Trygghet uten særomsorg?

Devik, Siri Andreassen; Olsen, Rose Mari

doi:10.18261/issn.2387-5984-2020-02-06

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Mehus et al [ 42 ] found that bilingual health care staff in Norway were able to use their competency in Western medicine and familiarity with the majority health care system to provide culturally safe care for the Sámi population, illustrating a form of cultural brokerage. Other examples of cultural brokerage for Sámi in Norway through use of Sámi staff are illustrated by Andreassen Devik and Olsen 2020 [ 43 ] based on municipal care for elderly Sámi, and Larsen [ 13 ], as who studied relatives to Sámi patients with dementia.…”

Section: Discussionmentioning

confidence: 99%

“…Mehus et al [ 42 ] mean that in order to achieve cultural safety on a group level, all health professionals who meet Sámi patients and families should reflect on the extent to which cultural competence and sensitivity are present in their workplaces. Andreassen Devik and Olsen [ 43 ] conclude that cultural sensitivity is even a prerequisite for person-centered care for Sámi. While the term cultural sensitivity is most often used in English-language literature, its use is not always consistent [ 44 ], and in our prior work, we have used the term cultural humility [ 45 ] instead.…”

Section: Discussionmentioning

confidence: 99%

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A Salutogenic Perspective on End-of-Life Care among the Indigenous Sámi of Northern Fennoscandia

et al. 2021

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There is limited empirical data about both health and end-of-life (EoL) issues among the Indigenous Sámi of Fennoscandia. We therefore aimed to investigate experiences of EoL care and support among the Sámi, both from the Sámi community itself as well as from more formalized health and social care services in Sweden. Our primary data source is from focus group discussions (FGDs) held at a Sámi event in 2017 with 24 people, complemented with analysis of previously collected data from 15 individual interviews with both Sámi and non-Sámi informants familiar with dying, death and bereavement among Sámi; “go-along” discussions with 12 Sámi, and individual interviews with 31 Sámi about advance care planning. After initial framework analysis, we applied a salutogenic model for interpretation, focusing on a sense of community coherence. We found a range of generalized resistance resources in relation to the Sámi community, which appeared to support EoL care situations, i.e., Social Organization; Familiarity with EoL Care, Collective Cultural Heritage; Expressions of Spirituality; Support from Majority Care Systems; and Brokerage. These positive features appear to support key components of a sense of community coherence, i.e., comprehensibility, meaningfulness and manageability. We also found relatively few, but notable deficits that may diminish the sense of community coherence, i.e., lack of communication in one’s own language; orientation, familiarity and/or agreement in contacts with formal health and social care systems; and/or support from extended family. The results suggest that there is a robust basis among Sámi for well-functioning EoL care; a challenge is in developing supportive interactions with the majority health and social care systems that support and complement these structures, for partnership in developing care that is meaningful, comprehensible and manageable even in potentially difficult EoL situations.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Salutogenic Perspective on End-of-Life Care among the Indigenous Sámi of Northern Fennoscandia

et al. 2021

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“Sometimes I Get So Extremely Tired”: Sámi Healthcare Staff Experiences of Cultural Load in Practice

Ness,

Mehus

2024

Global Qualitative Nursing Research

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The study aim was to explore how Sámi healthcare staff experience working as an ethnic minority in the Norwegian healthcare system. This was a qualitative focus group and individual interview study inspired by interpretive description, with 14 participants. The results indicate that Sámi healthcare staff experience various degrees of cultural load in their jobs. This was shown through the two themes: “Feeling responsible for Sámi patients and non-Sámi colleagues” and “Feeling exhausted as a Sámi healthcare worker.” To provide culturally safe care for all Sámi patients and their families, it is vital to ensure the well-being of the small number of Sámi healthcare personnel. Therefore, we emphasize the need for training programs for non-Sámi healthcare staff to provide them with the knowledge needed to support their encounters with Sámi patients in culturally safe ways. Sámi healthcare staff cannot take all responsibility for teaching their non-Sámi colleagues and acting as cultural mediators in all situations that non-Sámi staff find challenging. The risk of cultural load and burnout is very present. Nursing departments in universities and leaders in primary and secondary healthcare need to address these issues in order to ensure culturally safe care to all patients and support Sámi healthcare staff.

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Sámi Healthcare Staff Experiences of Encounters with Sámi Patients and Their Expectations for Non-Sámi Healthcare Staff

Mentsen Ness,

Mehus

2024

Nursing Reports

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Objective: The aim of this study was to explore Sámi healthcare staff experiences in encounters with Sámi patients and their expectations for non-Sámi healthcare staff. Methods: Focus groups and individual interviews with 14 participants were conducted, and the participants’ experiences were subjected to a thematic analysis approach. Results: The findings show that the Sámi healthcare staff expect non-Sámi healthcare staff to enhance their knowledge about Sámi language and culture. The Sámi healthcare staff also expect non-Sámi healthcare staff to gain knowledge of diversities within the Sámi cultures. Additionally, the results show that the participants felt that the encounters were more authentic when the patients had the same background as themselves. Conclusion: These results were also based on the participants’ experience of resistance from non-Sámi healthcare staff, which can be addressed by the non-Sámi healthcare staff and healthcare institutions enhancing their knowledge of Sámi history, culture, and language. This can be conducted by making efforts to meet the participants’ expectations and experiences, enhancing their knowledge of Sámi history, culture, and language, and showing respect to provide culturally safe care. Further, tacit knowledge and what can be seen as “two-eyed seeing”, as demonstrated by the participants, are not necessarily transferable to non-Sámi healthcare staff. Despite this, all healthcare staff, through experience, recognition, and reflections on encounters with Sámi patients and Sámi healthcare staff, can develop awareness in what is addressed as “two-eyed seeing” by the participants in this study.

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Trygghet uten særomsorg?

Abstract: Vitenskapelig publikasjon Trygghet uten saeromsorg? Helsepersonells perspektiv på trygghet og sikkerhet for sørsamiske brukere av helse-og omsorgstjenester Safety without special care? Health personnel's perspectives on safety and security for South Sami users of health and care services

Cited by 3 publications

References 24 publications

A Salutogenic Perspective on End-of-Life Care among the Indigenous Sámi of Northern Fennoscandia

A Salutogenic Perspective on End-of-Life Care among the Indigenous Sámi of Northern Fennoscandia

“Sometimes I Get So Extremely Tired”: Sámi Healthcare Staff Experiences of Cultural Load in Practice

Sámi Healthcare Staff Experiences of Encounters with Sámi Patients and Their Expectations for Non-Sámi Healthcare Staff

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