‘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
Bibliographic record
Abstract
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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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 | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.043 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| 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; a candidate call from one teacher head, not a consensus.
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".