The Canadian population is composed of people with different cultural background that consist of different communities of immigrants and natives. The Aboriginal community is one of the native community living in Canada holding 4.3% of total population as per National Household Survey 2011 (Statistics Canada, 2011).The Aboriginal people are culturally diverse in Canada having unique historical, linguistic and social contexts. Distinct cultural background of the Aboriginal communities is one of the reason they are experiencing inequities and disparities in health status compared to the non-aboriginal people. In this regard, Canadian nurses are expected to learn about cultural diversity, knowledge, skills and attitudes to provide culturally …show more content…
Likewise, the death rate among Aboriginals infant is 4 times the rate of Canada as whole. Aboriginals preschoolers and teenagers death rate is 5 times and 3 times the national rate respectively. (Aboriginal Nurses Association Canada (A.N.A.C), 2009, p.8). Cultural discontinuity has been associated with higher rates of depression, alcoholism, suicide and violence which is greater on the Aboriginal youth (Kirmayer et al, 2000). According to Health Canada document on suicide prevention, suicides rate is highest in the world among Inuit youth. In Nunavut, 1989 to 1993 suicides rate was 79 cases in 10000, but in 1999 to 2003 the cases were risen to 119. (Aboriginal Nurses Association Canada (A.N.A.C, 2009, p.9). Furthermore, over the last 20 years, a number of studies have demonstrated the importance of culture to the health and health care of Aboriginal people. The limited understanding of Aboriginal cultures by some biomedical health care professionals can result in health conditions going unrecognized, or errors occurring in diagnosis and treatment. A study based on a comparative analysis of Aboriginal and non-Aboriginal hospital psychiatric admissions in North western Ontario suggested that some Aboriginal people admitted for …show more content…
Similar to other organizations, NAHO has also released the fact sheets and position statements regarding aboriginal health issues. In 2008, NAHO published a guide "Cultural Competency and Safety: A Guide for Health Care Administrators, Providers, Educators". The focus of this guide is on the need for cultural safety in education programs and health care. In order to improve cultural safety, education, recognizing diversity of population, historical context, and understanding health care provider and patient relationship is essential. NAHO further focuses on how the cultural safety improve the health care quality of the aboriginal by integrating client 's health beliefs into medical treatment, determining communication techniques and decision making process.(Baba,L.2013, p 11). In addition, NAHO focuses on providing culturally safety education to student nurses which emphasizes on teaching students about history of colonization and its impact on health of indigenous people rather than on increasing the knowledge of values and beliefs about aboriginal in terms of
Firstly, gender disparity plays a significant role in aboriginal health, especially in the administration of health care. In Aboriginal culture, there are certain health practices that can only be done by either men or women, but not all (Bonvillain, 2001). In most cases, women are treated by their female counterparts whereas male doctors handle male patients. This means that a male doctor cannot undertake a vaginal inspection and a female nurse cannot teach an aboriginal man about self-catheterization. As a result, a breach of this traditional gender division, for instance a male doctor helping a woman in emergencies, is likely to cause shame, distress, depression, and fear of breaking a particular taboo (Freud, 2000).
Ed. Shelagh Rogers, Mike DeGagné, Jonathan Dewar, and Glen Lowry. Ottawa, Ont.: Aboriginal Healing Foundation, 2006. Print.
Traditional healing methods were based upon traditional Aboriginal spirituality beliefs.(p18). This spiritual belief system stated that “people exist within this context as worthy creatures, but no more worthy than any other being. To live secure, healthy lives through acknowledging and respecting the spiritual as well as the physical world, because there is no difference between the two.”(p71). The whole Aboriginal culture was based around these beliefs. Everyone in the community was treated as equal with acknowledgment and respect. Therefore those who deemed to follow the cultural beliefs had no difficulty in understanding the healing practices of the people. This appreciation of equality and respect was an advantage to the Aboriginal people, especially within their healing methods.
...ans, is especially crucial in the health care setting in order to build a relationship between Indigenous and non-Indigenous Australians and to break down communication barrier’s. To provide Indigenous people with adequate health care emphasis needs to be placed on understanding indigenous beliefs and the social detriments Indigenous communities are faced with.
...fficient training for health workers, communication barriers, a general mistrust in the health care system and culture shock has contributed to issues in delivering services to many Indigenous communities. The reason to why these issues have emerged is a result of two main factors, the lack of health services that are needed to address the issue and the silence of Indigenous communities which leads to misunderstanding between the government and Indigenous communities. Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor healthcare system and policies that haven’t had a positive effect on the issue. For the issue of Indigenous health to be resolved, the Government and social policies need to address and meet the need of Indigenous people to overcome the poor health conditions that these communities suffer.
