Samisk sykepleier=utdanning: Målet er å utdanne kulturelt trygge sykepleiere

Abstract

The Sami are the indigenous people of Norway. International conventions and Norwegian law safeguard their rights. This also applies to encounters with the health care services. Within the Sami community, there are individual and local differences with regard to language, culture, and industries. Health care providers must have knowledge about the influence of social, historical, and cultural factors on encounters between Sami individuals and health care services. The official Norwegian health care policy is to provide culturally appropriate health care services to the Sami population within the frames of the established health care services, rather than developing services specific to the Sami population.Health care services are used to the same extent by the Sami and the majority populations. However, the Sami are less satisfied with the services. There are no significant differences between the Sami and the majority populations with regard to health status and incidence of disease. However, literature emphasizes conceptions of health, disease, and treatment as different among the Sami. There are good reasons not to assume this to concern all Sami individuals. Literature emphasizes that the Sami communicate about health and illness in indirect manners and through the use of metaphors. Recent research nuance the prevailing conception that Sami speaking patients prefer to use the Sami language in encounters with health care services. Language preferences are individual and situational. The importance of relatives and traditions for self-help is emphasized in the literature. However, research suggests that more help from the public health care services is requested.Individual and collective experiences of assimilation and stigmatization may influence encounters with health care services. Research does not conclude that such experiences have an impact on self-reported health. The literature illustrates the complexity of the concept of Sami identity.Knowledge about Sami language and culture is important in encounters with persons with dementia. Little research has focused on the living situation for Sami persons with dementia, their relatives, and their interactions with public health care services. Recently, research projects focusing on these issues are initiated.Given the complexity of the Sami population, individual tailoring and local anchoring of initiatives are essential and necessary. METODE HELSE-OG OMSORGSTJENESTER TIL DEN SAMISKE BEFOLKNINGEN I NORGE EKSPERTGRUPPE OG INTERN FAGFELLEVURDERING Denne publikasjonen er forfattet av emneredaktør Bodil Hansen Blix, Senter for omsorgsforskning, nord. Den er kommentert av en oppnevnt ekspertgruppe for emnet Helse-og omsorgstjenester til den samiske befolkningen i Norge i Omsorgsbiblioteket. Gruppen består av: Tove Mentsen Ness, førsteamanuensis, Nord universitet, avdeling Nord-Trøndelag Kjellaug Hauan, universitetslektor, UiT Norges arktiske universitet, campus Tromsø Randi Nymo, førsteamanuensis, UiT Norges arktiske universitet, campus Narvik Ragnhild Nystad, fagu...

The history of Sámi nursing education and the path toward regulations on a national guideline for Sámi nursing education in Norway

“…This was highlighted by Sámi society, the Sámi parliament, and by academics in the nursing programs at UiT and SA. The resumption of nursing education with specific learning outcomes relevant to Sámi health, with Sámi as the language of instruction, has been subject to long discussions over many years at UiT (Bratland, 2013; Okstad et al, 2021; Størdal et al, 2001). However, there has been a lack of funding for the implementation of such a program (Andersen et al, 2017; Okstad et al, 2021).…”

“…The resumption of nursing education with specific learning outcomes relevant to Sámi health, with Sámi as the language of instruction, has been subject to long discussions over many years at UiT (Bratland, 2013; Okstad et al, 2021; Størdal et al, 2001). However, there has been a lack of funding for the implementation of such a program (Andersen et al, 2017; Okstad et al, 2021). In an effort to resume Sámi nursing education in Sápmi, the presidents of UiT and SA and members of the Sámi Parliament worked on the educational policy for several years.…”

“…The policy aimed to establish a permanent program for Sámi nursing students, with learning outcomes in Sámi culture and health. The development of Sámi nursing education is supported by international conventions and agreements on Indigenous peoples’ rights as well as national legislation (Den Norske Regjeringen, 1990; Okstad et al, 2021; Pasient-og brukerrettighetsloven, 2012).…”

“…In December 2019, department heads at SA and UiT established a project team whose main objective was to create a curriculum with a clear Sámi focus and learning outcomes within the framework of the Norwegian National Regulations on Guidelines for Nursing Education from December 2019 (Kunnskapsdepartementet, 2019). The resulting curriculum aims to educate nurses who can provide culturally safe nursing to Sámi patients (Okstad et al, 2021). The project team was also responsible for recruiting students in collaboration with the central administration of SA and UiT and ensuring that the conditions for the establishment of the new program were met.…”