Meste'si Llucmetkwe, Colleen Seymour, Mona Lisa Bourque Bearskin, Liquaa Wazni, Rose Melnyk, Nikki Rose Hunter Porter, Michelle Padley
{"title":"Moving Beyond Ignorance and Epistemic Violence: Indigenous Health Nurses' Response to Systems Transformation.","authors":"Meste'si Llucmetkwe, Colleen Seymour, Mona Lisa Bourque Bearskin, Liquaa Wazni, Rose Melnyk, Nikki Rose Hunter Porter, Michelle Padley","doi":"10.12927/cjnl.2024.27287","DOIUrl":null,"url":null,"abstract":"<p><p>Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to experience much poorer health outcomes due to the intersectional legacies of colonialism and racism. In this commentary, we reflect on structural, systemic and service delivery racism at all levels of care, which are deeply embedded in historical, political, institutional and socioeconomic policies and practices that continue to perpetuate harm and genocide of Indigenous Peoples. We call for immediate action to re-establishing epistemic justice and reframing Indigenous knowledge systems in nursing practices, policies, research and education as the starting point in counteracting systemic racism.</p>","PeriodicalId":56179,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing leadership (Toronto, Ont.)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12927/cjnl.2024.27287","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to experience much poorer health outcomes due to the intersectional legacies of colonialism and racism. In this commentary, we reflect on structural, systemic and service delivery racism at all levels of care, which are deeply embedded in historical, political, institutional and socioeconomic policies and practices that continue to perpetuate harm and genocide of Indigenous Peoples. We call for immediate action to re-establishing epistemic justice and reframing Indigenous knowledge systems in nursing practices, policies, research and education as the starting point in counteracting systemic racism.
期刊介绍:
The global nursing shortage and statistics indicating a steady increase in the cancer patient workload suggest that the recruitment and retention of oncology nurses is and will be a serious problem. The purpose of this research study was to examine oncology nursing work environments in Canada.