“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

Source at http://dx.doi.org/10.1080/22423982.2017.1328962 . 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 healt...

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Published in:International Journal of Circumpolar Health
Main Authors: Blix, Bodil Hansen, Hamran, Torunn
Format: Article in Journal/Newspaper
Language:English
Published: Taylor & Francis 2017
Subjects:
Online Access:https://hdl.handle.net/10037/12146
https://doi.org/10.1080/22423982.2017.1328962
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spelling ftunivtroemsoe:oai:munin.uit.no:10037/12146 2023-05-15T15:55:27+02:00 “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 2017-06-06 https://hdl.handle.net/10037/12146 https://doi.org/10.1080/22423982.2017.1328962 eng eng Taylor & Francis International Journal of Circumpolar Health info:eu-repo/grantAgreement/RCN/HELSEVEL/238146/NORWAY/Public dementia care in terms of equal services - family, local and multiethnic perspectives// http://www.tandfonline.com/doi/full/10.1080/22423982.2017.1328962 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. 76(1) FRIDAID 1474361 http://dx.doi.org/10.1080/22423982.2017.1328962 1239-9736 2242-3982 https://hdl.handle.net/10037/12146 openAccess VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.1080/22423982.2017.1328962 2021-06-25T17:55:20Z Source at http://dx.doi.org/10.1080/22423982.2017.1328962 . 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 lead to further marginalisation of service users in healthcare encounters. Article in Journal/Newspaper Circumpolar Health International Journal of Circumpolar Health Northern Norway sami sami University of Tromsø: Munin Open Research Archive Norway International Journal of Circumpolar Health 76 1 1328962
institution Open Polar
collection University of Tromsø: Munin Open Research Archive
op_collection_id ftunivtroemsoe
language English
topic VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806
VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806
spellingShingle VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806
VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806
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 VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806
VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806
description Source at http://dx.doi.org/10.1080/22423982.2017.1328962 . 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 lead to further marginalisation of service users in healthcare encounters.
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 Taylor & Francis
publishDate 2017
url https://hdl.handle.net/10037/12146
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_relation International Journal of Circumpolar Health
info:eu-repo/grantAgreement/RCN/HELSEVEL/238146/NORWAY/Public dementia care in terms of equal services - family, local and multiethnic perspectives//
http://www.tandfonline.com/doi/full/10.1080/22423982.2017.1328962
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. 76(1)
FRIDAID 1474361
http://dx.doi.org/10.1080/22423982.2017.1328962
1239-9736
2242-3982
https://hdl.handle.net/10037/12146
op_rights openAccess
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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