An Analysis of Journey Mapping to Create a Palliative Care Pathway in a Canadian First Nations Community: Implications for Service Integration and Policy Development
| Autor: | Shevaun Nadin, Mary Lou Kelley, Maxine Crow, Elaine Wiersma, Jessica Koski, Holly Prince, Christopher J. Mushquash |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Palliative care
Evidence-based practice media_common.quotation_subject Journey mapping Participatory action research Library science Health informatics Indigenous 03 medical and health sciences 0302 clinical medicine Indigenous paradigm 030502 gerontology Medicine Quality (business) Original Research media_common Advanced and Specialized Nursing Service (business) lcsh:R5-920 palliative care participatory action research business.industry General Medicine Public relations Focus group service integration 030220 oncology & carcinogenesis 0305 other medical science business lcsh:Medicine (General) policy |
| Zdroj: | Palliative Care, Vol 10 (2017) Palliative Care |
| ISSN: | 1178-2242 |
| Popis: | Providing palliative care in Indigenous communities is of growing international interest. This study describes and analyzes a unique journey mapping process undertaken in a First Nations community in rural Canada. The goal of this participatory action research was to improve quality and access to palliative care at home by better integrating First Nations’ health services and urban non-Indigenous health services. Four journey mapping workshops were conducted to create a care pathway which was implemented with 6 clients. Workshop data were analyzed for learnings and promising practices. A follow-up focus group, workshop, and health care provider surveys identified the perceived benefits as improved service integration, improved palliative care, relationship building, communication, and partnerships. It is concluded that journey mapping improves service integration and is a promising practice for other First Nations communities. The implications for creating new policy to support developing culturally appropriate palliative care programs and cross-jurisdictional integration between the federal and provincial health services are discussed. Future research is required using an Indigenous paradigm. |
| Databáze: | OpenAIRE |
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