11 results on '"Browne, Annette J."'
Search Results
2. EQUIP emergency: can interventions to reduce racism, discrimination and stigma in EDs improve outcomes?
- Author
-
Varcoe, Colleen, Browne, Annette J., Perrin, Nancy, Wilson, Erin, Bungay, Vicky, Byres, David, Wathen, Nadine, Stones, Cheyanne, Liao, Catherine, and Price, Elder Roberta
- Published
- 2022
- Full Text
- View/download PDF
3. Understanding competing discourses as a basis for promoting equity in primary health care
- Author
-
Blanchet Garneau, Amélie, Browne, Annette J., and Varcoe, Colleen
- Published
- 2019
- Full Text
- View/download PDF
4. EQUIP Emergency: study protocol for an organizational intervention to promote equity in health care
- Author
-
Varcoe, Colleen, Bungay, Vicky, Browne, Annette J., Wilson, Erin, Wathen, C. Nadine, Kolar, Kat, Perrin, Nancy, Comber, Scott, Blanchet Garneau, Amélie, Byres, David, Black, Agnes, and Price, Elder Roberta
- Published
- 2019
- Full Text
- View/download PDF
5. The potential influence of critical pedagogy on nursing praxis: Tools for disrupting stigma and discrimination within the profession.
- Author
-
Pitcher, Claire F. and Browne, Annette J.
- Subjects
- *
BULLYING prevention , *RACISM , *TEACHING methods , *NURSING , *DISCRIMINATION (Sociology) , *SOCIAL stigma , *SOCIAL justice , *NURSING education - Abstract
Nursing work centers around attending to a person's health during many of life's most vulnerable moments, from birth to death. Given the high‐stakes nature of this work, it is essential for nurses to critically reflect on their individual and collective impact, which can range from healing to harmful. The purpose of this paper is to use a philosophical inquiry approach and a critical lens to explore the potential influence of critical pedagogy (how we learn what we learn) on nursing praxis (why we do what we do) with the aim of disrupting stigma and discrimination within the profession. This paper draws on the works of Paulo Freire, Henry Giroux, and bell hooks to alert readers to particular windows of opportunity where an intentional adoption of critical pedagogy in nursing praxis may help the profession think differently about two important and related topics: relational violence and peer‐led knowledge mobilization. As a practice‐based and theoretically grounded profession, nurses often strive to bridge the theoretical with the practical and the individual with the systemic. Thus, developing a robust and philosophically rooted disciplinary body of knowledge is particularly important to help us defensibly grapple with the notions of truth and ethics that shape our work's very essence and impact. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
6. Through An Equity Lens: Illuminating The Relationships Among Social Inequities, Stigma And Discrimination, And Patient Experiences of Emergency Health Care.
- Author
-
Varcoe, Colleen, Browne, Annette J., Bungay, Vicky, Perrin, Nancy, Wilson, Erin, Wathen, C. Nadine, Byres, David, and Roberta Price, Elder
- Subjects
STRUCTURAL equation modeling ,HEALTH services accessibility ,CONFIDENCE intervals ,DISCRIMINATION (Sociology) ,SELF-evaluation ,RESEARCH methodology ,SOCIAL stigma ,PATIENTS' attitudes ,SOCIOECONOMIC factors ,SURVEYS ,PRIMARY health care ,SEX distribution ,EMERGENCY medical services ,DESCRIPTIVE statistics ,RESEARCH funding ,MEDICAL appointments ,ODDS ratio - Abstract
People who experience the greatest social inequities often have poor experiences in emergency departments (EDs) so that they are deterred from seeking care, leave without care complete, receive inadequate care, and/or return repeatedly for unresolved problems. However, efforts to measure and monitor experiences of care rarely capture the experiences of people facing the greatest inequities, experiences of discrimination, or relationships among these variables. This analysis examined how patients' experiences, including self-reported ratings of care, experiences of discrimination, and repeat visits vary with social and economic circumstances. Every consecutive person presenting to three diverse EDs was invited if/when they were able to consent; 2424 provided demographic and contact information; and 1692 (70%) completed the survey. Latent class analysis (LCA) using sociodemographic variables: age, gender, financial strain, employment, housing stability, English as first language, born in Canada, and Indigenous identity, indicated a six-class solution. Classes differed significantly on having regular access to primary care, reasons for the visit, and acuity. Classes also differed on self-reported discrimination every day and during their ED visit, ratings of ED care, and number of ED visits within the past six months. ED care can be improved through attention to how intersecting forms of structural disadvantage and inequities affect patient experiences. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
7. San'yas Indigenous Cultural Safety Training as an Educational Intervention: Promoting Anti-Racism and Equity in Health Systems, Policies, and Practices.
