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Indigenous Health

Kim Khanh Do, Amy Qu , Tiffany Tang, Cindy Tea, Yvonne Vu, and Winni Yeh

06/04/2023

History

  • 80 residential schools
  • Cultural genocide
  • Kill the Indian inside them
  • More than 150,000 children
  • Physical, sexual abuse, and diaseae widespread

History

Subtopic 1

Subtopic 1

Title

Web of

Being

(Brownell et al., 2017)

Proximal

Direct impact on health

Healthy behaviours

  • poor compare to non-Indigenous people
  • ↑ risk of developing health problems

Physical environment

  • big impact for those living on reserves
  • ovecrowded + lack of ventilation
  • respiratory problems

Social Determinates

of Health

Intermediate

Origin of Proximal -

Income & employment

  • denied access to resources to help their SES
  • high poverty = ↓ mental health & ↑ suicide rates

Health care services

  • long waitlist = needs unmet
  • isolation + location = economic barriers

Distal

Upstream effects on health

Include:

  • Colonialism
  • Racism
  • Social exclusion

Must consider historical context of colonial violence, oppression, and erasure.

  • residential schools isolated, assimilated, and erased Indigenous identity
  • current education and reserve systems perpetuate colonial policies.

Distal

Nursing Roles

History

Nurse Practitioner (NP) acted as the primary physician

  • But need to shift more focus to take on the social justice lens

Development

TRC's Call to Action

Nursing Roles

Subtopic 3

Subtopic 3

Importance of Nursing Involvement

  • Need to decolonize Nursing Profession
  • Nursing is built upon colonial roots leading many indigenous people to face health inequities
  • Ethical duty of a nurse to recognize how vulnerable groups are systemically disadvantaged and take actions to overcome barriers to health
  • Nurses are the primary healthcare providers working with Indigenous people
  • 58% of health care services in remote locations are led by a nurse-in-charge
  • Understanding impacts of residental schools allows for Cultural Sensitive care

Interventions

  • Ottawa Charter for Health Promotion
  • Healthy public policy & reorientation/decolonization of health services
  • Macro advocacy
  • TRC Calls to Action & Joyce's Principle
  • Education & training
  • WHO Closing the Gap
  • Inequitable distribution of power and resources & promoting health equity
  • Indigenous leadership, collaboration, and decision-making
  • Funding for health services/workers to rural reserves
  • Trauma and mental health screening
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