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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2022
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Online Access: | https://hdl.handle.net/10037/26324 https://doi.org/10.1080/22423982.2022.2055728 |
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ftunivtroemsoe:oai:munin.uit.no:10037/26324 2023-05-15T15:12:31+02:00 Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare Lavoie, Josée G. Stoor, Jon Petter Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole 2022-04-22 https://hdl.handle.net/10037/26324 https://doi.org/10.1080/22423982.2022.2055728 eng eng Taylor & Francis International Journal of Circumpolar Health Lavoie, Stoor, Rink, Cueva, Gladun, Larsen, Healey Akearok, Kanayurak. Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare. International Journal of Circumpolar Health. 2022;81(1) FRIDAID 2029058 doi:10.1080/22423982.2022.2055728 1239-9736 2242-3982 https://hdl.handle.net/10037/26324 openAccess Copyright 2022 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1080/22423982.2022.2055728 2022-08-24T23:00:00Z 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 University of Tromsø: Munin Open Research Archive Arctic Canada Greenland Northwest Territories Norway Nunavik Nunavut Yukon International Journal of Circumpolar Health 81 1 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
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 Rink, Elizabeth Cueva, Katie Gladun, Elena Larsen, Christina Viskum Lytken Healey Akearok, Gwen Kanayurak, Nicole |
spellingShingle |
Lavoie, Josée G. Stoor, Jon Petter 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 |
author_facet |
Lavoie, Josée G. Stoor, Jon Petter 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 |
Taylor & Francis |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/26324 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 Lavoie, Stoor, Rink, Cueva, Gladun, Larsen, Healey Akearok, Kanayurak. Cultural competence and safety in Circumpolar countries: an analysis of discourses in healthcare. International Journal of Circumpolar Health. 2022;81(1) FRIDAID 2029058 doi:10.1080/22423982.2022.2055728 1239-9736 2242-3982 https://hdl.handle.net/10037/26324 |
op_rights |
openAccess Copyright 2022 The Author(s) |
op_doi |
https://doi.org/10.1080/22423982.2022.2055728 |
container_title |
International Journal of Circumpolar Health |
container_volume |
81 |
container_issue |
1 |
_version_ |
1766343181935312896 |