What culturally safe cancer care means to Algonquins of Pikwakanagan First Nation

IF 1.6 Q2 ETHNIC STUDIES Alternative-An International Journal of Indigenous Peoples Pub Date : 2023-05-16 DOI:10.1177/11771801231168681

W. Gifford, Peggy Dick, Catherine Larocque, S. Modanloo, Liquaa Wazni, Z. Awar, M. Benoit

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引用次数: 1

Abstract

Understanding what culturally safe care means to First Nations people is the first step to reimagining how healthcare can be conceived and operationalized. This study explored the meaning of culturally safe cancer care with Algonquins of Pikwakanagan First Nation in Canada, including community members’ perceptions of barriers to receiving it. Two focus groups using journey mapping were held with cancer survivors and family members (n = 16) and healthcare providers (n = 12), followed by individual interviews (n = 13). Discussions were video-recorded, transcribed verbatim, and thematically analysed. Culturally safe cancer care encompassed: (a) family and community, (b) culture as healing, and (c) stories for sharing cultural teachings. Ongoing systemic racism was described as prevalent in cancer care today and a significant barrier to culturally safe care. Further research is needed for health system change to dismantle the systemic and structural factors that continue to make healthcare unsafe and harm Indigenous People.

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文化安全的癌症护理对Pikwakangan第一民族的Algonquins意味着什么

了解文化上安全的护理对原住民意味着什么，是重新设想如何构思和实施医疗保健的第一步。本研究探讨了加拿大Pikwakanagan第一民族的Algonquins在文化上安全的癌症治疗的意义，包括社区成员对接受这种治疗的障碍的看法。使用旅程地图与癌症幸存者及其家庭成员(n = 16)和医疗保健提供者(n = 12)进行了两个焦点小组讨论，随后进行了个人访谈(n = 13)。讨论被录相记录，逐字抄录，并按主题进行分析。文化上安全的癌症护理包括:(a)家庭和社区;(b)文化治疗;(c)分享文化教义的故事。持续的系统性种族主义被描述为在今天的癌症治疗中普遍存在，并且是文化安全护理的重大障碍。需要进一步研究卫生系统变革，以消除继续使卫生保健不安全并伤害土著人民的系统性和结构性因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alternative-An International Journal of Indigenous Peoples ETHNIC STUDIES-

CiteScore

2.40

自引率

10.50%

发文量