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Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives
- Source :
- Health Expectations, Vol 24, Iss 2, Pp 296-306 (2021), Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 13696513 and 13697625
- Volume :
- 24
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Health Expectations
- Accession number :
- edsair.doi.dedup.....0aaaea8f2a1e254c82e41882a78fad1e