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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Language: | English |
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Umeå universitet, Institutionen för epidemiologi och global hälsa
2022
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-194122 https://doi.org/10.1080/22423982.2022.2055728 |
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ftumeauniv:oai:DiVA.org:umu-194122 2023-10-09T21:48:56+02:00 Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare Lavoie, Josée G. Stoor, Jon Petter A. Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-194122 https://doi.org/10.1080/22423982.2022.2055728 eng eng Umeå universitet, Institutionen för epidemiologi och global hälsa Ongomiizwin Research, University of Manitoba, Winnipeg, MB Canada Health & Human Development, Montana State University, USA Institute of Social and Economic Research (ISER), University of Alaska, Anchorage, AK, US University of Tyumen, Russia University of South Denmark, Denmark Qaujigiartiit Health Research Centre, Iqaluit, NU, Canada North Slope Borough, AK, USA International Journal of Circumpolar Health, 1239-9736, 2022, 81:1, orcid:0000-0002-1580-8307 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-194122 doi:10.1080/22423982.2022.2055728 PMID 35451927 ISI:000786546300001 Scopus 2-s2.0-85128855612 info:eu-repo/semantics/openAccess Aboriginal Arctic Greenland Inuit Scandinavia Sámi equity health care Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2022 ftumeauniv https://doi.org/10.1080/22423982.2022.2055728 2023-09-22T13:59:38Z 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 Umeå University: Publications (DiVA) Arctic Canada Greenland Northwest Territories Norway Nunavik Nunavut Yukon International Journal of Circumpolar Health 81 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Aboriginal Arctic Greenland Inuit Scandinavia Sámi equity health care Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Aboriginal Arctic Greenland Inuit Scandinavia Sámi equity health care Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Lavoie, Josée G. Stoor, Jon Petter A. 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 |
Aboriginal Arctic Greenland Inuit Scandinavia Sámi equity health care Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
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 |
Lavoie, Josée G. Stoor, Jon Petter A. Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole |
author_facet |
Lavoie, Josée G. Stoor, Jon Petter A. 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 |
Umeå universitet, Institutionen för epidemiologi och global hälsa |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-194122 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 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_relation |
International Journal of Circumpolar Health, 1239-9736, 2022, 81:1, orcid:0000-0002-1580-8307 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-194122 doi:10.1080/22423982.2022.2055728 PMID 35451927 ISI:000786546300001 Scopus 2-s2.0-85128855612 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/22423982.2022.2055728 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
_version_ |
1779311992270487552 |