Providing equity-oriented care and services: Perspectives of primary care nurses working in Nunavik Inuit communities
Bibliographic record
Abstract
Health inequities experienced by Indigenous Peoples are the consequence of unbalanced structural determinants of health, mainly due to systemic racism and colonialism. Primary care registered nurses face multiple challenges, including lacking resources to care for these communities and address health inequities. This study aimed to explore equity-oriented care and services from the perspectives of primary care registered nurses working in Nunavik (Northern Quebec, Canada) Inuit communities. We used a critical postcolonial perspective and an interpretive descriptive design. We conducted semi-structured interviews with ten participants and thematically analyzed the data collected. The results showed dynamic conceptualizations of equity-oriented care and services that shaped how participants see the northern colonial context, the healthcare accessibility, and the nursing care approach within Inuit communities. From these findings, we call for accountability measures like antiracist policies to promote transformational changes toward health equity.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.005 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; both teacher heads agree on what is shown here.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".