- Author
-
Browne, Annette J., Varcoe, Colleen, and Ward, Cheryl
- Subjects
HEALTH equity ,ANTI-racism ,SAFETY education ,TRANSFORMATIVE learning ,TRADITIONAL knowledge - Abstract
The San'yas Indigenous Cultural Safety Training Program is an Indigenous-led, policy-driven, and systems-level educational intervention to foster health equity and mitigate the effects of systemic racism experienced by Indigenous people in health and other sectors. Currently, San'yas is being scaled-up across Canada. This article focuses on the following: (a) the pedagogical underpinnings of San'yas grounded in transformational learning principles and Indigenous knowledges; (b) the scope, reach, and scale-up of San'yas as an explicit anti-racism educational intervention; (c) its unique program delivery approaches; and (d) program evaluation trends. We discuss the insights gained from implementing San'yas over the past decade, which will be relevant for leaders and policy-makers concerned with implementing anti-racism educational interventions as part of broader system transformation. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
8. Drawing on antiracist approaches toward a critical antidiscriminatory pedagogy for nursing.
- Author
-
Blanchet Garneau, Amélie, Browne, Annette J., and Varcoe, Colleen
- Subjects
- *
DISCRIMINATION prevention , *PREVENTION of racism , *CRITICAL theory , *CURRICULUM , *LEARNING , *NURSING education , *CULTURAL pluralism , *SOCIAL justice - Abstract
Although nursing has a unique contribution to advancing social justice in health care practices and education, and although social justice has been claimed as a core value of nursing, there is little guidance regarding how to enact social justice in nursing practice and education. In this paper, we propose a critical antidiscriminatory pedagogy (CADP) for nursing as a promising path in this direction. We argue that because discrimination is inherent to the production and maintenance of inequities and injustices, adopting a CADP offers opportunities for students and practicing nurses to develop their capacity to counteract racism and other forms of individual and systemic discrimination in health care, and thus promote social justice. The CADP we propose has the following features: it is grounded in a critical intersectional perspective of discrimination, it aims at fostering transformative learning, and it involves a praxis‐oriented critical consciousness. A CADP challenges the liberal individualist paradigm that dominates much of western‐based health care, and the culturalist and racializing processes prevalent in nursing education. It also situates nursing practice as responsive to health inequities. Thus, a CADP is a promising way to translate social justice into nursing practice and education through transformative learning. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
9. Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study.
- Author
-
Browne, Annette J., Varcoe, Colleen, Lavoie, Josée, Smye, Victoria, Wong, Sabrina T., Krause, Murry, Tu, David, Godwin, Olive, Khan, Koushambhi, and Fridkin, Alycia
- Subjects
- *
INDIGENOUS peoples , *MEDICAL care , *HEALTH equity , *RACISM , *DISCRIMINATION (Sociology) - Abstract
Background: Structural violence shapes the health of Indigenous peoples globally, and is deeply embedded in history, individual and institutional racism, and inequitable social policies and practices. Many Indigenous communities have flourished, however, the impact of colonialism continues to have profound health effects for Indigenous peoples in Canada and internationally. Despite increasing evidence of health status inequities affecting Indigenous populations, health services often fail to address health and social inequities as routine aspects of health care delivery. In this paper, we discuss an evidence-based framework and specific strategies for promoting health care equity for Indigenous populations. Methods: Using an ethnographic design and mixed methods, this study was conducted at two Urban Aboriginal Health Centres located in two inner cities in Canada, which serve a combined patient population of 5,500. Data collection included in-depth interviews with a total of 114 patients and staff (n = 73 patients; n = 41 staff), and over 900 h of participant observation focused on staff members' interactions and patterns of relating with patients. Results: Four key dimensions of equity-oriented health services are foundational to supporting the health and well-being of Indigenous peoples: inequity-responsive care, culturally safe care, trauma- and violence-informed care, and contextually tailored care. Partnerships with Indigenous leaders, agencies, and communities are required to operationalize and tailor these key dimensions to local contexts. We discuss 10 strategies that intersect to optimize effectiveness of health care services for Indigenous peoples, and provide examples of how they can be implemented in a variety of health care settings. Conclusions: While the key dimensions of equity-oriented care and 10 strategies may be most optimally operationalized in the context of interdisciplinary teamwork, they also serve as health equity guidelines for organizations and providers working in various settings, including individual primary care practices. These strategies provide a basis for organizational-level interventions to promote the provision of more equitable, responsive, and respectful PHC services for Indigenous populations. Given the similarities in colonizing processes and Indigenous peoples' experiences of such processes in many countries, these strategies have international applicability. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
