Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba
In 2015, the Truth and Reconciliation Commission (TRC) set a national agenda, calling for institutions to develop concrete plans to advance the health and socioeconomic status of Indigenous peoples in Canada. Indigenous peoples experience a variety of health disparities, including alarming rates of...
Main Author: | |
---|---|
Other Authors: | , , , |
Format: | Master Thesis |
Language: | English |
Published: |
2023
|
Subjects: | |
Online Access: | http://hdl.handle.net/1993/37440 |
id |
ftunivmanitoba:oai:mspace.lib.umanitoba.ca:1993/37440 |
---|---|
record_format |
openpolar |
spelling |
ftunivmanitoba:oai:mspace.lib.umanitoba.ca:1993/37440 2024-04-28T08:19:13+00:00 Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba Ferreira da Silva, Priscila Anderson, Marcia (Community Health Sciences) McPhail, Deborah (Community Health Sciences) Lorway, Robert Bohm, Clara 2023-08-01T17:20:44Z application/pdf http://hdl.handle.net/1993/37440 eng eng http://hdl.handle.net/1993/37440 open access Indigenous health First Nations End-stage renal disease Health care access Health disparities Chronic Kidney Disease Hemodialysis Manitoba master thesis 2023 ftunivmanitoba 2024-04-03T14:01:32Z In 2015, the Truth and Reconciliation Commission (TRC) set a national agenda, calling for institutions to develop concrete plans to advance the health and socioeconomic status of Indigenous peoples in Canada. Indigenous peoples experience a variety of health disparities, including alarming rates of end-stage kidney disease, also known as kidney failure. In Canada, most people with kidney failure start in-centre (hospital-based) hemodialysis. Manitoba has the highest prevalence and incidence of kidney failure in Canada, and Indigenous people are disproportionately represented. This qualitative ethnographic study employed Indigenous methodologies, including a conversational approach with people living with end-stage kidney disease. I conducted 11 in-depth individual interviews—six with people undergoing in-centre hemodialysis, three with caregivers, and two with healthcare providers working in renal health. Drawing upon critical anti-colonial and social determinants of health frameworks, colonization is reconceptualized as a present structure rather than a past event. This perspective brings into view how institutional practices continue to produce health inequities. Specifically, this study pursued a multi-sited approach to examine the interplay between the social determinants of health and people’s personal journeys amid a sense of dislocation. I followed the trajectories of people who were displaced from their communities and forced to relocate to Winnipeg for hemodialysis. As people navigated abrupt life changes and rebuilt their lives amid crisis, I portray their experiences of grief and disconnection from kinship networks as well as their diverse conceptualizations of health and wellbeing. I also portray their experiences of discrimination and racism in hemodialysis units, emergency departments, specialized care, and while seeking health and social services, such as housing. These experiences demonstrate the urgency for mandatory cultural safety training for those working in healthcare. This thesis project ... Master Thesis First Nations MSpace at the University of Manitoba |
institution |
Open Polar |
collection |
MSpace at the University of Manitoba |
op_collection_id |
ftunivmanitoba |
language |
English |
topic |
Indigenous health First Nations End-stage renal disease Health care access Health disparities Chronic Kidney Disease Hemodialysis Manitoba |
spellingShingle |
Indigenous health First Nations End-stage renal disease Health care access Health disparities Chronic Kidney Disease Hemodialysis Manitoba Ferreira da Silva, Priscila Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba |
topic_facet |
Indigenous health First Nations End-stage renal disease Health care access Health disparities Chronic Kidney Disease Hemodialysis Manitoba |
description |
In 2015, the Truth and Reconciliation Commission (TRC) set a national agenda, calling for institutions to develop concrete plans to advance the health and socioeconomic status of Indigenous peoples in Canada. Indigenous peoples experience a variety of health disparities, including alarming rates of end-stage kidney disease, also known as kidney failure. In Canada, most people with kidney failure start in-centre (hospital-based) hemodialysis. Manitoba has the highest prevalence and incidence of kidney failure in Canada, and Indigenous people are disproportionately represented. This qualitative ethnographic study employed Indigenous methodologies, including a conversational approach with people living with end-stage kidney disease. I conducted 11 in-depth individual interviews—six with people undergoing in-centre hemodialysis, three with caregivers, and two with healthcare providers working in renal health. Drawing upon critical anti-colonial and social determinants of health frameworks, colonization is reconceptualized as a present structure rather than a past event. This perspective brings into view how institutional practices continue to produce health inequities. Specifically, this study pursued a multi-sited approach to examine the interplay between the social determinants of health and people’s personal journeys amid a sense of dislocation. I followed the trajectories of people who were displaced from their communities and forced to relocate to Winnipeg for hemodialysis. As people navigated abrupt life changes and rebuilt their lives amid crisis, I portray their experiences of grief and disconnection from kinship networks as well as their diverse conceptualizations of health and wellbeing. I also portray their experiences of discrimination and racism in hemodialysis units, emergency departments, specialized care, and while seeking health and social services, such as housing. These experiences demonstrate the urgency for mandatory cultural safety training for those working in healthcare. This thesis project ... |
author2 |
Anderson, Marcia (Community Health Sciences) McPhail, Deborah (Community Health Sciences) Lorway, Robert Bohm, Clara |
format |
Master Thesis |
author |
Ferreira da Silva, Priscila |
author_facet |
Ferreira da Silva, Priscila |
author_sort |
Ferreira da Silva, Priscila |
title |
Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba |
title_short |
Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba |
title_full |
Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba |
title_fullStr |
Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba |
title_full_unstemmed |
Illness experiences and settler colonialism: an ethnography with Indigenous Peoples receiving in-centre hemodialysis in Winnipeg, Manitoba |
title_sort |
illness experiences and settler colonialism: an ethnography with indigenous peoples receiving in-centre hemodialysis in winnipeg, manitoba |
publishDate |
2023 |
url |
http://hdl.handle.net/1993/37440 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://hdl.handle.net/1993/37440 |
op_rights |
open access |
_version_ |
1797582836808548352 |