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Our names are Farah Abdi, Auldrey Basallo, Cassie MacDonald, and River Martin. We are a blend of settlers, immigrants, and second-generation immigrant settlers living and going to school on the traditional lands of Nisichawayasihk Cree Nation (NCN) in Thompson, Manitoba. We recognize the colonial role of the healthcare system in Thompson as it has historically excluded sacred Indigenous teachings regarding spirituality and health, as well as historically excluded Indigenous people from participating as healthcare workers. Colonial violence continues to negatively affect Indigenous people within the context of the healthcare system. We make this statement to affirm our commitment to improve the healthcare system's practices. We are thankful for the opportunity to live, work and gather on these lands while simultaneously learning how to use the lands well. We acknowledge that the lands we gather on are part of Treaty 5 and many Indigenous groups now reside here, and the spiritual practices, languages and cultures of each group continue to positively influence us. In light of our discussion today, we would like to draw attention to the Aski Pumenikewin (NCN Land Code) which is an ongoing effort of NCN to self-govern the use of their land and move away from the Indian Act. As well, NCN has made efforts to create an urban development in Thompson. As we continue to learn and grow in our relationships to the people, and physical presence of this space, we invite anyone present to discuss the words we have said so we can reciprocally learn and make efforts towards continued improvement.
(Northern Alberta Health Services Library Association, 2019)
https://www.ncncree.com/about-ncn/photo-gallery/#iLightbox[gallery_image_1]/1
Traditional lands of Denesuline, Ininew, Anishaabe and Anishininew people (Rarihokwats, 2019).
https://recherche-collection-search.bac-lac.gc.ca/eng/Home/Search?q=treaty%20medal&DataSource=Images&
This land code will restore power over the land to NCN and remove the effects of the paternalistic Indian Act
(NCN, n.d.a).
https://www.ncncree.com/about-ncn/our-lands/aski-pumenikewin-ncn-land-code/
NCN has developed an urban reserve at the Mystery Lake complex in Thompson. This is one way that NCN has been able to restore sovereignty over their traditional lands for current and future NCN people.
(NCN, n.d.b).
https://m.facebook.com/104487694767249/photos/a.104487764767242/104508561431829/?type=3
https://www.nami.org/Blogs/NAMI-Blog/October-2019/Mental-Health-Conditions-Seen-in-Childhood
https://pdhpe.net/better-health-for-individuals/what-does-health-mean-to-individuals/meanings-of-health/dimensions-of-health/
https://www.canada.ca/en/health-canada/services/substance-use.html
https://www.vectorstock.com/royalty-free-vector/identity-crisis-and-personality-loss-concept-vector-36785962
https://www.mountelizabeth.com.sg/healthplus/article/dealing-with-depression
https://www.nytimes.com/2020/03/23/well/family/coronavirus-loneliness-isolation-social-distancing-elderly.html
https://www.traumainformedcare.chcs.org/what-is-trauma-informed-care/
"Advocate for the use of Indigenous health knowledge and healing practices in collaboration with Indigenous healers and Elders consistent with the Calls to Action of the Truth and Reconciliation Commission of Canada."
(CRNM, 2019).
https://wiki.mcmaster.ca/Northern_Health/mod2:session3
Barriers to Healthcare Access for Indigenous Patients:
https://www.google.com/search?q=hurdles&sxsrf=APq-WBviBK7vKgiNF65-ZeDApbtMCFm4Jg:1650342266979&source=lnms&tbm=isch&sa=X&ved=2ahUKEwicztKEpJ_3AhWKaM0KHUgvA44Q_AUoAXoECAIQAw&biw=1280&bih=632&dpr=2#imgrc=mh7Ofl6SqEejtM
(Oral et al., 2016)
https://www.google.com/search?q=sad+teddy+bear&tbm=isch&ved=2ahUKEwjMn4S_pJ_3AhV_sHIEHZpnDzgQ2-cCegQIABAA&oq=sad+teddy+bear&gs_lcp=CgNpbWcQAzIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQyBQgAEIAEMgUIABCABDIFCAAQgAQ6BwgjEO8DECc6BggAEAgQHjoICAAQgAQQsQM6BAgAEEM6BwgAELEDEENQsBBYySlgwCpoAHAAeACAAeUBiAH5DJIBBjAuMTEuMZgBAKABAaoBC2d3cy13aXotaW1nwAEB&sclient=img&ei=9TleYozRGf_gytMPms-9wAM&bih=632&biw=1280#imgrc=_qk9aWuOwxBqXM
Trauma Informed Care- TIC
It has been said that the ‘‘systematic neglect of culture in health is the single biggest barrier to advancement of the highest attainable standard of health worldwide.’’