Health care inequities can be elucidated by the research that identifies the social, economic and political ideologies that reflect aspects of cultural safety (Crandon, 1986; O’Neil, 1989 as cited in Browne & Fiske, 2001). There are various factors that affect the mistreatment of aboriginal peoples as they access health care in local health care facilities such as hospitals and clinics. Aboriginal women face many barriers and are discriminated against as a result based on their visible minority status such as race, gender and class (Gerber, 1990; Dion Stout, 1996; Voyageur, 1996 as cited in Browne & Fiske, 2001). A study done on Aboriginal peoples in Northern B.C. showed high rates of unemployment, underemployment and dependency on social welfare monies (Browne & Fiske, 2001). This continued political economic marginalisation of aboriginal peoples widens the gap between the colonizers and the colonized. The existence of racial profiling of aboriginal peoples by “Indian status” often fuels more stigmatization of these people because other Canadians who do not see the benefits of compensations received with having this status often can be resentful in what they may perceive is another compensation to aboriginal peoples. The re...
Since colonialism after the invasion, Australia indigenous peoples have experienced a great deal of loss of identity, loss, disempowerment, cultural alienation, grief. Many indigenous people's mental and physical health impaired. Suicide, family violence, drug abuse and unemployment rates is higher than the Australian average(Berry et al. 2012). That is complicated to contributing to develop and support sustainable mental health and social wellbeing for Australian aboriginals staying in rural areas ,related to much diversity involved in and between individuals and communities (Guerin & Guerin 2012).
To help resolve these issues of youth education there needs to be a curriculum change where there becomes a willingness to confront fear and ignorance; this is ought to be a starting place for learning about Indigenous health. People who are facilitating these health and wellness institutions or workshops in schools need to acknowledge that now knowing and understanding Indigenous culture is a perpetual issue that impacts the health and wellness of Indigenous and their relationship to non-Indigenous
Puzan (2003, p. 197) discusses racial stratification being responsible for organizing social relations, meaning that through language and practice, nurses participate in the production and maintenance of patient identities. Nurses are vulnerable to interacting and responding to patients with unconscious biases, relying on embedded and accepted stereotypes. Racial health care inequality is a multidimensional problem, with barriers to health care involving the health care system, the patient, community, and health care providers themselves. A lack of awareness and education pertaining to issues of race, racism, and whiteness contribute to poor perceptions are being addressed within Australian nursing curriculum (Van Den Berg, 2010, p. 2). The relationship between health and racism has been found as the cause of persistent health differences by racial or ethnic classification and racism is identified as the root cause of the extreme socio-economic and health disadvantage experienced by Aboriginal Australians (Larson et al, 2007, p. 26). Possessing a diversity and cross cultural competency is important, as is paying attention to systemic policies and procedures that negatively impact a nurse’s ability to provide adequate care to people of all races.
Often used as a coping mechanism to deal with PTSD, alcohol abuse throughout modern Aboriginal culture proves to be a major cause for concern. According to a report by Health Canada (2003), 79 percent of individuals in First Nations communities suffered from alcohol abuse, and 59 percent from drug abuse. Additionally, a study conducted by the National Native Addictions Partnership Foundation (2002) found deaths due to alcohol consumption among Aboriginal population to be 43.7 per 100,000, twice the rate of the general population (23.6 per 100,000). Staggering figures when compared to the overall population of Canada, the statistics indicated portray the extensive damage caused by residential schools. The phenomena of historical trauma and Residential School Syndrome are large contributors to the social and cultural epidemic of alcohol abuse in Native communities. With a strong correlation to PTSD, alcohol is also used also to cope with issues beyond that of mental illness, including economic and social hardships, which are not directly related to residential schools. Yet, even when not related to mental illness, alcohol abuse is still the result of interaction with European culture. Prior to the arrival of European colonists in North Ameri...
Saman Khan states that “Aboriginal people have a holistic view of mental wellness” (2008) and Khan illustrates that this means “wellness means being in a state of balance with family, community, and the larger environment”. (2008) This means that Aboriginal people in general value family value more than a typical European. Which is the difference of European models of psychiatric care, which is to according to Khan is to remove the person from their surroundings. (2008) If you think about an approach foreign to aboriginal peoples shouldn’t work with aboriginal people who have different values in life. The mistreatment of Aboriginal people is not the only thing that is affecting their health. Aboriginal people live in remote communities that health care cannot be received in time to fight the illness and
Walter, M. (2007). Aboriginality, poverty and health-exploring the connections. Beyond bandaids: exploring the underlying social determinants of aboriginal health. [online] Retrieved from: http://www.lowitja.org.au/sites/default/files/docs/Beyond-Bandaids-CH5.pdf/ [Accessed 10 Apr 2014]
The advocation for more effective and adequate mental health services for American Indian youth should be prioritized in terms of allocating resources for a number of reasons. The first reason is the consequen...
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Cultural competence is a skill essential to acquire for healthcare providers, especially nurses. Cooperating effectively and understanding individuals with different backgrounds and traditions enhances the quality of health care provided by hospitals and other medical facilities. One of the many cultures that nurses and other health care providers encounter is the American Indian or Native American culture. There are hundreds of different American Indian Tribes, but their beliefs and values only differ slightly. The culture itself embodies nature. To American Indians, “The Earth is considered to be a living organism- the body of a higher individual, with a will and desire to be well. The Earth is periodically healthy and less healthy, just as human beings are” (Spector, 2009, p. 208). This is why their way of healing and symbolic items are holistic and from nature.