Providing culturally safe care to Indigenous people living with diabetes: Identifying barriers and enablers from different perspectives
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 safe...
Published in: | Health Expectations |
---|---|
Main Authors: | , , , , , , , |
Format: | Text |
Language: | English |
Published: |
John Wiley and Sons Inc.
2020
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077144/ http://www.ncbi.nlm.nih.gov/pubmed/33350572 https://doi.org/10.1111/hex.13168 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:8077144 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:8077144 2023-05-15T15:26:14+02:00 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 2020-12-22 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077144/ http://www.ncbi.nlm.nih.gov/pubmed/33350572 https://doi.org/10.1111/hex.13168 en eng John Wiley and Sons Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077144/ http://www.ncbi.nlm.nih.gov/pubmed/33350572 http://dx.doi.org/10.1111/hex.13168 © 2020 The Authors. Health Expectations published by John Wiley & Sons Ltd https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. CC-BY Health Expect Original Research Papers Text 2020 ftpubmed https://doi.org/10.1111/hex.13168 2021-05-02T00:59:13Z 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. Text atikamekw PubMed Central (PMC) Canada Health Expectations 24 2 296 306 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Original Research Papers |
spellingShingle |
Original Research Papers 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 |
topic_facet |
Original Research Papers |
description |
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 |
Text |
author |
Tremblay, Marie‐Claude Bradette‐Laplante, Maude Witteman, Holly O. Dogba, Maman Joyce Breault, Pascale Paquette, Jean‐Sébastien Careau, Emmanuelle Echaquan, Sandro |
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 |
John Wiley and Sons Inc. |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077144/ http://www.ncbi.nlm.nih.gov/pubmed/33350572 https://doi.org/10.1111/hex.13168 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
atikamekw |
genre_facet |
atikamekw |
op_source |
Health Expect |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8077144/ http://www.ncbi.nlm.nih.gov/pubmed/33350572 http://dx.doi.org/10.1111/hex.13168 |
op_rights |
© 2020 The Authors. Health Expectations published by John Wiley & Sons Ltd https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY |
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_ |
1766356758366781440 |