(Harding, 2021)
https://www.google.com/search?q=healthcare+love&tbm=isch&ved=2ahUKEwiChKz8pJ_3AhW9sHIEHeSAAsQQ2-cCegQIABAA&oq=healthcare+love&gs_lcp=CgNpbWcQAzIFCAAQgAQyBAgAEBg6BwgjEO8DECc6BwgAELEDEEM6BAgAEEM6CggjEO8DEOoCECc6CAgAEIAEELEDOgYIABAIEB5Q4ARY5CFg3iJoAXAAeAGAAYgBiAGXEZIBBDAuMTmYAQCgAQGqAQtnd3Mtd2l6LWltZ7ABCsABAQ&sclient=img&ei=dTpeYsL1PL3hytMP5IGKoAw&bih=632&biw=1280#imgrc=TqVJKCYLWAZ4gM&imgdii=v6TUzK8SXz-aRM
Trauma informed Care in the sense of cultural safety.
https://passthefeather.org/jessica-somers/
https://www.vernonmorningstar.com/news/interior-health-commits-2-million-annually-for-first-nations-elders-care/
Participants:
The Study:
(Hadjipavlou et al,. 2018)
(Hadjipavlou et all,. 2018)
https://www.todocanada.ca/city/calgary/event/cifrs-indigenous-art-exhibit/
(Brooks-Cleator et al., 2018)
https://www.ualberta.ca/folio/2020/08/u-of-a-online-course-on-indigenous-culture-sees-popularity-surge-amid-black-lives-matter-movement.html
In summary, the effects of colonization, cultural genocide, and western-based healthcare systems have created mental, physical, social, and spiritual health inequities between Indigenous and non-Indigenous people. Some barriers they face when accessing healthcare include, but are not limited to negative biases among healthcare providers resulting in lack or inadequate immediate care, employment and income inequities, colonialism, racism, and social exclusion resulting in limited involvement of Indigenous people in policy making and planning to address community healthcare needs. Trauma-informed care, can help healthcare providers to understand how traumatic experiences can affects a person’s health. It can also improve patient care by creating more positive health care experiences and by promoting healthy relationships between patients and the health care team. Having Elders as part of the health care team can also help provide trauma- informed care in the sense of cultural safety. Having them as part of the team can help create an environment where Indigenous people can feel safe and get the treatments they need. Nurses also have a role to play and apply trauma-informed care into their everyday practice by working with the community, respecting Indigenous culture and practices, providing a safe environment, self-reflecting and attending trainings to gain more knowledge of Indigenous culture.
Question: What do you think are the benefits of having a paid Elder on staff vs. a volunteer?
Do the Kahoot!
https://www.inc.com/kat-boogaard/5-mistakes-youre-making-when-asking-questions.html
Brooks-Cleator, L., Phillipps, B., & Giles, A. (2018). Culturally safe health initiatives for
Indigenous peoples in Canada: A scoping review. Canadian Journal of Nursing Research, 50(4), 202-213. DOI: 10.1177/0844562118770334
College of Registered Nurses of Manitoba. (2019). Entry-level competencies (ELCs) for
the practice of registered nurses (2019). https://crnm.mb.ca/wp-content/uploads/2022/01/Entry-Level-Competencies-ELCs.pdf
Fiolet, R., Roberts, V., & Bloomer, M. (2021). Trauma-informed care: Why is it so
important in primary health care? Collegian, 28(3), 253-254. https://doi.org/10.1016/j.colegn.2021.03.005
Fleishman, J., Kamsky, & H., Sundborg. (2019). Trauma-informed nursing practice.
Online Journal of Issues in Nursing, 24(2), 1–9. https://doi.org/10.3912/OJIN.Vol24No02Man03.
Harding, J., MacKinnon, K., Sangster-Gormley, E., Gordon, C. (2021). Indigenous
peoples’ positive experiences of culturally safe health care: A qualitative systematic review protocol. JBI Evidence Synthesis, 19(9), 2434-2440. DOI: 10.11124/JBIES-20-00181
Kokokyi S., Klest B., & Anstey, H. (2021). A patient-oriented research approach to
addressing patients’ and primary care physicians’ opinions on trauma-informed care. PLOS ONE, 16(7), e0254266. https://doi.org/10.1371/journal.pone.0254266
Nguyen, N., Subhan, F., Williams, K., & Chan, C. (2020). Barriers and mitigating
strategies to healthcare access in Indigenous communities of Canada: A narrative review. Healthcare, 8(2), 112. https://doi.org/10.3390/healthcare8020112
Nisichawayasihk Cree Nation. (n.d.a). Nisichawayasi Aski Pumenikewin (NCN Land
Code). NCN Cree. https://www.ncncree.com/about-ncn/our-lands/aski-pumenikewin-ncn-land-code/
Nisichawayasihk Cree Nation. (n.d.b). Thompson Urban Reserve. NCN Cree. https://
www.ncncree.com/about-ncn/our-lands/thompson-urban-reserve/
Northern Alberta Health Libraries Association. (2019). NAHLA land acknowledgement,
template for personalization, definitions, and speaker protocol. https://www.chla-absc.ca/docs/NAHLALandAcnowledgement_4.pdf
Oral, R., Ramirez, M., Coohey, C., Nakada, S., Walz, A., Kuntz, A., Benoit, J., & Peek-Asa,
C. (2016). Adverse childhood experiences and trauma informed care: The future of health care. Pediatric Research, 79(1), 227-233.
Papadopoulos, I., Lazzarino, R., Wright, S., Logan, P., & Koulouglioti. (2021). Spiritual
support during COVID-19 in England: A scoping study of online sources. Journal of Religion and Health, 60(4), 2209–2230, https://doi.org/10.1007/s10943-021-01254-1.
Venugopal, J., Ninomiya, M., Green, N., Peach, L., Linklater, R., George, P., & Wells, S. (2021). A scoping review of evaluated Indigenous community-based mental wellness
initiatives. Rural and Remote Health, 21(1), 6203. https://doi.org/10.22605/RRH6203
World Health Organization. (2020). Practical considerations and recommendations for
religious leaders and faith-based communities in the context of COVID-19: Interim guidance. https://apps.who.int/iris/bitstream/handle/106