Cultural Safety and Providing Care to Aboriginal patients in the Emergency Department

Dell, Evelyn M; Firestone, Michelle; Smylie, Janet; Vaillancourt, Samuel

doi:10.1017/cem.2015.100

Cited by 29 publications

(22 citation statements)

References 10 publications

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“…Parents in this study expressed a desire to be met halfway by the YCs: namely, to have their cultural background, values, beliefs, and norms recognised. These perceptions are in line with cultural safety principles as reported by other authors [ 16 , 18 , 19 ].…”

Section: Discussionsupporting

confidence: 91%

“A one-size-fits-all model is not good”?: ambivalent perceptions and experiences of African immigrant parents towards Swedish sexual and reproductive health services for young people

et al. 2020

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Objective Parents have a key role regarding young people’s access to sexual and reproductive health services, thus their perceptions go a long way towards promoting or discouraging young people from using such services. Research has revealed that immigrant young people in Sweden access these essential services to a lesser extent than their native peers, and that they perceive their parents as unsupportive of such visits. This pilot study’s objective was to explore immigrant parents’ perceptions and experiences of the sexual and reproductive health services provided by Swedish youth clinics. Results Two categories were developed from the data analysis: (i) Youth clinics are well-known (to some) and appreciated (to a certain extent), and (ii) Parents feel left out from youth clinics and that the clinics have taken over parental responsibility. This study presents an ambivalent scenario connected to immigrant parents’ experiences and perceptions of having neither a space nor a voice within the existing youth clinic model. Parents expressed the desire for the youth clinics to recognise their cultural backgrounds, norms, and beliefs while providing sexual and reproductive health services to their children.

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Section: Discussionsupporting

confidence: 91%

“A one-size-fits-all model is not good”?: ambivalent perceptions and experiences of African immigrant parents towards Swedish sexual and reproductive health services for young people

et al. 2020

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“…In this sense, the present study provides evidence that may be useful to physicians, other providers, and their representative organizations as a tool for advocacy efforts. As noted earlier, cultural safety provides a potentially useful lens through which health care providers can work towards equity and social justice within their professions [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…Conceptually, cultural safety emphasizes recognition and respect for how political, social, economic, and historical conditions influence and shape health, health care, and health inequities [ 35 , 37 , 38 ]. Cultural safety extends beyond cultural sensitivity and competency, by focusing attention on power imbalances, systemic discrimination, social contexts, and impacts on health inequities [ 38 , 39 ]. It is defined from the perspective of those receiving care, in terms of what makes them feel safe or unsafe in a health care setting.…”

Section: Introductionmentioning

confidence: 99%

“…Because it is defined by care recipients, it challenges care providers to reflect on their own cultural identity, positions of privilege and power, and how these influence (often unconscious) assumptions about health and health care practice. Cultural safety offers a lens through which people’s health can be seen as influenced by their historical, socio-political, and socioeconomic contexts, and accordingly though which health care providers can work towards equity and social justice within their professions [ 37 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

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Defining culturally safe primary care for people who use substances: a participatory concept mapping study

Urbanoski

Pauly

Inglis

et al. 2020

BMC Health Serv Res

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Background People who use substances experience high levels of substance-related stigma, both within and outside of health care settings, which can prevent people from help-seeking and contribute further to health inequities. Recognizing and respecting how political, social, economic, and historical conditions influence health and health care, cultural safety, with origins in addressing Indigenous racism, is a potential strategy for mitigating stigma and marginalization in health care. Using a participatory research approach, we applied the concept of cultural safety to develop a model of safe primary care from the perspective of people who use substances. Methods People who use or used substances were involved in all phases of the research and led data collection. Study participants (n = 75) were 42.5 years old on average; half identified as female and one quarter as Indigenous. All were currently using or had previous experience with substances (alcohol and/or other drugs) and were recruited through two local peer-run support agencies. Concept mapping with hierarchical cluster analysis was used to develop the model of safe primary care, with data collected over three rounds of focus groups. Results Participants identified 73 unique statements to complete the focus prompt: “I would feel safe going to the doctor if …” The final model consisted of 8 clusters that cover a wide range of topics, from being treated with respect and not being red-flagged for substance use, to preserving confidentiality, advocacy for good care and systems change, and appropriate accommodations for anxiety and the effects of poverty and criminalization. Conclusions Developing a definition of safe care (from the patient perspective) is the necessary first step in creating space for positive interactions and, in turn, improve care processes. This model provides numerous concrete suggestions for providers, as well as serving as starting point for the development of interventions designed to foster system change.

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“…Youth in government care and former prisoners are both at risk of homelessness (Griffiths, 2014;Patterson, Moniruzzaman & Somers, 2015;Saddichha, Fliers, Frankish, Somers, Schuetz, & Krausz, 2014). Recent studies show that in addition to the aforementioned statistics, Aboriginal people are overrepresented in statistics on people with chronic health issues (Dell, Firestone, Smylie & Vaillancourt, 2015;Joseph, Davis, Miller, et. al 2012).…”

Section: Homelessness and Aboriginal Peoplementioning

confidence: 99%

Addressing homelessness and health inequalities through community development

Usman¹

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Cultural Safety and Providing Care to Aboriginal patients in the Emergency Department

Cited by 29 publications

References 10 publications

“A one-size-fits-all model is not good”?: ambivalent perceptions and experiences of African immigrant parents towards Swedish sexual and reproductive health services for young people

“A one-size-fits-all model is not good”?: ambivalent perceptions and experiences of African immigrant parents towards Swedish sexual and reproductive health services for young people

Defining culturally safe primary care for people who use substances: a participatory concept mapping study

Addressing homelessness and health inequalities through community development

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