for collaboration that could positively influence both Indigenous and allopathic medicine. We discuss pathways to an integrated healthcare system as community-based primary healthcare transformation. A community-based participatory research approach was used to engage eight Manitoba First Nations communities. One hundred and eighty-three (183) in-depth, semi-structured key informant interviews were completed in all communities. Grounded theory guided data analysis using NVivo 10 software. We learned that increased recognition and incorporation of traditional healing and medical methods would enhance a newly envisioned funded health system. Elders and healers will be meaningfully involved in the delivery of community-based primary health care. Funding for traditional healing and medicines are necessary components of primary health care. An overall respect for Indigenous health knowledge would aid transformation in community-based primary health care. Recognition of and respect for traditional healing, healers, medicines, therapies, and approaches is also recommended as part of addressing the legacy and intergenerational impact of assimilative policies including Indian residential schools as the Truth and Reconciliation Commission of Canada has stated in its Calls to Action.

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Perspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: A scoping review

Cited by 34 publications

References 7 publications

Acute health care among Indigenous patients in Canada: a scoping review

Acute health care among Indigenous patients in Canada: a scoping review

Barriers to Including Indigenous Content in Canadian Health Professions Curricula

The Two Great Healing Traditions: Issues, Opportunities, and Recommendations for an Integrated First Nations Healthcare System in Canada

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