Rationale for “Cultural” Native Patient Navigators in Indian Country

Harjo, Lisa D.; Burhansstipanov, Linda; Lindstrom, Denise

doi:10.1007/s13187-014-0684-0

Cited by 12 publications

(11 citation statements)

References 3 publications

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“…The IPN role was identified as a way to bridge the gap between Western health care and Indigenous communities in some of the articles (Boulton et al 2009, Grimes et al 2017, Gampa et al 2017, Harjo et al 2014, Kaufmann et al 2014). One of the studies outlined that the role was implemented to bridge the gap between translation and the [Indigenous peoples’] fear of the healthcare system and mistrust in health care providers (HCP) (Harjo et al 2014). Additionally, the IPN role was identified as a patient centered service to overcome barriers (Dockery et al 2018; Eschiti et al 2012).…”

Section: Discussionmentioning

confidence: 99%

“…The major enabler themes included cultural familiarity in 18.7% (n = 3) of the articles, building trusting relationships (n = 3; 18.8%), and Indigenous peoples use and HCP recognition of Indigenous traditional practices (n = 3; 18.8%). Additional enablers identified by Lavoie et al (2016) included family supports (n = 1; 6.3%), health literacy (n = 1; 6.3%) and finally, Harjo et al (2014) identified the IPN's personal knowledge of the history and the resulting trauma in the local Indigenous community as an enabler to Indigenous peoples' health care experience (n = 1; 6.3%).…”

Section: Barriers and Enablers Addressed By Ipnsmentioning

confidence: 99%

“…Indigenous health is directly connected to all aspects of the individual including the physical, emotional, mental and spiritual. The IPN explains cultural practices to HCPs and assists Indigenous peoples to have their questions addressed (Grimes et al 2017;Harjo et al 2014;Guadagnolo et al 2011a;Lavallee et al 1991). Another personal barrier was mistrust with HCPs and the healthcare system.…”

Section: Barriers and Enablers Addressed By Ipnsmentioning

confidence: 99%

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The Role of the Indigenous Patient Navigator: A Scoping Review

et al. 2022

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Background Healthcare systems are complex and as a result patients may experience fragmentation of services. Indigenous populations experience increasingly disproportionate health disparities compared to non-Indigenous populations. Patient navigation is known as a patient-centered approach to empower individuals to connect with appropriate services. Literature surrounding the Indigenous Patient Navigator (IPN) remains sparse necessitating this scoping review. Purpose: To map the current state of the role of the IPN internationally within Canada, United States, Australia and New Zealand. Methods Estalished methodological framework by Arksey and O’Malley and the PRISMA extension for scoping reviews was used. Results A total of 820 articles were reviewed from four databases, yielding sixteen articles. Conclusions The absence of published literature surrounding the IPN role in Australia and New Zealand was surprising considering similar histories of colonization. The term navigator was used most often and was typically used when describing lay/peer roles. Professional roles were described using specific role descriptions. Six IPN roles were identified including: (1) social service navigation, (2) wholistic support of Indigenous people, (3) advocacy/building capacity, (4) health assessment, (5) administrative navigation, and (6) outreach. Additionally, barriers and enablers IPNs address are identified. This scoping review will assist to promote and reinforce the IPN role.

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Section: Discussionmentioning

confidence: 99%

Section: Barriers and Enablers Addressed By Ipnsmentioning

confidence: 99%

Section: Barriers and Enablers Addressed By Ipnsmentioning

confidence: 99%

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The Role of the Indigenous Patient Navigator: A Scoping Review

et al. 2022

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“…The men seated in the circle took turns smoking a pipe filled with tobacco while the whole group sang songs in their Indigenous language. Scholars noted that many Native American tribes use tobacco during traditional ceremonies (Harjo, Burhansstipanov & Lindstrom, 2014). I learned from one of the elders that the pipe is sacred, and the smoke we see travels to their Creator.…”

Section: Ninamska Paskan Journeymentioning

confidence: 99%

Surviving a Cultural Genocide: Perspectives of Indigenous Elders on the Transfer of Traditional Values

Clark

Wylie

2021

J Ethn Cult Stud

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The purpose of this ethnographic study was to examine how Indigenous elders perceive traditional values. This study employed Portraiture, which allowed Indigenous elders to share their stories in a culturally tailored and relational manner. The authors’ captured and present richly detailed stories that describe the intersects between human experiences and sacred beliefs. The scholars eloquently braid the first authors experiences at three (3) traditional Indigenous ceremonies with the words of Indigenous elders to tell a story about overcoming an attempted cultural genocide. The ceremony participation and elder visits helped identify ten traditional values encasing spirituality displayed in the Hoop of Traditional Blackfoot Values presented in the English language and the Blackfoot language.

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“…3 Patient navigators have been shown to be instrumental to increasing cancer screening rates among racial/ethnic minorities, 4,5,6 facilitating access to federally qualified health centers (FQHCs), 7 and providing access to disease prevention education. 8 Navigators also assist patients in confronting barriers related to cultural beliefs, 9 language, 10 financial and insurance issues, 11 transportation, childcare, and community resources. 12 Despite the known benefits of patient navigation and examples of well-established, internally funded navigation programs, full integration of navigation services into health care delivery systems remains a challenge, in large part due to a lack of widespread, sustainable external funding for these services.…”

mentioning

confidence: 99%

The Growing Importance of Cancer Care Navigation

Perron¹

2019

Oncology Times

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Knowledge of cancer screening guidelines, diagnostic processes, treatment options, survivorship issues & related physical, psychological, and social issues Knowledge of cancer clinical impacts and ability to intervene, to manage symptoms, and/ or assess functional status or psychosocial health Documentation Document activities within a client record Document patient encounters, barriers to care, and resources or referrals within a client or medical record Clinical documentation in medical record Focus of Patient Evaluation Activities Focus on community's needs and health behaviors Based on barriers to care, social determinants of health, health disparities, focus on ensuring timely completion of scheduled care Clinical outcomes and quality indicators Qualifications Training as a community health worker, some accreditation programs available Minimum high school or equivalence, bachelor of social work (BSW), plus training in a patient navigator program.

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Rationale for “Cultural” Native Patient Navigators in Indian Country

Cited by 12 publications

References 3 publications

The Role of the Indigenous Patient Navigator: A Scoping Review

The Role of the Indigenous Patient Navigator: A Scoping Review

Surviving a Cultural Genocide: Perspectives of Indigenous Elders on the Transfer of Traditional Values

The Growing Importance of Cancer Care Navigation

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