Appraising Indigenous cultural safety within healthcare: Protocol of a scoping review of reviews. - National Genomics Data Center (CNCB-NGDC)

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Appraising Indigenous cultural safety within healthcare: Protocol of a scoping review of reviews.

Christina Chakanyuka, Juanita-Dawne R Bacsu, Andrea Desroches, Jennifer Walker, Megan E O'connell, Jessy Dame, Leah Carrier, Paisly Symenuk, Lynden Crowshoe, Lisa Bourque Bearskin

Author Information

Christina Chakanyuka: School of Nursing, University of Victoria, Victoria, British Columbia, Canada. ORCID
Juanita-Dawne R Bacsu: Department of Psychology, Rural Dementia Action Research (RaDAR) Team, Canadian Centre for Health and Safety in Agriculture (CCHSA), University of Saskatchewan, Saskatoon, Saskatchewan, Canada. ORCID
Andrea Desroches: Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. ORCID
Jennifer Walker: Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. ORCID
Megan E O'connell: Department of Psychology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. ORCID
Jessy Dame: School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada. ORCID
Leah Carrier: School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada. ORCID
Paisly Symenuk: Edmonton, AB, Canada. ORCID
Lynden Crowshoe: Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Lisa Bourque Bearskin: School of Nursing, Thompson Rivers University, Kamloops, British Columbia, Canada. ORCID

PMID: 34791700 DOI: 10.1111/jan.15096

AIM: The objective of this scoping review of reviews will be to synthesize the existing literature to identify key elements, conceptualizations and interventions of cultural safety to improve healthcare for Indigenous Peoples.
DESIGN: Eligible studies will include reviews (e.g. scoping reviews, systematic reviews and narrative reviews) focused on Indigenous cultural safety in healthcare.
METHODS: Guided by Weber-Pillwax's Indigenous principles of relationality and Arksey and O'Malley's scoping review framework, a review of reviews will be conducted by searching peer-reviewed literature published between January 2010 and December 2020. The database search will include CINAHL, PubMed, Scopus, Web of Science, and Google Scholar. This scoping review protocol was registered with the Joanna Briggs Institute on January 28, 2021.
DISCUSSION: There is a paucity of knowledge on existing interventions and implementation strategies to support Indigenous cultural safety within the healthcare system. Improving Indigenous cultural safety in healthcare requires a comprehensive understanding of its core components and the specific interventions.
IMPACT: This review will help guide future research and enhance cultural safety interventions for Indigenous Peoples, including Indigenous Peoples with diverse genders and sexualities. The findings from this review will provide critical insight and knowledge to inform cultural safety policies, programs and practices to support healthcare for Indigenous populations.

cultural safety healthcare indigenous scoping review

Arksey, H., & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616

Cameron, B. L., Carmargo Plazas, M., Salas, A. S., Bourque Bearskin, R. L., & Hungler, K. (2014). Understanding inequalities in access to healthcare services for aboriginal people: a call for nursing action. ANS. Advances in Nursing Science, 37(3), E1-E16.

Carrier, L., Dame, J., & Lane, J. (2020). Two-spirit identity and indigenous conceptualization of gender and sexuality: Implications for nursing practice. Creative Nursing, 26(2), 96-100.

Cooke, M., Mitrou, F., Lawrence, D., Guimond, E., & Beavon, D. (2007). Indigenous well-being in four countries: an application of the UNDP'S human development index to indigenous peoples in Australia, Canada, New Zealand, and the United States. BMC International Health and Human Rights, 7, 9. https://doi.org/10.1186/1472-698X-7-9

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S.-J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal of Equity Health, 18(1), 1-17. https://doi.org/10.1186/s12939-019-1082-3

Gray, M. A., & Oprescu, F. I. (2016). Role of non-Indigenous researchers in Indigenous health research in Australia: A review of the literature. Australian Health Review, 40(4), 459-465.-https://doi.org/10.1071/AH15103

Greenwood, M., de Leeuw, S., & Lindsay, N. (2018). Challenges in health equity for Indigenous peoples in Canada. Lancet (London, England), 391(10131), 1645-1648. https://doi.org/10.1016/S0140-6736(18)30177-6

Hong, Q. N., Gonzalez-Reyes, A., & Pluye, P. (2018). Improving the usefulness of a tool for appraising the quality of qualitative, quantitative and mixed methods studies, the mixed methods appraisal tool (MMAT). Journal of Evaluation in Clinical Practice, 24(3), 459-467.

Joanna Briggs Institute. (2021). Systematic review register. Available from: https://jbi.global/systematic-review-register

Kim, P. J. (2019). Social determinants of health inequities in Indigenous Canadians through a life course approach to colonialism and the residential school system. Health Equity, 3(1), 378-381. https://doi.org/10.1089/heq.2019.0041

López, N., & Gadsden, V. L. (2016). Health inequities, social determinants, and intersectionality. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201612a

Papps, E., & Ramsden, I. (1996). Cultural safety in nursing: the New Zealand experience. International Journal for Quality in Healthcare: Journal of the International Society for Quality in Healthcare, 8(5), 491-497. https://doi.org/10.1093/intqhc/8.5.491

Ramsden, I. (2005). Towards cultural safety. In D. Wepa (Ed.), Cultural safety in Aotearoa New Zealand (pp. 2-19). Pearson Education New Zealand.

Truth and Reconciliation Commission of Canada. (2015). Truth and reconciliation commission of Canada: Calls to action. Winnipeg.

Turpel-Lafond, M. E. (2020). In plain sight: Addressing Indigenous-specific racism and discrimination in B.C. Healthcare. Summary Report. B.C. Ministry of Health.

Weber-Pillwax, C. (1999). Indigenous research methodology: Exploratory discussion of an elusive subject. The Journal of Educational Thought (JET) / Revue De La Pensée Éducative, 33(1), 31-45.

Webkamigad, S., Rowe, R., Peltier, S., Froehlich Chow, A., McGilton, K. S., & Walker, J. D. (2020). Identifying and understanding the health and social care needs of Indigenous older adults with multiple chronic conditions and their caregivers: A scoping review. BMC Geriatrics, 20, 1-19. https://doi.org/10.1186/s12877-020-01552-5

Whitehead, M. (1991). The concepts and principles of equity and health. Health Promotion International, 6(3), 217-228. https://doi.org/10.1093/heapro/6.3.217

Wilson, D., de la Ronde, S., Brascoupé, S., Apale, A. N., Barney, L., Guthrie, B., Harrold, E., Horn, O., Johnson, R., Rattray, D., & Robinson, N.; Aboriginal Health Initiative Committee, & Special Contributors. (2013). Health professionals working with first nations, inuit, and métis consensus guideline. Journal of Obstetrics and Gynaecology Canada: JOGC = Journal D'obstetrique Et Gynecologie Du Canada: JOGC, 35(6), S1-S4. https://doi.org/10.1016/S1701-2163(15)30699-X

40-1-6063568/Canadian Consortium on Neurodegeneration in Aging (CCNA)
CAN 163902/Canadian Consortium on Neurodegeneration in Aging (CCNA)

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