Annette J Browne
Biographic Data
| ID | 3761496 |
|---|---|
| NAME | Annette J Browne |
| GIVEN NAMES | Annette J |
| FAMILY NAME | Browne |
| SIGNATURE | BROWNE A J |
| AFFILIATIONS | School of Nursing University of British Columbia Vancouver British Columbia Canada |
| VERIFIED | No |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 224 |
| WORKS AS AUTHOR | 30 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 9 |
Bringing an Equity Lens to Participant Observation in Critical Ethnographic Health Research
Critically-oriented health research often engages participants whose lives are shaped by structural inequities and structural violence. As scholars who engage in critical theoretical, praxis-oriented research, including research with social justice and decolonizing aims, we are cognizant of the histories of exploitation and structural violence often perpetuated through research. To engage in research that effectively promotes health equity, we ar…
Social Suffering
In this paper, we present findings from a qualitative study that explored Indigenous people's experiences of mental health and addictions care in the context of an inner-city area in Western Canada. Using an ethnographic design, a total of 39 clients accessing 5 community-based mental health care agencies were interviewed, including 18 in-depth individual interviews and 4 focus groups. Health care providers also were interviewed (n = 24). Data an…
Equity-Oriented Care
Addressing anti-Indigenous racism in Canadian health systems
Stigma is where the harm comes from”
Beyond deficit
Health research concerning Indigenous peoples has been strongly characterised by deficit discourse-a 'mode of thinking' that is overly focused on risk behaviours and problems. Strengths-based approaches offer a different perspective by promoting a set of values that recognise the capacities and capabilities of Indigenous peoples. In this article, we seek to understand the conceptual basis of strengths-based approaches as currently presented in he…
Letsemot, “Togetherness”
Connection to land has been identified as a central determinant of the health and well-being of First Nations in Canada. The wholistic, interconnected, spiritual, and sacred relationship that many Indigenous Peoples have with the land is an integral part of strengthening physical, spiritual, mental, and emotional health and well-being. However, there has been little empirical evidence on how to assess, measure, and report on connection to land fo…
Violence at the Intersections of Women’s Lives in an Urban Context
This article is based on an ethnographic study exploring Indigenous women's experiences of leaving intimate partner violence. Analysis draws attention to the contextual features of Indigenous women's lives that differentially shaped women's experiences of "leaving and/or staying" with an abusive partner. Our findings are identified and described across four intersecting thematic areas: (a) the context of state-Indigenous relations; (b) complex tr…
I tend to forget bad things
Distress among young immigrant and refugee men has drawn increasing research attention in recent years. Nuanced understandings of distress are needed to inform mental health and public health programming. The purpose of this research was to examine distress from the perspectives of young immigrant and refugee men living in Greater Vancouver, British Columbia, Canada. Thirty-three young men (aged 15-22 years) from diverse immigrant and refugee bac…
The RIPPLES of Meaningful Involvement
Indigenous Peoples experience the greatest health inequities in Canada and other colonized countries, yet are routinely excluded from health-related policy decisions. Those advocating for Indigenous health equity are often left wrestling with the question: What constitutes, and what can foster, meaningful involvement of Indigenous Peoples in the contemporary health policy climate? Twenty (n = 20) in-depth, open-ended interviews with Indigenous an…
Relational approaches to fostering health equity for Indigenous children through early childhood intervention
This paper reports on key findings of a critical qualitative inquiry undertaken with an Indigenous early child development (ECD) program in Canada, known as the Aboriginal Infant Development Program (AIDP). In depth, semi-structured interviews were used to obtain the perspectives of: Indigenous caregivers and Elders, AIDP workers, and administrative leaders. The findings centre on: (1) a relational perspective of family wellbeing that emphasises …
Attending to power differentials
OBJECTIVE: In Canada, primary care reform has encouraged innovations, including nurse practitioners (NPs) and group medical visits (GMVs). NP-led GMVs provide an opportunity to examine barriers and enablers to implementing this innovation in primary care. DESIGN: An instrumental case study design (n=3): two cases where NPs were using GMVs and one case where NPs were not using GMVs, was completed. In-depth interviews with patients and providers (N…
Engaging Indigenous families in a community-based Indigenous early childhood programme in British Columbia, Canada
