Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare
Circumpolar Indigenous populations continue to experience dramatic health inequities when compared to their national counterparts. The objectives of this study are first, to explore the space given in the existing literature to the concepts of cultural safety and cultural competence, as it relates t...
Published in: | International Journal of Circumpolar Health |
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Taylor & Francis Group
2022
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Online Access: | https://doi.org/10.1080/22423982.2022.2055728 https://doaj.org/article/b95ee3acc8a54e59a45f43d1b8e7ab5b |
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ftdoajarticles:oai:doaj.org/article:b95ee3acc8a54e59a45f43d1b8e7ab5b 2023-05-15T14:55:51+02:00 Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare Josée G. Lavoie Jon Petter Stoor Elizabeth Rink Katie Cueva Elena Gladun Christina Viskum Lytken Larsen Gwen Healey Akearok Nicole Kanayurak 2022-12-01T00:00:00Z https://doi.org/10.1080/22423982.2022.2055728 https://doaj.org/article/b95ee3acc8a54e59a45f43d1b8e7ab5b EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2022.2055728 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2022.2055728 2242-3982 https://doaj.org/article/b95ee3acc8a54e59a45f43d1b8e7ab5b International Journal of Circumpolar Health, Vol 81, Iss 1 (2022) Arctic Aboriginal Sámi Inuit Greenland Scandinavia Arctic medicine. Tropical medicine RC955-962 article 2022 ftdoajarticles https://doi.org/10.1080/22423982.2022.2055728 2022-12-31T01:26:24Z Circumpolar Indigenous populations continue to experience dramatic health inequities when compared to their national counterparts. The objectives of this study are first, to explore the space given in the existing literature to the concepts of cultural safety and cultural competence, as it relates to Indigenous peoples in Circumpolar contexts; and second, to document where innovations have emerged. We conducted a review of the English, Danish, Norwegian, Russian and Swedish Circumpolar health literature focusing on Indigenous populations. We include research related to Alaska (USA); the Yukon, the Northwest Territories, Nunavik and Labrador (Canada); Greenland; Sápmi (northmost part of Sweden, Norway, and Finland); and arctic Russia. Our results show that the concepts of cultural safety and cultural competence (cultural humility in Nunavut) are widely discussed in the Canadian literature. In Alaska, the term relationship-centred care has emerged, and is defined broadly to encompass clinician-patient relationships and structural barriers to care. We found no evidence that similar concepts are used to inform service delivery in Greenland, Nordic countries and Russia. While we recognise that healthcare innovations are often localised, and that there is often a lapse before localised innovations find their way into the literature, we conclude that the general lack of attention to culturally safe care for Sámi and Greenlandic Inuit is somewhat surprising given Nordic countries’ concern for the welfare of their citizens. We see this as an important gap, and out of step with commitments made under United Nations Declarations on the Rights of Indigenous Peoples. We call for the integration of cultural safety (and its variants) as a lens to inform the development of health programs aiming to improve Indigenous in Circumpolar countries. Article in Journal/Newspaper Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit Northwest Territories Nunavut Alaska Nunavik Yukon Directory of Open Access Journals: DOAJ Articles Arctic Canada Greenland Northwest Territories Norway Nunavik Nunavut Yukon International Journal of Circumpolar Health 81 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic Aboriginal Sámi Inuit Greenland Scandinavia Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Arctic Aboriginal Sámi Inuit Greenland Scandinavia Arctic medicine. Tropical medicine RC955-962 Josée G. Lavoie Jon Petter Stoor Elizabeth Rink Katie Cueva Elena Gladun Christina Viskum Lytken Larsen Gwen Healey Akearok Nicole Kanayurak Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
topic_facet |
Arctic Aboriginal Sámi Inuit Greenland Scandinavia Arctic medicine. Tropical medicine RC955-962 |
description |
Circumpolar Indigenous populations continue to experience dramatic health inequities when compared to their national counterparts. The objectives of this study are first, to explore the space given in the existing literature to the concepts of cultural safety and cultural competence, as it relates to Indigenous peoples in Circumpolar contexts; and second, to document where innovations have emerged. We conducted a review of the English, Danish, Norwegian, Russian and Swedish Circumpolar health literature focusing on Indigenous populations. We include research related to Alaska (USA); the Yukon, the Northwest Territories, Nunavik and Labrador (Canada); Greenland; Sápmi (northmost part of Sweden, Norway, and Finland); and arctic Russia. Our results show that the concepts of cultural safety and cultural competence (cultural humility in Nunavut) are widely discussed in the Canadian literature. In Alaska, the term relationship-centred care has emerged, and is defined broadly to encompass clinician-patient relationships and structural barriers to care. We found no evidence that similar concepts are used to inform service delivery in Greenland, Nordic countries and Russia. While we recognise that healthcare innovations are often localised, and that there is often a lapse before localised innovations find their way into the literature, we conclude that the general lack of attention to culturally safe care for Sámi and Greenlandic Inuit is somewhat surprising given Nordic countries’ concern for the welfare of their citizens. We see this as an important gap, and out of step with commitments made under United Nations Declarations on the Rights of Indigenous Peoples. We call for the integration of cultural safety (and its variants) as a lens to inform the development of health programs aiming to improve Indigenous in Circumpolar countries. |
format |
Article in Journal/Newspaper |
author |
Josée G. Lavoie Jon Petter Stoor Elizabeth Rink Katie Cueva Elena Gladun Christina Viskum Lytken Larsen Gwen Healey Akearok Nicole Kanayurak |
author_facet |
Josée G. Lavoie Jon Petter Stoor Elizabeth Rink Katie Cueva Elena Gladun Christina Viskum Lytken Larsen Gwen Healey Akearok Nicole Kanayurak |
author_sort |
Josée G. Lavoie |
title |
Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
title_short |
Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
title_full |
Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
title_fullStr |
Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
title_full_unstemmed |
Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
title_sort |
cultural competence and safety in circumpolar countries: an analysis of discourses in healthcare |
publisher |
Taylor & Francis Group |
publishDate |
2022 |
url |
https://doi.org/10.1080/22423982.2022.2055728 https://doaj.org/article/b95ee3acc8a54e59a45f43d1b8e7ab5b |
geographic |
Arctic Canada Greenland Northwest Territories Norway Nunavik Nunavut Yukon |
geographic_facet |
Arctic Canada Greenland Northwest Territories Norway Nunavik Nunavut Yukon |
genre |
Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit Northwest Territories Nunavut Alaska Nunavik Yukon |
genre_facet |
Arctic Circumpolar Health Greenland greenlandic International Journal of Circumpolar Health inuit Northwest Territories Nunavut Alaska Nunavik Yukon |
op_source |
International Journal of Circumpolar Health, Vol 81, Iss 1 (2022) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2022.2055728 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2022.2055728 2242-3982 https://doaj.org/article/b95ee3acc8a54e59a45f43d1b8e7ab5b |
op_doi |
https://doi.org/10.1080/22423982.2022.2055728 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
_version_ |
1766327853177110528 |