Paddling Together for Culturally Safe Emergency Care for Elders
This paper describes a wise practice for collaborative change through the Trauma- Informed and Culturally Safe Emergency Care for Nuu-chah-nulth Elders project. For decades, Nuu-chah-nulth Elders have been avoiding emergency care due to colonial trauma and a lack of culturally safe care. To begin ad...
Published in: | International Journal of Indigenous Health |
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Waakebiness-Bryce Institute for Indigenous Health
2021
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ftunitorontoojs:oai:jps.library.utoronto.ca:article/33051 2023-05-15T16:15:52+02:00 Paddling Together for Culturally Safe Emergency Care for Elders Hasan, Leena Johnson, Janice 2021-02-03 application/pdf https://jps.library.utoronto.ca/index.php/ijih/article/view/33051 https://doi.org/10.32799/ijih.v16i1.33051 eng eng Waakebiness-Bryce Institute for Indigenous Health https://jps.library.utoronto.ca/index.php/ijih/article/view/33051/27341 https://jps.library.utoronto.ca/index.php/ijih/article/view/33051 doi:10.32799/ijih.v16i1.33051 Copyright (c) 2021 Leena Hasan, Janice Johnson https://creativecommons.org/licenses/by-nc-nd/4.0 CC-BY-NC-ND International Journal of Indigenous Health; Vol 16 No 1 (2021): Honouring the Sacred Fire: Ending Systemic Racism toward Indigenous Peoples 2291-9376 2291-9368 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 2021 ftunitorontoojs https://doi.org/10.32799/ijih.v16i1.33051 2021-03-01T10:03:53Z This paper describes a wise practice for collaborative change through the Trauma- Informed and Culturally Safe Emergency Care for Nuu-chah-nulth Elders project. For decades, Nuu-chah-nulth Elders have been avoiding emergency care due to colonial trauma and a lack of culturally safe care. To begin addressing this community priority, the First Nations Health Authority, in partnership with Island Health and university partners, organized a two-day workshop in September 2017 with Nuu-chah-nulth Elders, community members, and health partners. Key to ensuring the process was culturally sensitive was following the guidance of the West Coast General Hospital Cultural Safety Committee, a partnership between Nuu-chah-nulth people and health providers. Respect and trust were developed by centring the voices of Elders and giving them a safe space for discussion before developing recommendations with health partners. Feedback from participants was gathered from notes and audio recordings and thematically analyzed into eight major recommendations (i.e., increase engagement and relationship building; develop action plans; increase education and awareness; increase advocacy and support; incorporate First Nations medicine, healing, and foods; provide culturally safe spaces; develop policy and protocol; and link to comprehensive community support), with attention to preserving Elder voices. The recommendations were validated by returning and new participants at a gathering in June 2019. Elders noted that while experiences of unsafe care continue, noticeable improvements in cultural safety are being made and they feel heard. Article in Journal/Newspaper First Nations University of Toronto: Journal Publishing Services International Journal of Indigenous Health 16 1 |
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University of Toronto: Journal Publishing Services |
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English |
description |
This paper describes a wise practice for collaborative change through the Trauma- Informed and Culturally Safe Emergency Care for Nuu-chah-nulth Elders project. For decades, Nuu-chah-nulth Elders have been avoiding emergency care due to colonial trauma and a lack of culturally safe care. To begin addressing this community priority, the First Nations Health Authority, in partnership with Island Health and university partners, organized a two-day workshop in September 2017 with Nuu-chah-nulth Elders, community members, and health partners. Key to ensuring the process was culturally sensitive was following the guidance of the West Coast General Hospital Cultural Safety Committee, a partnership between Nuu-chah-nulth people and health providers. Respect and trust were developed by centring the voices of Elders and giving them a safe space for discussion before developing recommendations with health partners. Feedback from participants was gathered from notes and audio recordings and thematically analyzed into eight major recommendations (i.e., increase engagement and relationship building; develop action plans; increase education and awareness; increase advocacy and support; incorporate First Nations medicine, healing, and foods; provide culturally safe spaces; develop policy and protocol; and link to comprehensive community support), with attention to preserving Elder voices. The recommendations were validated by returning and new participants at a gathering in June 2019. Elders noted that while experiences of unsafe care continue, noticeable improvements in cultural safety are being made and they feel heard. |
format |
Article in Journal/Newspaper |
author |
Hasan, Leena Johnson, Janice |
spellingShingle |
Hasan, Leena Johnson, Janice Paddling Together for Culturally Safe Emergency Care for Elders |
author_facet |
Hasan, Leena Johnson, Janice |
author_sort |
Hasan, Leena |
title |
Paddling Together for Culturally Safe Emergency Care for Elders |
title_short |
Paddling Together for Culturally Safe Emergency Care for Elders |
title_full |
Paddling Together for Culturally Safe Emergency Care for Elders |
title_fullStr |
Paddling Together for Culturally Safe Emergency Care for Elders |
title_full_unstemmed |
Paddling Together for Culturally Safe Emergency Care for Elders |
title_sort |
paddling together for culturally safe emergency care for elders |
publisher |
Waakebiness-Bryce Institute for Indigenous Health |
publishDate |
2021 |
url |
https://jps.library.utoronto.ca/index.php/ijih/article/view/33051 https://doi.org/10.32799/ijih.v16i1.33051 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Indigenous Health; Vol 16 No 1 (2021): Honouring the Sacred Fire: Ending Systemic Racism toward Indigenous Peoples 2291-9376 2291-9368 |
op_relation |
https://jps.library.utoronto.ca/index.php/ijih/article/view/33051/27341 https://jps.library.utoronto.ca/index.php/ijih/article/view/33051 doi:10.32799/ijih.v16i1.33051 |
op_rights |
Copyright (c) 2021 Leena Hasan, Janice Johnson https://creativecommons.org/licenses/by-nc-nd/4.0 |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.32799/ijih.v16i1.33051 |
container_title |
International Journal of Indigenous Health |
container_volume |
16 |
container_issue |
1 |
_version_ |
1766001743949201408 |