Safe care spaces and places: Exploring urban Aboriginal families' access to preventive care

Herk, Kimberley Anne Van; Smith, Dawn; Gold, Sara Tedford

doi:10.1016/j.healthplace.2011.12.004

Cited by 20 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Validating that this is important for our people." These findings align with past studies, which have demonstrated the importance of community and identity for Aboriginal people living within an urban environment and their access to safe and responsive healthcare (Van Herk, Smith, & Tedford Gold, 2012). It is encouraging to know that the community members who participated in this research were able to articulate these ideas and that their experiences will be able to shape future policy and programming in Aboriginal health.…”

Section: Community Belonging Identity and Knowledgesupporting

confidence: 86%

Sharing Our Wisdom: A Holistic Aboriginal Health Initiative

Howell

Auger

Gomes

et al. 2016

IJIH

View full text Add to dashboard Cite

Colonization has had a profound effect on Aboriginal people's health and the deterioration of traditional Aboriginal healthcare systems. Health problems among Aboriginal people are increasing at an alarming pace, while recovery from these problems tends to be poorer than among other Canadians. Aboriginal people residing in urban settings, while maintaining strong cultural orientations, also face challenges in finding mentors, role models, and cultural services, all of which are key determinants of health. Using a participatory action framework, this study focused on understanding and describing Aboriginal traditional healing methods as viable approaches to improve health outcomes in an urban Aboriginal community. This research investigated the following questions: (a) Do traditional Aboriginal health practices provide a more meaningful way of addressing health strategies for Aboriginal people? (b) How does participation in health circles, based on Aboriginal traditional knowledge, impact the health of urban Aboriginal people? Community members who participated in this project emphasized the value of a cultural approach to health and wellness. The project provided a land-based cultural introduction to being of nə́c ̓ aʔmat tə šxʷqʷeləwən ct (one heart, one mind) and learning ways of respectful listening x w na:mstəm (witness) tə slaχen (medicines) (listen to the medicine), through a series of seven health circles. The circles, developed by Aboriginal knowledge keepers, fostered a healthy sense of identity for participants and demonstrated the ways of cultural belonging and community. Participants acknowledged that attending the health circles improved not only their physical health, but also their mental, emotional, and spiritual health.

show abstract

Section: Community Belonging Identity and Knowledgesupporting

confidence: 86%

Sharing Our Wisdom: A Holistic Aboriginal Health Initiative

Howell

Auger

Gomes

et al. 2016

IJIH

View full text Add to dashboard Cite

show abstract

“…Browne and colleagues (2011) conducted an ethnographic investigation of indigenous Canadians who had been triaged as "nonurgent" at an urban ED, finding that the participants tended to expect providers' perception of them to be based on their race. Such findings echoed those of previous qualitative studies in which indigenous participants reported perceiving significant stigma within the health care system (Benoit, Carrol, & Chaudry, 2003;Levin & Herbert, 2003) and feeling freedom from that stigma when accessing services in indigenous-led environments (Van Herk, Smith, & Gold, 2012).…”

supporting

confidence: 84%

Fixed Nodes of Transience: Narratives of Homelessness and Emergency Department Use

et al. 2019

View full text Add to dashboard Cite

Discourse in popular media, public policy, and academic literature contends that people who are homeless frequently make inappropriate use of hospital emergency department (ED) services. Although researchers have investigated the ED experiences of people who are homeless, no previous studies have examined how this population understands the role of the ED in their health care and in their day-to-day lives. In the present study, 16 individuals participated in semistructured interviews regarding their ED experiences, and narrative analysis was applied to their responses. Within the context of narratives of disempowerment and discrimination, participants viewed the ED in differing ways, but they generally interpreted it as a public, accessible space where they could exert agency. ED narratives were also paradoxical, depicting it as a fixed place for transient care, or a place where they were isolated yet felt a sense of belonging. Implications for policy and practice are discussed.

show abstract

“…A trusting relationship between nurses and mothers that precedes a supportive approach to the involvement of CPS, mothers may be less likely to feel discriminated against. Building on a mother's strengths, nurses can use a supportive approach to improve a mother's self‐esteem and promote her confidence in parenting (Van Herk et al, ; Van Herk, Smith, & Tedford Gold, ). Nurses caring for Indigenous families can also advocate for the presence of an Indigenous representative, as this is the legal right of Indigenous children who become involved with CPS (The Government of Ontario, 2019).…”

Section: Discussionmentioning

confidence: 99%

Caring for Indigenous families in the neonatal intensive care unit

2020

View full text Add to dashboard Cite

Inequitable access to health care, social inequities, and racist and discriminatory care has resulted in the trend toward poorer health outcomes for Indigenous infants and their families when compared to non‐Indigenous families in Canada. How Indigenous mothers experience care during an admission of their infant to the Neonatal Intensive Care Unit has implications for future health‐seeking behaviors which may influence infant health outcomes. Nurses are well positioned to promote positive health care interactions and improve health outcomes by effectively meeting the needs of Indigenous families. This qualitative study was guided by interpretive description and the Two‐Eyed Seeing framework and aimed to understand how Indigenous mothers experience accessing and using the health care system for their infants. Data were collected by way of interviews and a discussion group with self‐identifying Indigenous mothers of infants less than two years of age living in Hamilton, Ontario, Canada. Data underwent thematic analysis, identifying nursing strategies to support positive health care interactions and promote the health and wellness of Indigenous infants and their families. Building relationships, providing holistic care, and taking a trauma‐informed approach to the involvement of child protection services are three key strategies that nurses can use to positively impact health care experiences for Indigenous families.

show abstract

Safe care spaces and places: Exploring urban Aboriginal families' access to preventive care

Cited by 20 publications

References 13 publications

Sharing Our Wisdom: A Holistic Aboriginal Health Initiative

Sharing Our Wisdom: A Holistic Aboriginal Health Initiative

Fixed Nodes of Transience: Narratives of Homelessness and Emergency Department Use

Caring for Indigenous families in the neonatal intensive care unit

Contact Info

Product

Resources

About