10. Can ethnicity data collected at an organizational level be useful in addressing health and healthcare inequities?
- Author
-
Browne, Annette J., Varcoe, Colleen M., Wong, Sabrina T., Smye, Victoria L., and Khan, Koushambhi B.
- Subjects
- *
FOCUS groups , *HEALTH status indicators , *INTERVIEWING , *MEDICAL quality control , *RACE , *RESEARCH funding , *QUALITATIVE research , *JUDGMENT sampling , *THEMATIC analysis - Abstract
ObjectiveFollowing arguments made in the USA, the UK and New Zealand regarding the importance of population-level ethnicity data in understanding health and healthcare inequities, health authorities in several Canadian provinces are considering plans to collect ethnicity data from patients at the point of care within selected healthcare organizations. The purpose of this paper is to examine the potential quality, utility and relevance of ethnicity data collected at an organizational level as a means of addressing health and healthcare inequities. DesignWe draw on findings from a recent Canadian study that examined the implications of collecting ethnicity data in healthcare contexts. Using a qualitative design, data were collected in a large city, and included interviews with 104 patients, community and healthcare leaders, and healthcare workers within diverse clinical contexts. Data were analyzed using interpretive thematic analysis. ResultsOur results are discussed in relation to discourses reflected in the current literature that require consideration in relation to the potential utility and relevancy of ethnicity data collected at the point of care within healthcare organizations. These discourses frame excerpts from the ethnographic data that are used as illustrative examples. Three key challenges to the potential relevance and utility of ethnicity data collected at the level of local healthcare organizations are identified: (a) issues pertaining to quality of the data, (b) the fact that data quality is most problematic for those with the greatest vulnerability to the negative effects of health inequities, and (c) the lack of data reflecting structural disadvantages or discrimination. ConclusionThe quality of ethnicity data collected within healthcare organizations is often unreliable, particularly for people from racialized or visible minority groups, who are most at risk, seriously limiting the usefulness of the data. Quality measures for collecting data reflecting ethnocultural identity in specific healthcare organizations may be warranted – but only if mechanisms exist or are developed for linking ethnicity with measures of perceived discrimination, stigmatization, income level, and other known contributors to inequities. Methods for linking these kinds of data, however, remain underdeveloped or non-existent in most healthcare organizations. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
11. Harms and benefits: Collecting ethnicity data in a clinical context
- Author
-
Varcoe, Colleen, Browne, Annette J., Wong, Sabrina, and Smye, Victoria L.
- Subjects
- *
ETHNICITY , *MEDICAL care , *EQUALITY , *ETHNOLOGY , *MEDICAL personnel - Abstract
Although ethnicity data are collected in most countries at the population level, it has become more common to collect such data in healthcare settings, partially in response to growing health and social inequities worldwide. However, the implications of doing so have not been studied. This two-year study was designed to critically examine the implications of collecting ethnicity data in healthcare settings. Using a critical ethnographic approach, we interviewed 104 patients, community and healthcare leaders, and healthcare workers within diverse clinical contexts in a large city in Western Canada in 2006–2007. This paper presents an interpretive thematic analysis, using an ethical lens, of the harms and benefits associated with the process of data collection in a clinical context. While most leaders and healthcare workers and some patients envisioned potential benefits associated with having ethnicity data, these benefits were seen as largely contingent upon action being taken to ameliorate inequities. Overwhelmingly, however, leaders from ethno-cultural communities and patients of diverse identities anticipated potential harm arising both from having ethnicity data and the process of collection. The analysis illustrates that in today's sociopolitical context, collecting ethnicity data in clinical contexts may engender considerable harm, particularly for racialized, vulnerable patients. If ethnicity data are currently collected at the population level, evidence of benefit is required before proceeding to collect these data at the point of care. [Copyright &y& Elsevier]
- Published
- 2009
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.