This article is part of a larger study that explored how an Indigenous early intervention programme in British Columbia (BC), Canada, known as the 'Aboriginal Infant Development Program' (AIDP), influenced family and children's health and well-being and was responsive to child health inequities. Postcolonial feminist and Indigenous feminist perspectives provided a critical analytical lens to this qualitative inquiry. The study was undertaken with…
Moving beyond description
Enhancing health care equity with Indigenous populations
BACKGROUND: Structural violence shapes the health of Indigenous peoples globally, and is deeply embedded in history, individual and institutional racism, and inequitable social policies and practices. Many Indigenous communities have flourished, however, the impact of colonialism continues to have profound health effects for Indigenous peoples in Canada and internationally. Despite increasing evidence of health status inequities affecting Indigen…
Representations of Indigenous Peoples and Use of Pain Medication in Canadian News Media
Using media coverage of the withdrawal of OxyContin in Canada in 2011 and 2012 as an example, this article describes a systematic analysis of how news media depict First Nations peoples in Canada. Stark differences can be seen in how First Nations and non-First Nations individuals and communities are represented. In First Nations communities, problematic substance use is discussed without considering the context of pain management, broad generali…
Disrupting the Continuities Among Residential Schools, the Sixties Scoop, and Child Welfare
In Canada, it is estimated that 3 times as many Indigenous children are currently in the care of the state compared to when the residential schools’ populations were at their peak. It is imperative that action be taken. This article explores the continuities among residential schools, the Sixties Scoop, and child welfare in Canada today. In particular, we examine how colonial and neocolonial discourses operate through and justify these policies a…
Patient confidentiality within the context of group medical visits
BACKGROUND: Group medical visits (GMVs), clinical encounters with a medical component delivered to groups of patients, have emerged as an innovative approach to potentially increasing efficiency while enhancing the quality of primary health care (PHC). GMVs have created the need to pay explicit attention to patient confidentiality. OBJECTIVE: What strategies are used by providers and patients to address issues of confidentiality within GMVs? DESI…
Negotiating barriers, navigating the maze
This study documents the policy framework that shapes First Nations' experience of relocating to access medical care. We analyzed policy documents and government websites, interviewed individuals who have experienced relocation, family members, healthcare providers, health administrators, and conducted two focus groups with government representatives. Federal and provincial program managers interpret policies, make decisions on eligibility, to ex…
The place of receptionists in access to primary care
Underclassism' and access to healthcare in urban centres
In this article, we draw on findings from an ethnographic study that explored experiences of healthcare access from the perspectives of Indigenous and non-Indigenous patients seeking services at the non-urgent division of an urban emergency department (ED) in Canada. Our aim is to critically examine the notion of 'underclassism' within the context of healthcare in urban centres. Specifically, we discuss some of the processes by which patients exp…
Harm reduction, methadone maintenance treatment and the root causes of health and social inequities
Using our research findings, we explore Harm Reduction and Methadone Maintenance Treatment (MMT) using an intersectional lens to provide a more complex understanding of Harm Reduction and MMT, particularly how Harm Reduction and MMT are experienced differently by people dependent on how they are positioned. Using the lens of intersectionality, we refine the notion of Harm Reduction by specifying the conditions in which both harm and benefit arise…
Access to Primary Care From the Perspective of Aboriginal Patients at an Urban Emergency Department
In this article, we discuss findings from an ethnographic study in which we explored experiences of access to primary care services from the perspective of Aboriginal people seeking care at an emergency department (ED) located in a large Canadian city. Data were collected over 20 months of immersion in the ED, and included participant observation and in-depth interviews with 44 patients triaged as stable and nonurgent, most of whom were living in…
Harms and benefits
Struggling to Survive
The increasingly high rates of mortality and morbidity among Canadian Aboriginal women who are living with HIV/ AIDS indicate that there is a need to address deficiencies in the delivery of supportive services and health care. The purpose of this qualitative study was to develop a greater understanding of the barriers, challenges, and successes experienced when accessing health and related support services from the perspective of Aboriginal women…
Clinical encounters between nurses and First Nations women in a Western Canadian hospital
Access to Primary Care From the Perspective of Aboriginal Patients at an Urban Emergency Department
