Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives
| Autor: | Sandro Échaquan, Maman Joyce Dogba, Marie-Claude Tremblay, Jean-Sébastien Paquette, Pascale Breault, Maude Bradette-Laplante, Emmanuelle Careau, Holly O. Witteman |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Medicine (General)
Cultural safety Health Personnel Community-based participatory research barriers and enablers Indigenous 03 medical and health sciences 0302 clinical medicine R5-920 Health care Diabetes Mellitus Humans cultural safety 030212 general & internal medicine Sociology Social determinants of health Research question indigenous peoples diabetes business.industry Communication 030503 health policy & services Public Health Environmental and Occupational Health Public relations Original Research Paper Transformative learning community‐based participatory research healthcare inequities Thematic analysis Public aspects of medicine RA1-1270 0305 other medical science business Delivery of Health Care Original Research Papers |
| Zdroj: | Health Expectations, Vol 24, Iss 2, Pp 296-306 (2021) Health Expectations : An International Journal of Public Participation in Health Care and Health Policy |
| ISSN: | 1369-6513 1369-7625 |
| Popis: | In recent years, cultural safety has been proposed as a transformative approach to health care allowing improved consideration of Indigenous patient needs, expectations, rights and identities. This community‐based participatory study aimed to identify potential barriers and enablers to cultural safety in health care provided to Atikamekw living with diabetes in Québec, Canada. Based on a qualitative descriptive design, the study uses talking circles as a data collection strategy. Three talking circles were conducted with Atikamekw living with diabetes and caregivers, as well as with health professionals of the family medicine teaching clinic providing services to the community. Two team members performed deductive thematic analysis based on key dimensions of cultural safety. Results highlight four categories of barriers and enablers to cultural safety for Atikamekw living with diabetes, related to social determinants of health (including colonialism), health services organization, language and communication, as well as Atikamekw traditional practices and cultural perspectives of health. This study is one of the few that provides concrete suggestions to address key aspects of diabetes care in a culturally respectful way. Our findings indicate that potential enablers of cultural safety reside at different (from individual to structural) levels of change. Solutions in this matter will require strong political will and policy support to ensure intervention sustainability. Patient or public contribution Partners and patients have been involved in identifying the need for this study, framing the research question, developing the data collection tools, recruiting participants and interpreting results. |
| Databáze: | OpenAIRE |
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