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It’s a Journey Not a Check Box

Indigenous Cultural Safety From Training to Transformation

Bibliographic Data

ID19565619
AuthorsL Wylie (0000-0001-6571-4045, Western University), Stephanie Mcconkey (0000-0001-6287-9653, St. Michael's Hospital), Ann Marie Corrado (Women's College Hospital)
Year2021
Volume16
Issue1
Publication date2021-01-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Indigenous Health (JOURNAL)
Journal identifiersISSN: 2291-9368 • E-ISSN: 2291-9376
PublisherUniversity of Toronto Libraries - UOTL (PUBLISHER)
DOI10.32799/ijih.v16i1.33240
OpenAlexW3132028471
LanguageEN
Citations received10
References cited10

Indigenous Peoples in Canada continue to experience racism and discrimination when accessing health care. Competencies of health care staff urgently need to be improved through cultural safety education and training programs to inform culturally appropriate and safe care practice among care providers serving Indigenous individuals and families. This paper explores current educational strategies, the perspectives of Indigenous and non-Indigenous care providers on training approaches, and recommendations for improving training. Qualitative semi-structured interviews were conducted with 31 participants to explore the current provision of culturally appropriate and safe care. Interviews were voice recorded and transcribed verbatim, and a thematic analysis was completed. The three key themes related to training that emerged from data analysis were (a) addressing the knowledge gaps, (b) challenges of current training approaches, and (c) recommendations for improvements in training. Each key theme had three subthemes that were further explored. Cultural safety training is a long and iterative process that has the potential to change care providers’ behaviours and attitudes. Various challenges to existing education and training included issues with implementation, limited follow up with health care staff to support practice changes, and/or limited commitment from senior leadership to change organizational policies and practices. As such, there is a clear need for systemic change within health care institutions to support staff participating in cultural safety training and to put that training into practice to create a culturally safe space for Indigenous individuals seeking health care

Biology · Geography · Indigenous · Indigenous culture · Meteorology · Political science · Cultural Competency in Health Care · Engineering · History · Indigenous Health, Education, and Rights · Service-Learning and Community Engagement · Ecology

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Unique citing works10
Citations per year2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 8
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