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...
Published in: | Health Expectations |
---|---|
Main Authors: | , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Wiley
2021
|
Subjects: | |
Online Access: | https://doi.org/10.1111/hex.13168 https://doaj.org/article/b70140b0fc6e4131a5dd943a5cc40752 |
id |
ftdoajarticles:oai:doaj.org/article:b70140b0fc6e4131a5dd943a5cc40752 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:b70140b0fc6e4131a5dd943a5cc40752 2023-05-15T15:26:14+02:00 Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives Marie‐Claude Tremblay Maude Bradette‐Laplante Holly O. Witteman Maman Joyce Dogba Pascale Breault Jean‐Sébastien Paquette Emmanuelle Careau Sandro Echaquan 2021-04-01T00:00:00Z https://doi.org/10.1111/hex.13168 https://doaj.org/article/b70140b0fc6e4131a5dd943a5cc40752 EN eng Wiley https://doi.org/10.1111/hex.13168 https://doaj.org/toc/1369-6513 https://doaj.org/toc/1369-7625 1369-7625 1369-6513 doi:10.1111/hex.13168 https://doaj.org/article/b70140b0fc6e4131a5dd943a5cc40752 Health Expectations, Vol 24, Iss 2, Pp 296-306 (2021) barriers and enablers community‐based participatory research cultural safety diabetes healthcare inequities indigenous peoples Medicine (General) R5-920 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1111/hex.13168 2022-12-31T10:24:45Z 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 Directory of Open Access Journals: DOAJ Articles Canada Health Expectations 24 2 296 306 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
barriers and enablers community‐based participatory research cultural safety diabetes healthcare inequities indigenous peoples Medicine (General) R5-920 Public aspects of medicine RA1-1270 |
spellingShingle |
barriers and enablers community‐based participatory research cultural safety diabetes healthcare inequities indigenous peoples Medicine (General) R5-920 Public aspects of medicine RA1-1270 Marie‐Claude Tremblay Maude Bradette‐Laplante Holly O. Witteman Maman Joyce Dogba Pascale Breault Jean‐Sébastien Paquette Emmanuelle Careau Sandro Echaquan Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives |
topic_facet |
barriers and enablers community‐based participatory research cultural safety diabetes healthcare inequities indigenous peoples Medicine (General) R5-920 Public aspects of medicine RA1-1270 |
description |
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. |
format |
Article in Journal/Newspaper |
author |
Marie‐Claude Tremblay Maude Bradette‐Laplante Holly O. Witteman Maman Joyce Dogba Pascale Breault Jean‐Sébastien Paquette Emmanuelle Careau Sandro Echaquan |
author_facet |
Marie‐Claude Tremblay Maude Bradette‐Laplante Holly O. Witteman Maman Joyce Dogba Pascale Breault Jean‐Sébastien Paquette Emmanuelle Careau Sandro Echaquan |
author_sort |
Marie‐Claude Tremblay |
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 |
2021 |
url |
https://doi.org/10.1111/hex.13168 https://doaj.org/article/b70140b0fc6e4131a5dd943a5cc40752 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
atikamekw |
genre_facet |
atikamekw |
op_source |
Health Expectations, Vol 24, Iss 2, Pp 296-306 (2021) |
op_relation |
https://doi.org/10.1111/hex.13168 https://doaj.org/toc/1369-6513 https://doaj.org/toc/1369-7625 1369-7625 1369-6513 doi:10.1111/hex.13168 https://doaj.org/article/b70140b0fc6e4131a5dd943a5cc40752 |
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 |
_version_ |
1766356760843517952 |