In this article, we discuss findings from an ethnographic study in which we explored experiences of access to primary care services from the perspective of Aboriginal people seeking care at an emergency department (ED) located in a large Canadian city. Data were collected over 20 months of immersion in the ED, and included participant observation and in-depth interviews with 44 patients triaged as stable and nonurgent, most of whom were living in…
Beyond deficit
Health research concerning Indigenous peoples has been strongly characterised by deficit discourse-a 'mode of thinking' that is overly focused on risk behaviours and problems. Strengths-based approaches offer a different perspective by promoting a set of values that recognise the capacities and capabilities of Indigenous peoples. In this article, we seek to understand the conceptual basis of strengths-based approaches as currently presented in he…
Aboriginal citizen, discredited medical subject
The place of receptionists in access to primary care
Harms and benefits
Harm reduction, methadone maintenance treatment and the root causes of health and social inequities
Using our research findings, we explore Harm Reduction and Methadone Maintenance Treatment (MMT) using an intersectional lens to provide a more complex understanding of Harm Reduction and MMT, particularly how Harm Reduction and MMT are experienced differently by people dependent on how they are positioned. Using the lens of intersectionality, we refine the notion of Harm Reduction by specifying the conditions in which both harm and benefit arise…
Moving beyond description
Engaging Indigenous families in a community-based Indigenous early childhood programme in British Columbia, Canada
This article is part of a larger study that explored how an Indigenous early intervention programme in British Columbia (BC), Canada, known as the 'Aboriginal Infant Development Program' (AIDP), influenced family and children's health and well-being and was responsive to child health inequities. Postcolonial feminist and Indigenous feminist perspectives provided a critical analytical lens to this qualitative inquiry. The study was undertaken with…
Underclassism' and access to healthcare in urban centres
In this article, we draw on findings from an ethnographic study that explored experiences of healthcare access from the perspectives of Indigenous and non-Indigenous patients seeking services at the non-urgent division of an urban emergency department (ED) in Canada. Our aim is to critically examine the notion of 'underclassism' within the context of healthcare in urban centres. Specifically, we discuss some of the processes by which patients exp…
Relational approaches to fostering health equity for Indigenous children through early childhood intervention
This paper reports on key findings of a critical qualitative inquiry undertaken with an Indigenous early child development (ECD) program in Canada, known as the Aboriginal Infant Development Program (AIDP). In depth, semi-structured interviews were used to obtain the perspectives of: Indigenous caregivers and Elders, AIDP workers, and administrative leaders. The findings centre on: (1) a relational perspective of family wellbeing that emphasises …
Negotiating barriers, navigating the maze
This study documents the policy framework that shapes First Nations' experience of relocating to access medical care. We analyzed policy documents and government websites, interviewed individuals who have experienced relocation, family members, healthcare providers, health administrators, and conducted two focus groups with government representatives. Federal and provincial program managers interpret policies, make decisions on eligibility, to ex…
Struggling to Survive
The increasingly high rates of mortality and morbidity among Canadian Aboriginal women who are living with HIV/ AIDS indicate that there is a need to address deficiencies in the delivery of supportive services and health care. The purpose of this qualitative study was to develop a greater understanding of the barriers, challenges, and successes experienced when accessing health and related support services from the perspective of Aboriginal women…
Addressing anti-Indigenous racism in Canadian health systems
Violence at the Intersections of Women’s Lives in an Urban Context
This article is based on an ethnographic study exploring Indigenous women's experiences of leaving intimate partner violence. Analysis draws attention to the contextual features of Indigenous women's lives that differentially shaped women's experiences of "leaving and/or staying" with an abusive partner. Our findings are identified and described across four intersecting thematic areas: (a) the context of state-Indigenous relations; (b) complex tr…
Bringing an Equity Lens to Participant Observation in Critical Ethnographic Health Research
Critically-oriented health research often engages participants whose lives are shaped by structural inequities and structural violence. As scholars who engage in critical theoretical, praxis-oriented research, including research with social justice and decolonizing aims, we are cognizant of the histories of exploitation and structural violence often perpetuated through research. To engage in research that effectively promotes health equity, we ar…
I tend to forget bad things
