Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives
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 cult...
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Online Access: | http://dx.doi.org/10.1111/hex.13168 https://onlinelibrary.wiley.com/doi/pdf/10.1111/hex.13168 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/hex.13168 |
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crwiley:10.1111/hex.13168 2024-06-02T08:03:06+00:00 Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives Tremblay, Marie‐Claude Bradette‐Laplante, Maude Witteman, Holly O. Dogba, Maman Joyce Breault, Pascale Paquette, Jean‐Sébastien Careau, Emmanuelle Echaquan, Sandro Fonds de Recherche du Québec - Santé 2020 http://dx.doi.org/10.1111/hex.13168 https://onlinelibrary.wiley.com/doi/pdf/10.1111/hex.13168 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/hex.13168 en eng Wiley http://creativecommons.org/licenses/by/4.0/ Health Expectations volume 24, issue 2, page 296-306 ISSN 1369-6513 1369-7625 journal-article 2020 crwiley https://doi.org/10.1111/hex.13168 2024-05-03T11:25:36Z 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. Article in Journal/Newspaper atikamekw Wiley Online Library Canada Health Expectations 24 2 296 306 |
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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. |
author2 |
Fonds de Recherche du Québec - Santé |
format |
Article in Journal/Newspaper |
author |
Tremblay, Marie‐Claude Bradette‐Laplante, Maude Witteman, Holly O. Dogba, Maman Joyce Breault, Pascale Paquette, Jean‐Sébastien Careau, Emmanuelle Echaquan, Sandro |
spellingShingle |
Tremblay, Marie‐Claude Bradette‐Laplante, Maude Witteman, Holly O. Dogba, Maman Joyce Breault, Pascale Paquette, Jean‐Sébastien Careau, Emmanuelle Echaquan, Sandro Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
author_facet |
Tremblay, Marie‐Claude Bradette‐Laplante, Maude Witteman, Holly O. Dogba, Maman Joyce Breault, Pascale Paquette, Jean‐Sébastien Careau, Emmanuelle Echaquan, Sandro |
author_sort |
Tremblay, Marie‐Claude |
title |
Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
title_short |
Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
title_full |
Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
title_fullStr |
Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
title_full_unstemmed |
Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
title_sort |
providing culturally safe care to indigenous people living with diabetes: identifying barriers and enablers from different perspectives |
publisher |
Wiley |
publishDate |
2020 |
url |
http://dx.doi.org/10.1111/hex.13168 https://onlinelibrary.wiley.com/doi/pdf/10.1111/hex.13168 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/hex.13168 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
atikamekw |
genre_facet |
atikamekw |
op_source |
Health Expectations volume 24, issue 2, page 296-306 ISSN 1369-6513 1369-7625 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1111/hex.13168 |
container_title |
Health Expectations |
container_volume |
24 |
container_issue |
2 |
container_start_page |
296 |
op_container_end_page |
306 |
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1800747555578970112 |