Balancing Culture, Ethics, and Methods in Qualitative Health Research with Aboriginal Peoples

Meadows, Lynn M.; Lagendyk, Laura E.; Thurston, Wilfreda E.; Eisener, Amanda C.

doi:10.1177/160940690300200401

Cited by 44 publications

(54 citation statements)

References 14 publications

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“…12,15 There have been numerous reports of Indigenous patients having experienced invalidating encounters with unfriendly health care workers, often to the point of overt racism and discrimination. 12,16 However, Browne and Fiske (2001) also describe positive encounters that Indigenous women have experienced in health care, citing the importance of opportunities to actively participate in health care decisions, affirmation of identity through long-term relationships with health care providers and recognition of traditional health care practices.…”

Section: Access To Carementioning

confidence: 99%

Moving toward holistic wellness, empowerment and self-determination for Indigenous peoples in Canada: Can traditional Indigenous health care practices increase ownership over health and health care decisions?

Auger

Howell

Gomes

2016

Can J Public Health

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OBJECTIVES: This study aimed to understand the role that traditional Indigenous health care practices can play in increasing individual-level self-determination over health care and improving health outcomes for urban Indigenous peoples in Canada.METHODS: This project took place in Vancouver, British Columbia and included the creation and delivery of holistic workshops to engage community members (n = 35) in learning about aspects of traditional health care practices. Short-term and intermediate outcomes were discussed through two gatherings involving focus groups and surveys. Data were transcribed, reviewed, thematically analyzed, and presented to the working group for validation. RESULTS:When participants compared their experiences with traditional health care to western health care, they described barriers to care that they had experienced in accessing medical doctors (e.g., racism, mistrust), as well as the benefits of traditional healing (e.g., based on relationships, holistic approach). All participants also noted that they had increased ownership over their choices around, and access to, health care, inclusive of both western and traditional options. They stressed that increased access to traditional health care is crucial within urban settings.CONCLUSIONS: Self-determination within Indigenous urban communities, and on a smaller scale, ownership for individuals, is a key determinant of health for Indigenous individuals and communities; this was made clear through the analysis of the research findings and is also supported within the literature. This research also demonstrates that access to traditional healing can enhance ownership for community members. These findings emphasize that there is a continued and growing need for support to aid urban Indigenous peoples in accessing traditional health care supports.KEY WORDS: Indigenous population; traditional medicine; self determination; holistic health La traduction du résumé se trouve à la fin de l'article.

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Section: Access To Carementioning

confidence: 99%

Moving toward holistic wellness, empowerment and self-determination for Indigenous peoples in Canada: Can traditional Indigenous health care practices increase ownership over health and health care decisions?

Auger

Howell

Gomes

2016

Can J Public Health

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“…It is imperative that we engage Aboriginal women in qualitative research if we want to increase our understanding of factors that influence health and want to attempt to change health outcomes (Meadows, Lagendyk, Thurston, & Eisener, 2003). Furthermore, researchers need to adopt a positive framework when engaging in health research with…”

Section: Regardless Of the Limitations Findings From Previous Body Imentioning

confidence: 99%

‘A new view of body image’: A school-based participatory action research project with young Aboriginal women

McHugh

Kowalski

2010

Action Research

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Research continues to suggest that young women experience body image concerns; nevertheless, the majority of this body image research has focused on white women, and the experiences of young Aboriginal women have typically been overlooked.When research has included Aboriginal women, it has generally been quantitative in nature (e.g., Gittelsohn et al., 1996;Marchessault, 2004;Story et al., 1995) and has highlighted body dissatisfaction that is equal to and even greater than that experienced by white women. Despite the alarming statistics suggesting that body image concerns are common among Aboriginal women, few researchers have engaged young Aboriginal women in qualitative research projects that seek to highlight their unique experiences. In an effort to develop relationships with school community members, during the Relationship Building phase I engaged in the three general processes of: familiarization, making connections, and giving back to the school. My commitment to these processes supported my initial goal to develop trusting relationships with community members, which subsequently formed a strong foundation for the development of effective and successful action initiatives. Eight action initiatives, which were represented by three themes, were developed and implemented as part of the Action phase. The three themes were: (1) Promoting Positive Body Image Experiences, (2) Self-Expression, and (3) Creating Awareness.The development and implementation of action at various levels (i.e., individual, school, provincial, and national) was the most significant outcome of this research. The success and relevance of the various action initiatives was demonstrated by the words of the participants, the overall support of various school members, and the commitment of the core group to the goals of this PAR project. Although there were methodological challenges and considerations that needed to be navigated throughout this PAR project, findings from this research suggest that universities and local high schools can and should work together to develop school-based body image programs for young Aboriginal women. As well, and maybe most importantly, this research highlights the strength of using PAR methodologies when engaging young Aboriginal women in body image research.iv ACKNOWLEDGEMENTS

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“…Meadows et al (2003), writing about the challenges of conducting ethical research with Indigenous communities, have argued that it is important for researchers to budget adequate funds to allow this relational approach to emerge. Funding is needed, for example, to support engagement with the community, to hire community members to support data collection and analysis, to report findings to the communities, and to provide honoraria to participants and advisory committees.…”

Section: Supporting Ethical Research In Mi'kmaw Communities Through Rmentioning

confidence: 99%

Implementing the Tri-Council Policy on Ethical Research Involving Indigenous Peoples in Canada: So, How’s That Going in Mi’kma’ki?

Moore

Castleden

Tirone

et al. 2017

iipj

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The 2010 edition of the Tri-Council Policy Statement on Ethical Conduct for Research Involving Humans introduced a new chapter, titled "Research Involving the First Nations, Inuit and Métis Peoples of Canada." The goal of our study was to explore how this chapter is being implemented in research involving Mi'kmaw communities in Nova Scotia. Qualitative data from four groups-health researchers, research ethics board representatives, financial services administrators, and Mi'kmaw community health directors-revealed that while the chapter is useful in navigating this ethical space, there is room for improvement. The challenges they encountered were not insurmountable; with political will from the academy and with guidance from Indigenous community health and research leaders solutions to these barriers can be achieved.

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Balancing Culture, Ethics, and Methods in Qualitative Health Research with Aboriginal Peoples

Cited by 44 publications

References 14 publications

Moving toward holistic wellness, empowerment and self-determination for Indigenous peoples in Canada: Can traditional Indigenous health care practices increase ownership over health and health care decisions?

Moving toward holistic wellness, empowerment and self-determination for Indigenous peoples in Canada: Can traditional Indigenous health care practices increase ownership over health and health care decisions?

‘A new view of body image’: A school-based participatory action research project with young Aboriginal women

Implementing the Tri-Council Policy on Ethical Research Involving Indigenous Peoples in Canada: So, How’s That Going in Mi’kma’ki?

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