Distress among young immigrant and refugee men has drawn increasing research attention in recent years. Nuanced understandings of distress are needed to inform mental health and public health programming. The purpose of this research was to examine distress from the perspectives of young immigrant and refugee men living in Greater Vancouver, British Columbia, Canada. Thirty-three young men (aged 15-22 years) from diverse immigrant and refugee bac…
Access to Health Care
The RIPPLES of Meaningful Involvement
Indigenous Peoples experience the greatest health inequities in Canada and other colonized countries, yet are routinely excluded from health-related policy decisions. Those advocating for Indigenous health equity are often left wrestling with the question: What constitutes, and what can foster, meaningful involvement of Indigenous Peoples in the contemporary health policy climate? Twenty (n = 20) in-depth, open-ended interviews with Indigenous an…
First Nations Women’s Encounters with Mainstream Health Care Services
Health care encounters are important areas for study because they reflect social, political, economic, and ideological relations between patients and the dominant health care system. This study examines mainstream health care encounters from the viewpoint of First Nations women from a reserve community in northwestern Canada. Perspectives from critical medical anthropology and the concept of cultural safety provided the theoretical orientation fo…
Access to Health Care
Othering and Being Othered in the Context of Health Care Services
Othering is a process that identifies those that are thought to be different from oneself or the mainstream, and it can reinforce and reproduce positions of domination and subordination. Although there are theoretical and conceptual treatments of othering in the literature, researchers lack sufficient examples of othering practices that influence the interactions between patients and health care providers. The purpose of this study was to explore…
Aboriginal citizen, discredited medical subject
Clinical encounters between nurses and First Nations women in a Western Canadian hospital
Harms and benefits
Struggling to Survive
The increasingly high rates of mortality and morbidity among Canadian Aboriginal women who are living with HIV/ AIDS indicate that there is a need to address deficiencies in the delivery of supportive services and health care. The purpose of this qualitative study was to develop a greater understanding of the barriers, challenges, and successes experienced when accessing health and related support services from the perspective of Aboriginal women…
Harm reduction, methadone maintenance treatment and the root causes of health and social inequities
Using our research findings, we explore Harm Reduction and Methadone Maintenance Treatment (MMT) using an intersectional lens to provide a more complex understanding of Harm Reduction and MMT, particularly how Harm Reduction and MMT are experienced differently by people dependent on how they are positioned. Using the lens of intersectionality, we refine the notion of Harm Reduction by specifying the conditions in which both harm and benefit arise…
Access to Primary Care From the Perspective of Aboriginal Patients at an Urban Emergency Department
In this article, we discuss findings from an ethnographic study in which we explored experiences of access to primary care services from the perspective of Aboriginal people seeking care at an emergency department (ED) located in a large Canadian city. Data were collected over 20 months of immersion in the ED, and included participant observation and in-depth interviews with 44 patients triaged as stable and nonurgent, most of whom were living in…
Patient confidentiality within the context of group medical visits
BACKGROUND: Group medical visits (GMVs), clinical encounters with a medical component delivered to groups of patients, have emerged as an innovative approach to potentially increasing efficiency while enhancing the quality of primary health care (PHC). GMVs have created the need to pay explicit attention to patient confidentiality. OBJECTIVE: What strategies are used by providers and patients to address issues of confidentiality within GMVs? DESI…
Negotiating barriers, navigating the maze
This study documents the policy framework that shapes First Nations' experience of relocating to access medical care. We analyzed policy documents and government websites, interviewed individuals who have experienced relocation, family members, healthcare providers, health administrators, and conducted two focus groups with government representatives. Federal and provincial program managers interpret policies, make decisions on eligibility, to ex…
The place of receptionists in access to primary care
Underclassism' and access to healthcare in urban centres
In this article, we draw on findings from an ethnographic study that explored experiences of healthcare access from the perspectives of Indigenous and non-Indigenous patients seeking services at the non-urgent division of an urban emergency department (ED) in Canada. Our aim is to critically examine the notion of 'underclassism' within the context of healthcare in urban centres. Specifically, we discuss some of the processes by which patients exp…
Enhancing health care equity with Indigenous populations
