“They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts
Background: Norwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks. Objective: In this article we explore healthcare professionals’ discursive constructions of Sami person...
Published in: | International Journal of Circumpolar Health |
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Language: | English |
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International Journal of Circumpolar Health
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Online Access: | http://hdl.handle.net/11250/2459117 https://doi.org/10.1080/22423982.2017.1328962 |
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ftsfomsorgsforsk:oai:omsorgsforskning.brage.unit.no:11250/2459117 2024-03-03T08:43:40+00:00 “They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts Blix, Bodil Hansen Hamran, Torunn 2017 application/pdf http://hdl.handle.net/11250/2459117 https://doi.org/10.1080/22423982.2017.1328962 eng eng International Journal of Circumpolar Health Blix, B.H. & Hamran, T. (2017). “They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts. International Journal of Circumpolar Health, published online 06 June 2017 http://hdl.handle.net/11250/2459117 http://dx.doi.org/10.1080/22423982.2017.1328962 Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no The Author(s) International Journal of Circumpolar Health self-help dementia cultural preferences marginalisation marginalisering demens Journal article 2017 ftsfomsorgsforsk https://doi.org/10.1080/22423982.2017.1328962 2024-02-02T11:37:24Z Background: Norwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks. Objective: In this article we explore healthcare professionals’ discursive constructions of Sami persons with dementia and their families’ reluctance to seek and accept help from healthcare services. Design: The article is based on an analysis of focus group interviews with healthcare professionals (n = 18) in four municipalities in Northern Norway with multiethnic populations. A narrative context analysis, which involved an examination of sequences of discourse, was employed. Results: Reluctance to seek and accept help among Sami service users and assumptions about self-support were recurring themes in the focus groups. The reluctance was attributed to macro contexts, such as socio-historical processes and cultural norms, and to micro contexts, such as individual and interpersonal factors including the healthcare professionals’ cultural backgrounds and language competence. The healthcare professionals’ positioning as insiders or outsiders (Sami or non-Sami) affected their attributions. Conclusions: Local healthcare professionals are at the front line for providing and assessing service users’ needs for healthcare services. Consequently, their perceptions of service users’ needs are pivotal for achieving equity in healthcare. The established opinion that Sami “take care of their own” and are reluctant to seek and accept help may lead to omissions or neglect. Healthcare professionals’ awareness about how present encounters in healthcare settings are framed and shaped by the service users’ previous and prevailing experiences of marginalisation and subordination is crucial to avoid omissions or neglect resulting from assumptions about cultural preferences. Discursively shaped boundaries and differences between groups may create the impression that the distance between the groups is too wide to traverse, which in turn may ... Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health Northern Norway sami sami Senter for omsorgsforskning: Omsorgsbiblioteket Norway International Journal of Circumpolar Health 76 1 1328962 |
institution |
Open Polar |
collection |
Senter for omsorgsforskning: Omsorgsbiblioteket |
op_collection_id |
ftsfomsorgsforsk |
language |
English |
topic |
self-help dementia cultural preferences marginalisation marginalisering demens |
spellingShingle |
self-help dementia cultural preferences marginalisation marginalisering demens Blix, Bodil Hansen Hamran, Torunn “They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
topic_facet |
self-help dementia cultural preferences marginalisation marginalisering demens |
description |
Background: Norwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks. Objective: In this article we explore healthcare professionals’ discursive constructions of Sami persons with dementia and their families’ reluctance to seek and accept help from healthcare services. Design: The article is based on an analysis of focus group interviews with healthcare professionals (n = 18) in four municipalities in Northern Norway with multiethnic populations. A narrative context analysis, which involved an examination of sequences of discourse, was employed. Results: Reluctance to seek and accept help among Sami service users and assumptions about self-support were recurring themes in the focus groups. The reluctance was attributed to macro contexts, such as socio-historical processes and cultural norms, and to micro contexts, such as individual and interpersonal factors including the healthcare professionals’ cultural backgrounds and language competence. The healthcare professionals’ positioning as insiders or outsiders (Sami or non-Sami) affected their attributions. Conclusions: Local healthcare professionals are at the front line for providing and assessing service users’ needs for healthcare services. Consequently, their perceptions of service users’ needs are pivotal for achieving equity in healthcare. The established opinion that Sami “take care of their own” and are reluctant to seek and accept help may lead to omissions or neglect. Healthcare professionals’ awareness about how present encounters in healthcare settings are framed and shaped by the service users’ previous and prevailing experiences of marginalisation and subordination is crucial to avoid omissions or neglect resulting from assumptions about cultural preferences. Discursively shaped boundaries and differences between groups may create the impression that the distance between the groups is too wide to traverse, which in turn may ... |
format |
Article in Journal/Newspaper |
author |
Blix, Bodil Hansen Hamran, Torunn |
author_facet |
Blix, Bodil Hansen Hamran, Torunn |
author_sort |
Blix, Bodil Hansen |
title |
“They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
title_short |
“They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
title_full |
“They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
title_fullStr |
“They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
title_full_unstemmed |
“They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
title_sort |
“they take care of their own”: healthcare professionals’ constructions of sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts |
publisher |
International Journal of Circumpolar Health |
publishDate |
2017 |
url |
http://hdl.handle.net/11250/2459117 https://doi.org/10.1080/22423982.2017.1328962 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Circumpolar Health International Journal of Circumpolar Health Northern Norway sami sami |
genre_facet |
Circumpolar Health International Journal of Circumpolar Health Northern Norway sami sami |
op_source |
International Journal of Circumpolar Health |
op_relation |
Blix, B.H. & Hamran, T. (2017). “They take care of their own”: healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts. International Journal of Circumpolar Health, published online 06 June 2017 http://hdl.handle.net/11250/2459117 http://dx.doi.org/10.1080/22423982.2017.1328962 |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no The Author(s) |
op_doi |
https://doi.org/10.1080/22423982.2017.1328962 |
container_title |
International Journal of Circumpolar Health |
container_volume |
76 |
container_issue |
1 |
container_start_page |
1328962 |
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1792499122869108736 |