Miýo-pimātisiwin Developing Indigenous Cultural Responsiveness Theory (ICRT): Improving Indigenous Health and Well-Being

Sasakamoose, JoLee; Bellegarde, Terrina; Sutherland, Wilson; Pete, Shauneen; McKay-McNabb, Kim

doi:10.18584/iipj.2017.8.4.1

Cited by 41 publications

(52 citation statements)

References 17 publications

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“…While it is important to teach graduate students, about protecting all things in creation, it is also necessary to ensure that there is an understanding that health institutions and systems have been created through a specific lens and way of being. In Canada (and in other countries around the world), colonization created a hierarchy of power and control that was replicated and perpetuated through institutions and structures like the health and education systems (45,46). Allan and Smylie (45) found that Indigenous people often face discrimination, racism and culturally unsafe spaces within the health care system.…”

Section: Traditional Knowledge and The Landmentioning

confidence: 99%

Akiikaa (it is the land): exploring land-based experiences with university students in Ontario

Mashford‐Pringle

Stewart

2019

Glob Health Promot

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Indigenous learning traditionally comes from the land. Akiikaa ('it is the land' in Algonkian) is designed to assist graduate students in thinking beyond the classroom and understanding the elements of life as known by Indigenous people to live a healthy life. Akiikaa will provide graduate students (both Indigenous and non-Indigenous) with opportunities to learn about Indigenous ways of knowing. They will learn from an instructor, Elders and their peers about how the land is an instrumental part of all aspects of Indigenous life including health and well-being. One of the goals of the Master of Public Health in Indigenous Health program (at the University of Toronto) and the land-based experiences is to shift the thinking away from humans being the dominating force on Mother Earth to equality amongst all aspects of life. Graduate students are introduced to 'personhood' rights for plants, animals, water, and air, which is a shift from the current World Health Organization's view of public health that builds upon a population health approach but neglects the elements that surround humans as necessary for living a healthy life. It has been suggested that Indigenous landbased education acts as a method of decolonization through reclamation of Indigenous ideology and use of land. Land and land experience are highly prized by Indigenous people around the world as cultures and languages are based on the interaction of people with nature/land. This move to delivering the curriculum in the natural environment using Indigenous knowledges as its pedagogy is anticipated to change attitudes about Indigenous people and issues as well as improving the health and well-being of graduate students and, over time, Indigenous peoples' health and well-being.

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Section: Traditional Knowledge and The Landmentioning

confidence: 99%

Akiikaa (it is the land): exploring land-based experiences with university students in Ontario

Mashford‐Pringle

Stewart

2019

Glob Health Promot

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“…76 to land to health impacts such as religious practices, ceremonies, language fluency, ability to practice traditional activities and other measures of enculturation. 77,78 These frameworks have found positive associations between such activities and markers of health, such as lower rates of substance abuse, cardiovascular disease, and increased self-esteem and connection to community.…”

Section: Conceptual Framework Of Indigenous Culture and Healthmentioning

confidence: 99%

Navigating Indigenous Futures with the Mississippi River

2020

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Section: Early Encounters Between Europeans and Indigenous Peoples Inmentioning

confidence: 99%

“…On the basis of qualitative interviews with indigenous patients with cancer, we recognized that indigenous patients often hold different world views from those of HCPs and the health‐care system . To understand how trust and perceptions of world view work with indigenous patients to impact SDM, our research question was as follows: “in a healthcare consultation involving Indigenous patients, for whom, why and in what situations do trust and perceptions of world view influence patient engagement to achieve SDM?”…”

Section: Introductionmentioning

confidence: 99%

Trust and world view in shared decision making with indigenous patients: A realist synthesis

Groot

Waldron

Barreno

et al. 2019

Evaluation Clinical Practice

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Introduction How shared decision making (SDM) works with indigenous patient values and preferences is not well understood. Colonization has affected indigenous peoples' levels of trust with institutions, and their world view tends to be distinct from that of nonindigenous people. Building on a programme theory for SDM, the present research aims to refine the original programme theory to understand how the mechanisms of trust and world view might work differently for indigenous patients. Design We used a six‐step iterative process for realist synthesis: preliminary programme theory development, search strategy development, selection and appraisal of literature, data extraction, data analysis and synthesis, and formation of a revised programme theory. Data Sources Searches were through Medline, CINAHL, and the University of Saskatchewan iPortal for grey literature. Medline and CINAHL searches included the University of Alberta Canada‐wide indigenous peoples search filters. Data synthesis Following screening 731 references, 90 documents were included for data extraction (53 peer reviewed and 37 grey literature). Documents from countries with similar colonization experiences were included. Results A total of 518 context‐mechanism‐outcome (CMO) configurations were identified and synthesized into 21 CMOs for a revised programme theory. Demographics, indigenous world view, system and institutional support, language barriers, and the macro‐context of discrimination and historical abuse provided the main contexts for the programme theory. These inspired mechanisms of reciprocal respect, perception of world view acceptance, and culturally appropriate knowledge translation. In turn, these mechanisms influenced the level of trust and anxiety experienced by indigenous patients. Trust and anxiety were both mechanisms and intermediate outcomes and determined the level of engagement in SDM. Conclusion This realist synthesis provides clinicians and policymakers a deeper understanding of the complex configurations that influence indigenous patient engagement in SDM and offers possible avenues for improvement.

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Miýo-pimātisiwin Developing Indigenous Cultural Responsiveness Theory (ICRT): Improving Indigenous Health and Well-Being

Cited by 41 publications

References 17 publications

Akiikaa (it is the land): exploring land-based experiences with university students in Ontario

Akiikaa (it is the land): exploring land-based experiences with university students in Ontario

Navigating Indigenous Futures with the Mississippi River

Trust and world view in shared decision making with indigenous patients: A realist synthesis

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