BACKGROUND: Structural violence shapes the health of Indigenous peoples globally, and is deeply embedded in history, individual and institutional racism, and inequitable social policies and practices. Many Indigenous communities have flourished, however, the impact of colonialism continues to have profound health effects for Indigenous peoples in Canada and internationally. Despite increasing evidence of health status inequities affecting Indigen…
Representations of Indigenous Peoples and Use of Pain Medication in Canadian News Media
Using media coverage of the withdrawal of OxyContin in Canada in 2011 and 2012 as an example, this article describes a systematic analysis of how news media depict First Nations peoples in Canada. Stark differences can be seen in how First Nations and non-First Nations individuals and communities are represented. In First Nations communities, problematic substance use is discussed without considering the context of pain management, broad generali…
Disrupting the Continuities Among Residential Schools, the Sixties Scoop, and Child Welfare
In Canada, it is estimated that 3 times as many Indigenous children are currently in the care of the state compared to when the residential schools’ populations were at their peak. It is imperative that action be taken. This article explores the continuities among residential schools, the Sixties Scoop, and child welfare in Canada today. In particular, we examine how colonial and neocolonial discourses operate through and justify these policies a…
Attending to power differentials
OBJECTIVE: In Canada, primary care reform has encouraged innovations, including nurse practitioners (NPs) and group medical visits (GMVs). NP-led GMVs provide an opportunity to examine barriers and enablers to implementing this innovation in primary care. DESIGN: An instrumental case study design (n=3): two cases where NPs were using GMVs and one case where NPs were not using GMVs, was completed. In-depth interviews with patients and providers (N…
Engaging Indigenous families in a community-based Indigenous early childhood programme in British Columbia, Canada
This article is part of a larger study that explored how an Indigenous early intervention programme in British Columbia (BC), Canada, known as the 'Aboriginal Infant Development Program' (AIDP), influenced family and children's health and well-being and was responsive to child health inequities. Postcolonial feminist and Indigenous feminist perspectives provided a critical analytical lens to this qualitative inquiry. The study was undertaken with…
Moving beyond description
Relational approaches to fostering health equity for Indigenous children through early childhood intervention
This paper reports on key findings of a critical qualitative inquiry undertaken with an Indigenous early child development (ECD) program in Canada, known as the Aboriginal Infant Development Program (AIDP). In depth, semi-structured interviews were used to obtain the perspectives of: Indigenous caregivers and Elders, AIDP workers, and administrative leaders. The findings centre on: (1) a relational perspective of family wellbeing that emphasises …
I tend to forget bad things
Distress among young immigrant and refugee men has drawn increasing research attention in recent years. Nuanced understandings of distress are needed to inform mental health and public health programming. The purpose of this research was to examine distress from the perspectives of young immigrant and refugee men living in Greater Vancouver, British Columbia, Canada. Thirty-three young men (aged 15-22 years) from diverse immigrant and refugee bac…
The RIPPLES of Meaningful Involvement
Indigenous Peoples experience the greatest health inequities in Canada and other colonized countries, yet are routinely excluded from health-related policy decisions. Those advocating for Indigenous health equity are often left wrestling with the question: What constitutes, and what can foster, meaningful involvement of Indigenous Peoples in the contemporary health policy climate? Twenty (n = 20) in-depth, open-ended interviews with Indigenous an…
Letsemot, “Togetherness”
Connection to land has been identified as a central determinant of the health and well-being of First Nations in Canada. The wholistic, interconnected, spiritual, and sacred relationship that many Indigenous Peoples have with the land is an integral part of strengthening physical, spiritual, mental, and emotional health and well-being. However, there has been little empirical evidence on how to assess, measure, and report on connection to land fo…
Violence at the Intersections of Women’s Lives in an Urban Context
This article is based on an ethnographic study exploring Indigenous women's experiences of leaving intimate partner violence. Analysis draws attention to the contextual features of Indigenous women's lives that differentially shaped women's experiences of "leaving and/or staying" with an abusive partner. Our findings are identified and described across four intersecting thematic areas: (a) the context of state-Indigenous relations; (b) complex tr…
Stigma is where the harm comes from”
Sociology (22 works) · Political science (21 works) · Medicine (19 works) · Indigenous Health, Education, and Rights (17 works) · Psychology (17 works) · Health care (15 works) · Gender Studies (13 works) · Indigenous (12 works) · Nursing (12 works) · Law (8 works)