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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ftpubmed:oai:pubmedcentral.nih.gov:9037165 2023-05-15T15:12:42+02:00 Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare Lavoie, Josée G. Stoor, Jon Petter Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole 2022-04-22 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037165/ http://www.ncbi.nlm.nih.gov/pubmed/35451927 https://doi.org/10.1080/22423982.2022.2055728 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037165/ http://www.ncbi.nlm.nih.gov/pubmed/35451927 http://dx.doi.org/10.1080/22423982.2022.2055728 © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY-NC Int J Circumpolar Health Original Research Article Text 2022 ftpubmed https://doi.org/10.1080/22423982.2022.2055728 2022-05-01T00:45:52Z 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. Text Arctic Circumpolar Health Greenland greenlandic inuit Northwest Territories Nunavut Alaska Nunavik Yukon PubMed Central (PMC) Arctic Canada Greenland Northwest Territories Norway Nunavik Nunavut Yukon International Journal of Circumpolar Health 81 1 |
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Original Research Article |
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Original Research Article Lavoie, Josée G. Stoor, Jon Petter Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare |
topic_facet |
Original Research Article |
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 |
Text |
author |
Lavoie, Josée G. Stoor, Jon Petter Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole |
author_facet |
Lavoie, Josée G. Stoor, Jon Petter Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole |
author_sort |
Lavoie, Josée G. |
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 |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037165/ http://www.ncbi.nlm.nih.gov/pubmed/35451927 https://doi.org/10.1080/22423982.2022.2055728 |
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 inuit Northwest Territories Nunavut Alaska Nunavik Yukon |
genre_facet |
Arctic Circumpolar Health Greenland greenlandic inuit Northwest Territories Nunavut Alaska Nunavik Yukon |
op_source |
Int J Circumpolar Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9037165/ http://www.ncbi.nlm.nih.gov/pubmed/35451927 http://dx.doi.org/10.1080/22423982.2022.2055728 |
op_rights |
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1080/22423982.2022.2055728 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
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1766343347325108224 |