scholarly journals P100: Exploring First Nations members emergency department experiences and concerns through participatory research methods

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S92-S92
Author(s):  
P. McLane ◽  
D. Jagodzinsky ◽  
L. Bill ◽  
C. Barnabe ◽  
B. R. Holroyd ◽  
...  
Keyword(s):  
Health Services ◽  
First Nations ◽  
Participatory Research ◽  
Preliminary Evidence ◽  
First Nation ◽  
Team Meetings ◽  
Point Of Entry ◽  
Working Together ◽  
Indigenous Worldview ◽  
Sharing Circles

Introduction: Emergency Departments (EDs) are frequently the first point of entry to access health services for First Nation (FN) members. In Alberta, FN members visit EDs at almost double the rate of non-FN persons. Furthermore, preliminary evidence demonstrates differences in ED experience for FN members as compared to the general population. The Alberta First Nations Information Governance Centre, Maskwacis Health Services, Yellowhead Tribal Council, Treaty 8 First Nations of Alberta, and Alberta Health Services are working together to research FN members ED experiences and concerns. Methods: This is participatory research guided by a two-eyed seeing approach that acknowledges the equal value of both Western and Indigenous worldviews. FN and non-FN leaders researchers are full partners in the development of the research project. Six sharing circles will be held in February 2018 across Alberta, with Elders, FN patients, FN and non-FN clinicians and FN and non-FN administrators. Sharing circles are similar to focus groups, but emphasize everyone having a turn to speak and demonstrating respect among participants in accordance with FN protocols. Elders will select the questions for discussion based on topics that arose in initial team meetings. Sharing circle discussions will be audio recorded and transcribed. Analysts will include both Western and Indigenous worldview researchers, who will collaboratively interpret findings. Elders will review, discuss, contextualize and expand upon study findings. The research is also guided by FN principles of Ownership, Control, Access, and Possession of FN information. It is through these principles that First Nation research projects can truly be classified as FN lead and driven. Results: Based on initial team meeting discussions, results of sharing circles are expected to provide insights on issues such as: healing, patient-provider communication (verbal and non-verbal), shared decision making, respect for patient preferences, experiences leading to trust or distrust, understandings of wait times and triage, times when multiple (repeat) ED presentations occur, distances travelled for care, choosing specific EDs when seeking care, impacts of stereotypes about FN patients, and racism and reconciliation. Conclusion: Understanding FN ED experience and bringing FN perspectives to Western conceptions of the goals and provision of ED care are important steps toward reconciliation.

scholarly journals Inequities in Diabetes Outcomes among Urban First Nation and Métis Communities: Can Addressing Diversities in Preventive Services Make a Difference?

2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Hasu Ghosh ◽  
Denise Spitzer
Keyword(s):  
Health Service ◽  
Health Services ◽  
First Nations ◽  
Exploratory Study ◽  
Service Providers ◽  
Aboriginal People ◽  
Preventive Services ◽  
First Nation ◽  
Aboriginal Peoples ◽  
Review Of Literature

This article primarily aims to demonstrate how diversity is reflected among urban Aboriginal peoples in Canada. Secondly, it uncovers if and how preventive health services in the province of Ontario, Canada are responsive to this diversity. Data for this study were gathered from a review of literature on culturally appropriate health service delivery to Aboriginal peoples in Canada and a qualitative exploratory study conducted with urban First Nation and Métis people, and health service providers and policy makers. The findings from review of literature and the exploratory study indicated that the nature of Aboriginal diversity and its trends are complex. From the document review, we can comprehend that socio-economic disparities among First Nations and Métis, compared to non-Aboriginal people, are reducing slowly; however, evidence from the exploratory study suggested otherwise and indicated that there is also a strong need for First Nation and Métis families to overcome barriers in order to improve their quality of live in urban Ontario, Canada. It is evident that health services for urban First Nation and Métis people cannot address existing health inequities by simplistic application of pan-Aboriginal strategies in preventive services. Initiatives for urban First Nation and Métis people require strategies that are targeted at the unique and distinct needs of First Nation and Métis residents regardless of their legal status, cultural pluralities, socio-economic backgrounds, and place of residence in cities.

scholarly journals Can scientists and knowledge keepers sit comfortably together? An Indigenous physician’s reflections on a decade of participatory research into First Nations nutrition, environment and health

2021 ◽  
Vol 112 (S1) ◽  
pp. 3-7
Author(s):  
Evan Adams
Keyword(s):  
First Nations ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Special Issue ◽  
Nutrition Environment ◽  
Environment And Health ◽  
Collaborative Community ◽  
Working Together ◽  
History Of ◽  
Environment Study

