Although the health of Indigenous peoples is affected by structural inequities, interventions to address health inequities are often focused locally rather than at a structural level where they could play a transformative role. Addressing structural health inequities by involving Indigenous peoples in health-policy discourses can serve to address power imbalances that are implicit in policymaking processes. Using an analytical framework based on interdisciplinary perspectives rooted in critical and decolonizing approaches, the author presents a discussion of theoretical considerations for including Indigenous peoples in policy discourses as a means of addressing health inequities. She argues that the involvement of Indigenous peoples in health-policy discourses has the potential to mitigate epistemological colonialism, push forward an agenda of decolonization, and address health inequities caused by inequitable systems of power. The article concludes with suggestions for future research and implications for nursing and health professionals of addressing structural inequities through attention to policy discourses.
The purpose of this study was to discover and describe the meanings and expressions of cultural care of a group of Thai immigrants in Sweden. Participants included 15 key informants and 24 general informants living in and around the town of Uppsala. The conceptual framework was provided by Leininger's theory of cultural care diversity and universality. Use was made of the ethnonursing method and the Sunrise Model in the search for multiple and related dimensions that influenced the generic and professional care practices of the Thai immigrants. Four major themes were formulated. Thus, care (a) means family and kinship relationships as expressed in daily life, (b) is expressed in traditional gender roles, (c) means religious beliefs as expressed in the Buddhist worship, and (d) means support of traditional health care practices. These themes support the cultural care theory and also confirm the Sunrise Model.
Transcultural nursing should be the main focus of the nurse in any setting. Increased mobility of society demonstrates the need to understand anthropologic and cultural differences. The Valley provides a laboratory in which transcultural nursing can be examined more closely. Cadena recommends that MA nurses remain open to personal feelings generated by relationships with MA patients. The astute nurse assesses each patient's level of assimilation and provides care based on the findings. Comprehensive communication and patient and family participation are the keys to successful transcultural nursing. Sensitivity to modesty and pride translates into professional understanding of holistic needs rather than humiliation and alienation of the patient. At VBMC, these concepts are translated into working systems through the UACs and the bedside-managed care delivery system.
The authors briefly introduce a clinical outreach initiative that is innovative because of the types of partnerships that have been formed within an inner-city community context. The initiative was designed to foster access to primary health care and specialized services for children and families who are vulnerable because of their social and material circumstances.Through ongoing engagement and dialogue, the clinicians and the community have developed a number of points of engagement with the children and families.The authors use the case of Learning Circles to describe ways in which Indigenous knowledge and ways of being influenced the approaches taken to working with children and families. They reflect upon the ways in which this approach influenced community engagement and consider its potential for achieving health equity.
Although many health concerns of women in India differ from those of Indian women in Canada, both groups of women have a high incidence of low birthweight babies. The question of how best to improve the health status of pregnant Indo-Canadian women and consequently improve pregnancy outcomes is a complex one. It involves the availability and allocation of financial and human resources, the integration of Indian cultural beliefs and attitudes with Western biomedical knowledge, the status of women in Indian culture, and Canadian social and economic issues such as demographic changes, changes in the role of the family, government policies, economic restructuring and so on.