Modelling change and cultural safety: A case study in northern British Columbia health system transformation

Greenwood, Margo

doi:10.1177/0840470418807948

Cited by 17 publications

(16 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…legislation, policy, agreements), systemic (eg organizations, programs, systems), and service delivery (cultural safety, individual) levels. 27 At all times, Indigenous rights to health and regaining selfdetermination over all aspects of decision-making and service delivery are overarching principles. This is a solid structured approach by which to consider how providers can begin to imagine their place in supporting Indigenous community ownership and delivery of health services.…”

Section: Discussionmentioning

confidence: 99%

Creating space for Indigenous healing practices in patient care plans

et al. 2020

View full text Add to dashboard Cite

Background: The Truth and Reconciliation Commission of Canada’s Calls to Action ask that those who can effect change within the Canadian healthcare system recognize the value of Indigenous healing practices and support them in the treatment of Indigenous patients. Methods: We distributed a survey to the Canadian Rheumatology Association membership to assess awareness of Indigenous healing practices, and attitudes informing their acceptance in patient care plans. Results: We received responses from 77/514 members (15%), with most (73%) being unclear or unaware of what Indigenous healing practices were. Nearly all (93%) expressed interest in the concept of creating space for Indigenous healing practices in rheumatology care plans. The majority of support was for the use in preventive or symptom management strategies, and less as adjuncts to disease activity control. Themes identified through qualitative analysis of free-text responses included a desire for patient-centered care and support for reconciliation in medicine, but with a colonial construct of medicine, demonstration of an evidence bias, and hierarchy of medicines. Conclusions: Overall, respondents were open to the idea of inclusion of Indigenous healing practices in patient’s car plans, emphasizing importance for patient empowerment and patient-centered care. However, they cited concerns that provide the indication for further learning and reconciliation in medicine.

show abstract

Section: Discussionmentioning

confidence: 99%

Creating space for Indigenous healing practices in patient care plans

et al. 2020

View full text Add to dashboard Cite

show abstract

“…41 Case studies encompass components of systems thinking-considering connections and interactions between components of a system, alongside the implications and consequences of those relationships-to equip health leaders with tools to tackle global health issues. 41 Greenwood 42 evaluated Indigenous peoples' relationship with the healthcare system in British Columbia and used a case study to challenge and educate health leaders across the country to enhance culturally sensitive health service environments.…”

Section: Practical Applications Of Case Study Researchmentioning

confidence: 99%

Continuing to enhance the quality of case study methodology in health services research

Sibbald

Paciocco

Fournie

et al. 2021

Healthc Manage Forum

View full text Add to dashboard Cite

Case study methodology has grown in popularity within Health Services Research (HSR). However, its use and merit as a methodology are frequently criticized due to its flexible approach and inconsistent application. Nevertheless, case study methodology is well suited to HSR because it can track and examine complex relationships, contexts, and systems as they evolve. Applied appropriately, it can help generate information on how multiple forms of knowledge come together to inform decision-making within healthcare contexts. In this article, we aim to demystify case study methodology by outlining its philosophical underpinnings and three foundational approaches. We provide literature-based guidance to decision-makers, policy-makers, and health leaders on how to engage in and critically appraise case study design. We advocate that researchers work in collaboration with health leaders to detail their research process with an aim of strengthening the validity and integrity of case study for its continued and advanced use in HSR.

show abstract

“…The Aboriginal Nurses Association of Canada (ANAC) (2009) and several British Columbia (BC) nursing scholars were early promoters of cultural safety and post‐colonialism (Browne et al, 2009; Mahara et al, 2011; Smye & Brown, 2002). Since then, cultural safety has been adopted more broadly by Canadian education and practice settings (Curtis et al, 2019; Guerra & Kurtz, 2017; Racine, 2014; Rand et al, 2019; Tisdale & Campbell‐McArthur, 2019); this includes BC health authorities engaging in change at structural, systemic and service delivery levels (Greenwood, 2019). In spite of this, ‘there are still flaws in the ways that cultural competency and cultural safety education are delivered and that theory or concepts are applied in practice’ (Guerra & Kurtz, 2017, p. 11).…”

Section: Introductionmentioning

confidence: 99%

Culturally safe dementia care: Building nursing capacity to care for First Nation Elders with memory loss

Hulko

Mahara

Wilson³

et al. 2021

Int J Older People Nursing

View full text Add to dashboard Cite

Background Nursing staff require culturally relevant and dementia‐specific education to care for the increasing number of First Nation Elders experiencing memory loss. The culturally safe dementia care (CSDC) research team, composed of researchers, decision makers and Secwepemc Elders, was formed to address this. Objectives To increase the capacity of nurses to care for First Nations Elders with memory loss in a culturally safe way. Methods Our community‐based research used purposive sampling and mixed methods to create, implement and evaluate an education programme for nurses. Thirty‐four Elders from six Secwepemc communities participated in roundtables to share views and stories of dementia and nursing care. These data were used to create four teaching stories for the storytelling sessions and talking circles with Elders which, together with the Indigenous Cultural Competency (ICC) training, comprised the CSDC education programme. Thirty‐eight nurses (healthcare aides, licensed practical nurses and registered nurses) working in Central British Columbia began the CSDC study and 15 nurses took part in the education programme, evaluated the storytelling session and completed the three pre‐ and post‐measures (Approaches to Dementia Questionnaire (ADQ), ICC knowledge quiz and self‐assessment, and Care Plans). The pre‐ and post‐tests were scored, and the data were analysed statistically. The data from the roundtables and talking circles were analysed thematically through a collaborative process. Results The scores for the ADQ Hope sub‐scale, the ICC knowledge quiz and the Care Plans increased from pre‐ to post‐test. All nurse participants judged the storytelling session to be effective and their learning outcomes reflected culturally safe dementia care. Conclusions This programme can improve the knowledge, skills and values of nurses to provide culturally safe dementia care.

show abstract

Modelling change and cultural safety: A case study in northern British Columbia health system transformation

Cited by 17 publications

References 4 publications

Creating space for Indigenous healing practices in patient care plans

Creating space for Indigenous healing practices in patient care plans

Continuing to enhance the quality of case study methodology in health services research

Culturally safe dementia care: Building nursing capacity to care for First Nation Elders with memory loss

Contact Info

Product

Resources

About