AbstractThe author, an Indigenous physician, offers his reflections on the history of scientific research with Indigenous People and its past role in ethical breaches and excesses of colonialism, as a backdrop to the relatively recent advances in collaborative, community-based participatory research involving First Nations and Inuit in Canada. The First Nations Food, Nutrition and Environment Study (2008–2018), introduced in this Special Issue, is presented as an example of an ethical space that was sustained for a decade to collaboratively develop new knowledge by First Nations and scientists working together, respectfully and inspired by shared interest. A short overview of twelve articles of the Special Issue is provided and characterized as creating a previously inaccessible picture of the modern diets of First Nations, along with the suite of environmental factors that are present in food and water in and around communities. Ultimately, the author hopes that Canadian society can set the table with Indigenous Peoples and respectfully set opinions onto each other and do this over and over again. With Canada already being a multicultural and pluralistic society, adding Indigenous realities into the mix only respects and honours the Indigenous roots of this country.

scholarly journals Drinking Water Consumption Patterns: An Exploration of Risk Perception and Governance in Two First Nations Communities

2020 ◽  
Vol 12 (17) ◽  
pp. 6851
Author(s):  
Neal Spicer ◽  
Brenda Parlee ◽  
Molly Chisaakay ◽  
Doug Lamalice
Keyword(s):  
Drinking Water ◽  
Risk Perception ◽  
First Nations ◽  
Water Consumption ◽  
Local Community ◽  
Indigenous Communities ◽  
Bottled Water ◽  
Consumption Patterns ◽  
First Nation ◽  
Individual Risk

Many Indigenous communities across Canada suffer from the lack of access to clean drinking water; ensuring individuals and communities have safe water to drink either from their home or from their local environment requires the consideration of multiple factors including individual risk perception. In collaboration with local leaders, semi-structured interviews (n = 99) were conducted over a two-year period in the Dene Tha’ First Nation and Kátł’odeeche First Nation to unpack the issue of risk perception and its meaning to local community members. These local metrics of risk perception including smell, taste, safety, health fears and level of concern were then used to explore patterns in other data on drinking water consumption patterns and bottled water use. The results are consistent with previous research related to water insecurity and indicate that both communities consume more bottled water than the average Canadian. Results also varied by jurisdiction; those in Alberta indicated much higher levels of concern and a greater degree of bottled water consumption.

Development of more effective conservation farming systems through participatory on-farm research

1999 ◽  
Vol 14 (3) ◽  
pp. 98-102 ◽  
Author(s):  
S.B. Wuest ◽  
D.K. McCool ◽  
B.C. Miller ◽  
R.J. Veseth
Keyword(s):  
Participatory Research ◽  
New Technologies ◽  
Agricultural Research ◽  
Farming Systems ◽  
Integrated Approach ◽  
Scientific Methods ◽  
Conservation Farming ◽  
Working Together ◽  
On Farm ◽  
Current Emphasis

AbstractResearch aimed at advancing conservation farming practices is typically performed using traditional scientific approaches, which have been highly successful in increasing agricultural output and efficiency. With the current emphasis on environmental and economic sustainability of agriculture, there is a need for a more integrated approach to applied agricultural research. Participatory research helps to bring scientific methods and the integrated production needs of farmers together to develop practical, effective, and carefully tested farming methods. The strength of participatory research is in the synergism of scientists and farmers working together to design, implement, and evaluate research. The development of new technologies for farming systems large or small, conventional or organic, can be greatly enhanced through more extensive use of participatory research.

scholarly journals Policy Forum: Implementing the Chippewas of Georgina Island First Nation Property Tax System—Opportunities, Challenges, and Lessons Learned

2021 ◽  
Vol 69 (3) ◽  
pp. 857-872
Author(s):  
Kate McCue ◽  
Bill McCue
Keyword(s):  
First Nations ◽  
Property Tax ◽  
Lessons Learned ◽  
First Nation ◽  
Property Taxes ◽  
Tax System ◽  
Fiscal Management ◽  
Local Services ◽  
Policy Forum ◽  
Do So

In 2018, the Chippewas of Georgina Island First Nation (GIFN) implemented a First Nation property tax system under the First Nations Fiscal Management Act (FMA)—one of the earliest First Nations in Ontario to do so. Implementation of a property tax system gave GIFN an opportunity to improve funding for and expand local services, and provide a more equitable sharing of local service costs between cottagers leasing First Nation land and the First Nation. Key challenges encountered when implementing the property tax system were building consensus around the need for a tax system, building an appropriate administrative infrastructure, carrying out property assessments, and professionals lacking knowledge of First Nation property tax. These challenges, however, presented opportunities to create a knowledge base around property taxation within GIFN, among cottage leaseholders, and in the wider community. Key lessons learned were (1) start as soon as possible; (2) First Nations Tax Commission support and standards are important; (3) staff training is important; (4) communicate early and often; (5) hold open houses; (6) local services are more than garbage collection; (7) property taxes do not harm lease rates or cottage sales; (8) educate lawyers, real estate agents, and other professionals; (9) startup costs were significant; (10) coordinate laws and standards with provincial variations; (11) modernize systems; and (12) utilize other parts of the FMA.

