‘Our bodies are sacred… the information we share with healthcare providers is sacred’: Envisioning the future of culturally safe healthcare systems for Indigenous women, Two-Spirit, Indigiqueer and gender diverse peoples
Notice bibliographique
Résumé
Purpose In Canada, the First Nations, Métis and Inuit have historically experienced – and continue to experience – significant challenges associated with accessing equitable and safe healthcare that is rooted in racism and stigma against Indigenous peoples. Previous research demonstrates a lack of culturally safe and accessible health services available to Indigenous peoples. This study sought to understand Indigenous women, Two-Spirit, Indigiqueer and gender diverse (IW2SIQGD) peoples' visions and dreams of what equitable and culturally safe healthcare spaces could look and feel like by utilising Indigenous art-based methods of inquiry and the power of storytelling. Methods The three art-based workshops occurred on the traditional and unceded territories of the xʷməθkʷəy̓əm (Musqueam), Sḵwx̱wú7mesh (Squamish), and səlilwətaɬ (Tsleil-Waututh) nations (Vancouver, British Columbia). The first workshop involved host nation protocol, a meal and discussing art as a method of storytelling. The second workshop focused on making moccasins. During the third workshop, participants continued working on their moccasins and an Elder led a 2-hour semi-structured sharing circle. Participants were asked questions about their dreams of what equitable and culturally safe healthcare spaces could look and feel like. Main findings The wisdom and recommendations of IW2SIQGD peoples were categorised into five broad themes related to Indigenous experiences of accessing healthcare and their perspectives on what culturally safe healthcare should look and feel like: 1) Connecting to ancestral knowledge; 2) Cultural safety, humility and anti-racism; 3) Our bodies, identities and health are sacred; 4) Relationality; and 5) Envisioning the future. The practical knowledges drawn from the vibrant dreams of IW2SIQGD peoples emphasise the necessity and value of Indigenous-led healthcare systems. Indigenous knowledges and ways of being are the medicine we need to see reflected in healthcare systems. Principal conclusion When Indigenous peoples' voices are amplified, their ancestral knowledge becomes the medicine that needs to be seen in healthcare spaces. It was witnessed throughout this study that Indigenous art is a rigorous research method. It is recommended that all healthcare providers be trained in culturally safe, trauma-informed and gender-informed care practices. Healthcare bodies are urged to uplift Indigenous voices in the creation of culturally safe clinical guidelines, health policy in British Columbia and Canada, and invest in accountability measures within health systems to eliminate Indigenous-specific racism.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,043 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».