Vers une décolonisation des ressources de soins et services sociaux : les travailleurs communautaires locaux au Nunavik

Plourde-Léveillé, Léa; Fraser, Sarah

doi:10.17269/s41997-020-00461-9

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…Experiences of trauma, everyday life challenges can impact individuals and their interactions. Moreover, various reports and articles have highlighted the unequal realities of Inuit and non-Inuit workers within the institutional organizations, as well as the unequal realities between government-funded and community-based organizations (i.e., Plourde-Leveillé & Fraser, 2021 ; Fraser et al, 2021b , Pitutsimajut Research Team and Sukait Steering Committee, 2020 ). It is important to offer support and focus on team (Re: model) dynamics, including conflict resolution and identifying people’s skills.…”

Section: Discussionmentioning

confidence: 99%

Culturally and contextually adaptive indicators of organizational success: Nunavik, Quebec

Fraser

Lyonnais

Riva

et al. 2022

Can J Public Health

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Objective This study aimed to develop a preliminary guide to culturally and contextually relevant indicators to assess community resources in the 14 communities of the Inuit territory of Nunavik, Quebec. Methods As part of the Community Component of Qanuilirpitaa? of the 2017 Nunavik Health Survey, data were collected from 354 organizations located across Nunavik. Data were collected via short structured interviews with representatives of the organization. An inductive qualitative analysis was conducted to identify emerging themes describing the contexts that influence organizations, how key informants conceptualized what is a successful resource, and the facilitators and needs to achieving these indicators of success. Inuit partners were involved throughout the project to offer insight and to ascertain its pertinence and validity. Results Interviews revealed structural and community realities that influenced organizations. Three main indicators were used to describe successes: (1) team efficiency and dynamics; (2) accessibility of the resource; and (3) ability to impact clients and the community. The third indicator was by far the most discussed indicator of success. Participants and leaders offer suggestions as to how to achieve these indicators and advocate for the conditions necessary for organizational sustainability. Conclusion This data-driven framework suggests that the measures of success that are frequently used by funding agencies (e.g., number of people reached, number of activities) may not fully represent the potential of local services in a given community. Indeed, services may be creating job opportunities for Inuit, instilling pride, offering cultural opportunities, and increasing capital (human, economic, health) within the community, all of which are equally important indicators of success that may more adequately further improve the social determinants of health among communities.

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Section: Discussionmentioning

confidence: 99%

Culturally and contextually adaptive indicators of organizational success: Nunavik, Quebec

Fraser

Lyonnais

Riva

et al. 2022

Can J Public Health

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“…Thirteen studies using a participatory approach referred to the Canadian Institutes of Health Research Guidelines for Health Research Involving Aboriginal People 36 44 45 73 83 87 95 97 134 143 168–170. Thirteen studies mentioned information on data ownership process 21 36 41 47 70 73 100 133 138 139 171–173. Three indicated that they signed a memorandum of understanding with local stakeholders 21 47 100.…”

Section: Knowledge Translationmentioning

confidence: 99%

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

et al. 2022

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BackgroundThe National Inuit Strategy on Research focuses on advancing Inuit governance in research, increasing ownership over data and building capacity. Responding to this call for Inuit self-determination in research, academic researchers should consider cultural safety in research and ways to promote Inuit-led methods.MethodsThis scoping review collated academic literature on public health research in Inuit communities in Canada between 2010 and 2022. A critical assessment of methods used in public health research in Inuit communities examined cultural safety and the use of Inuit-attuned methods. Descriptive and analytical data were summarised in tables and figures. Knowledge user engagement in the research process was analysed with thematic analysis.Results356 articles met the inclusion criteria. Much of the published research was in nutrition and mental health, and few initiatives reported translation into promotion programmes. Almost all published research was disease or deficit focused and based on a biomedical paradigm, especially in toxicology, maternal health and chronic diseases. Recent years saw an increased number of participatory studies using a decolonial lens and focusing on resilience. While some qualitative research referred to Inuit methodologies and engaged communities in the research process, most quantitative research was not culturally safe. Overall, community engagement remained in early stages of co-designing research protocols and interventions. Discussion on governance and data ownership was limited. Recent years saw emerging discussions on these issues. Knowledge user capacity-building was limited to brief training on conventional data collection methods.ConclusionsThe last decade of published public health research has not responded to the National Inuit Strategy on Research. Participatory research is gaining ground, but has not reached its full potential. A shift from biomedical to decolonised methods is slowly taking place, and public health researchers who have not yet embraced this paradigm shift should do so.

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“…This low presence can be explained in part by the laws in place in the health and social services sector. Bill 21 requires certain positions to be held by members of specific professional orders, thus overvaluing techno-professional knowledge versus local experiential knowledge [ 50 , 66 ]. In forming the advisory committee, the parity of membership between Inuit and non-Inuit was difficult to obtain.…”

Section: The Atautsikut Projectmentioning

confidence: 99%

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

Nadeau

Gaulin

Johnson‐Lafleur

et al. 2022

International Journal of Circumpolar Health

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Historically, research involving Indigenous peoples has been the scene of power imbalances between Indigenous communities and researchers. Indigenous peoples have often been put in the position of passive subjects of research rather than participants or collaborators with agency, a situation that the current movement of decolonisation of research and practices in the field of Indigenous health aims to counteract. Participatory research seeks a better balance of input, decision-making and power between research participants and research teams and values participants’ knowledges. As such, it is a particularly relevant approach for researchers to involve community members and support self-determination of Indigenous people. Yet, if its explicit intentions are aiming at a decolonising approach, the socio-structural context of participatory research initiatives in Indigenous communities brings obstacles to the approach’s success. The development and implementation of the participatory project Atautsikut: A Community of Practice in Youth Mental Health and Wellness in Nunavik , has been an occasion to document certain barriers that take place in participatory research. This article describes Atautsikut as a starting point for a reflection on the challenges of decolonising participatory research. It discusses how, despite intentions, structural barriers, blind spots and unexpected contextual elements may challenge the journey towards decolonising research.

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Vers une décolonisation des ressources de soins et services sociaux : les travailleurs communautaires locaux au Nunavik

Cited by 8 publications

References 16 publications

Culturally and contextually adaptive indicators of organizational success: Nunavik, Quebec

Culturally and contextually adaptive indicators of organizational success: Nunavik, Quebec

Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review

The challenges of decolonising participatory research in indigenous contexts: the Atautsikut community of practice experience in Nunavik

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