scholarly journals Indigenous Geographies: Research as Reconciliation

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Cindy Smithers Graeme ◽  
Erik Mandawe
Keyword(s):  
First Nations ◽  
Narrative Analysis ◽  
Research Process ◽  
Policy Recommendations ◽  
Community Based ◽  
Working Together ◽  
Meaningful Relationships ◽  
Indigenous Geographies ◽  
Cultural Regeneration ◽  
Support Research

Employing a reflexive and co-constructed narrative analysis, this article explores our experiences as a non-Indigenous doctoral student and a First Nations research assistant working together within the context of a community-based participatory Indigenous geography research project. Our findings revealed that within the research process there were experiences of conflict, and opportunities to reflect upon our identity and create meaningful relationships. While these experiences contributed to an improved research process, at a broader level, we suggest that they also represented our personal stories of reconciliation. In this article, we share these stories, specifically as they relate to reconciliatory processes of re-education and cultural regeneration. We conclude by proposing several policy recommendations to support research as a pathway to reconciliation in Canada.

scholarly journals Cardiovascular risk according to plasma apolipoprotein and lipid profiles in a Canadian First Nation

2010 ◽  
Vol 31 (1) ◽  
pp. 33-38 ◽  
Author(s):  
ND Riediger ◽  
SG Bruce ◽  
TK Young
Keyword(s):  
Cardiovascular Risk ◽  
First Nations ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Age Groups ◽  
Density Lipoprotein ◽  
Lipid Profiles ◽  
Apolipoprotein A1 ◽  
First Nation ◽  
Future Research

Introduction Despite high diabetes rates among Canadian First Nations people, little is known about their cardiovascular disease risk. Our aim was to describe the apolipoprotein profile with respect to cardiovascular risk in a Canadian First Nation community. Methods In 2003, a representative sample of adult members of a Manitoba First Nation (N = 483) participated in a screening study for diabetes and diabetes complications. We assessed their cardiovascular risk factors. Results Sixty percent of women were at increased cardiovascular risk because of low apolipoprotein A1 (apoA1) levels, compared with 35% of men. The proportion of women with low apoA1 levels decreased with age, but the proportion with low high-density lipoprotein levels remained stable across age groups. Both apoB and apoA1 were significantly associated with obesity when age, sex, diastolic blood pressure, homocysteine, diabetes, and insulin resistance were controlled for. Conclusion Apolipoprotein and lipid profiles in this First Nation population suggest high cardiovascular risk. Future research should characterize the lipoprotein particle size in this population.

scholarly journals Transition from child and adolescent mental health services to adult mental health services

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S347-S348
Author(s):  
Tania Saour
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Young People ◽  
Health Services ◽  
Clinical Information ◽  
Young Person ◽  
Timely Manner ◽  
Team Meetings ◽  
Significant Barrier ◽  
Transition Plan

BackgroundThe prevalence and recognition of mental health conditions in young people is growing. Around 50% of lifetime mental illness (except dementia) begins by the age of 14. Around 75% of adults requiring secondary mental health services developed problems prior to 18.The TRACK study of young people's transitions from CAMHS to AMHS has found that up to a third of teenagers are lost from care during transition and a further third experience an interruption in their care.A CQUIN for Transition has concluded that young children should have a transition plan 6 months before they turn 18.MethodAll young people aged 17 and a half years old were included in the data collection for this audit. Clinical information was reviewed using the West London RIO computer system. While reviewing the clinical documentation I was recording whether:Transitional plans had been discussed with the young person.If yes, what were they?Had a referral been made to the appropriate service?ResultThere were 180 open cases to the Hounslow Adolescent Team. 35 cases were over 18:At least 16 of these cases needed to be closed as no intervention was being provided.14 cases had an unclear plan.Of the 25 cases aged between 17.5 and 18 years of age transitional plans were:Transition was discussed in 11 cases (44%). This meant that transitional plans were not discussed in 56% of young people.Of these 11 cases 7 referrals were completed. (28%)ConclusionThe lack of consistent protocols for transition remains a significant barrier to health care provided to young people.Transitional planning needs to take place in an effective and timely manner to ensure continued patient centred care.Transitional discussions to be made a regular agenda item at team meetings.Care co-ordinator to be informed and reminded that transitional plans need to be explored with young people.Following a re-audit of this data 6 months on 100% of cases over the age of 18 were closed and transition was discussed in the remaining 56%.

Have investments in on-reserve health services and initiatives promoting community control improved First Nations’ health in Manitoba?

2010 ◽  
Vol 71 (4) ◽  
pp. 717-724 ◽  
Author(s):  
Josée Gabrielle Lavoie ◽  
Evelyn L. Forget ◽  
Tara Prakash ◽  
Matt Dahl ◽  
Patricia Martens ◽  
...  
Keyword(s):  
Health Services ◽  
First Nations ◽  
Community Control
Sign in / Sign up

Export Citation Format

Share Document