Participant Experiences of Talking Circles on Type 2 Diabetes in Two Northern Plains American Indian Tribes

Abstract

The Talking Circle, a culturally appropriate, 12-week educational intervention,

Indian Health Service Innovations Have Helped Reduce Health Disparities Affecting American Indian And Alaska Native People

“…Many patients describe feelings of shame and isolation related to diabetes, and these traditional methods encourage inclusion in a larger community that is dealing with this illness. 46 The grant programs were also successful in setting up an infrastructure for providing population-based diabetes care. The proportion of sites in the grants program using a diabetes registry increased from 46 percent in 1998 to 99 percent in 2006, and the proportion of clinics operating a diabetes clinic increased from 31 percent to 67 percent in those same years.…”

Evidence produced by qualitative investigations on type 2 diabetes: a review of the literature

“…Em geral, as análises sobre pacientes adotaram, pelo menos, um dos seguintes recortes: a) étnico/racial (Cabassa et al, 2008;Struthers et al, 2008;Polzer, Miles, 2007;Naemiratch, Manderson, 2006;Chesla, Chun, 2005;Lawton et al, 2005;Arcury, et al, 2004;Aikins, 2002;Egede, 2002;Daaleman, Cobb, Frey, 2001 Alguns estudos sobre pacientes os selecionaram segundo características clínicas, enfocando pacientes não insulino-dependentes (Schoenberg, Amey, Coward, 1998) ou com um determinado nível de controle glicêmico (Garcia et al, 2007;Zoffmann, Kirkevold, 2005;Savoca, Miller, Quandt, 2004), ou ainda segundo a sua vulnerabilidade (Ciechanowski, Katon, 2006;Williams, 2002). Dois estudos privilegiaram o recorte etário (Mulvaney et al, 2006;Schoenberg, Amey, Coward, 1998) e um, o fato de o paciente ser portador de necessidades especiais (Williams, 2002).…”

“…Finalmente, alguns estudos procuraram explorar as relações existentes entre a inserção social do doente e sua visão de mundo, não raramente, analisando o tema da espiritualidade (Struthers et al, 2008;Polzer, Miles, 2007;Iwasaki, Bartlett, O'Neil, 2005;Daaleman, Cobb, Frey, 2001).…”

Indigenous Methodology in Understanding Indigenous Nurse Graduate Transition to Practice

“…Talking circles, each facilitated by an Elder, were used to provide a safe respectful environment for forum participants to engage in dialogue arising from the case scenarios. Talking circles are an ancient customary cultural way for Indigenous people to share their stories; construct collective decisions to solve problems; and to carryout group processes (Becker, Affonso, & Blue Horse Beard, 2006;Struthers, Hodge, Geishirt-Cantrell, & De Cora, 2003). Talking circles also provide a confidential reassuring avenue for diverse groups of people to share knowledge, and for collective visioning, action planning, and healing (Kurtz, 2013).…”

“…Talking circles also provide a confidential reassuring avenue for diverse groups of people to share knowledge, and for collective visioning, action planning, and healing (Kurtz, 2013). They are common in Indigenous group communications to provide opportunity for each member in the circle to speak uninterrupted and to share information and knowledge in a supportive atmosphere (Struthers et al, 2003). The two-way (Western and Indigenous) engagement helped create contextual understandings to inform, guide, and prioritize actions for retention of new Indigenous nurses and positively influence and shape their career paths in healthcare.…”