Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers
We examine patient–provider interactions for Indigenous childbirth evacuees. Our analysis draws on in-depth interviews with 25 Inuit and First Nations women with medically high-risk pregnancies who were transferred or medevacked from northern Quebec to receive maternity care at a tertiary hospital i...
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ftpubmed:oai:pubmedcentral.nih.gov:7323484 2023-05-15T16:16:23+02:00 Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers Vang, Zoua M. Gagnon, Robert Lee, Tanya Jimenez, Vania Navickas, Arian Pelletier, Jeannie Shenker, Hannah 2018-08-10 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323484/ http://www.ncbi.nlm.nih.gov/pubmed/30095039 https://doi.org/10.1177/1049732318792500 en eng SAGE Publications http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323484/ http://www.ncbi.nlm.nih.gov/pubmed/30095039 http://dx.doi.org/10.1177/1049732318792500 © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). CC-BY-NC Qual Health Res Research Articles Text 2018 ftpubmed https://doi.org/10.1177/1049732318792500 2020-07-12T00:22:21Z We examine patient–provider interactions for Indigenous childbirth evacuees. Our analysis draws on in-depth interviews with 25 Inuit and First Nations women with medically high-risk pregnancies who were transferred or medevacked from northern Quebec to receive maternity care at a tertiary hospital in a southern city in the province. We supplemented the patient data with interviews from eight health care providers. Three themes related to patient–provider interactions are discussed: evacuation-related stress, hospital bureaucracy, and stereotypes. Findings show that the quality of the patient–provider interaction is contingent on individual health care providers’ ability to connect with Indigenous patients and overcome cultural and institutional barriers to communication and trust-building. The findings point to the need for further training of medical professionals in the delivery of culturally safe care and addressing bureaucratic constraints in the health care system to improve patient–provider communication and overall relationship quality. Text First Nations inuit PubMed Central (PMC) Qualitative Health Research 28 12 1858 1870 |
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Research Articles Vang, Zoua M. Gagnon, Robert Lee, Tanya Jimenez, Vania Navickas, Arian Pelletier, Jeannie Shenker, Hannah Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers |
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Research Articles |
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We examine patient–provider interactions for Indigenous childbirth evacuees. Our analysis draws on in-depth interviews with 25 Inuit and First Nations women with medically high-risk pregnancies who were transferred or medevacked from northern Quebec to receive maternity care at a tertiary hospital in a southern city in the province. We supplemented the patient data with interviews from eight health care providers. Three themes related to patient–provider interactions are discussed: evacuation-related stress, hospital bureaucracy, and stereotypes. Findings show that the quality of the patient–provider interaction is contingent on individual health care providers’ ability to connect with Indigenous patients and overcome cultural and institutional barriers to communication and trust-building. The findings point to the need for further training of medical professionals in the delivery of culturally safe care and addressing bureaucratic constraints in the health care system to improve patient–provider communication and overall relationship quality. |
format |
Text |
author |
Vang, Zoua M. Gagnon, Robert Lee, Tanya Jimenez, Vania Navickas, Arian Pelletier, Jeannie Shenker, Hannah |
author_facet |
Vang, Zoua M. Gagnon, Robert Lee, Tanya Jimenez, Vania Navickas, Arian Pelletier, Jeannie Shenker, Hannah |
author_sort |
Vang, Zoua M. |
title |
Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers |
title_short |
Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers |
title_full |
Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers |
title_fullStr |
Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers |
title_full_unstemmed |
Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers |
title_sort |
interactions between indigenous women awaiting childbirth away from home and their southern, non-indigenous health care providers |
publisher |
SAGE Publications |
publishDate |
2018 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323484/ http://www.ncbi.nlm.nih.gov/pubmed/30095039 https://doi.org/10.1177/1049732318792500 |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
Qual Health Res |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323484/ http://www.ncbi.nlm.nih.gov/pubmed/30095039 http://dx.doi.org/10.1177/1049732318792500 |
op_rights |
© The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
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CC-BY-NC |
op_doi |
https://doi.org/10.1177/1049732318792500 |
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Qualitative Health Research |
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28 |
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12 |
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1858 |
op_container_end_page |
1870 |
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1766002236157067264 |