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Rehabilitation challenges for Aboriginal clients recovering from brain injury: a qualitative study engaging health care practitioners.

https://arctichealth.org/en/permalink/ahliterature152713
Source
Brain Inj. 2009 Mar;23(3):250-61
Publication Type
Article
Date
Mar-2009
Author
Michelle L Keightley
Ruwan Ratnayake
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Alice Bellavance
Claudine Longboat-White
Angela Colantonio
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2009 Mar;23(3):250-61
Date
Mar-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Attitude of Health Personnel - ethnology
Brain Injuries - epidemiology - ethnology - rehabilitation
Continuity of Patient Care
Cultural Diversity
Female
Health Services, Indigenous - standards
Humans
Male
Middle Aged
Patient compliance
Qualitative Research
Young Adult
Abstract
To explore the experiences of health care practitioners working with Aboriginal clients recovering from acquired brain injury (ABI).
Participatory research design using qualitative methods.
Fourteen in-depth, semi-structured interviews were conducted. The Framework Method of analysis was used to uncover emerging themes.
Five main categories emerged: practitioners' experience with brain injury, practitioners' experience with Aboriginal clients, specialized needs of Aboriginal clients recovering from brain injury, culturally sensitive care and traditional healing methods. These categories were then further divided into emergent themes and sub-themes where applicable, with particular emphasis on the specialized needs of Aboriginal clients.
Each emergent theme highlighted key challenges experienced by Aboriginal peoples recovering from ABI. A key challenge was that protocols for rehabilitation and discharge planning are often lacking for clients living on reserves or in remote communities. Other challenges included lack of social support; difficulty of travel and socio-cultural factors associated with post-acute care; and concurrent disorders.
Results suggest that developing reasonable protocols for discharge planning of Aboriginal clients living on reserves and/or remote communities should be considered a priority.
PubMed ID
19205962 View in PubMed
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From health care to home community: an Aboriginal community-based ABI transition strategy.

https://arctichealth.org/en/permalink/ahliterature138013
Source
Brain Inj. 2011;25(2):142-52
Publication Type
Article
Date
2011
Author
Michelle Keightley
Victoria Kendall
Shu-Hyun Jang
Cindy Parker
Sabrina Agnihotri
Angela Colantonio
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Claudine Longboat-White
Alice Bellavance
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2011;25(2):142-52
Date
2011
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Brain Injuries - ethnology - rehabilitation
Community Health Services - standards
Continuity of Patient Care - standards
Female
Focus Groups
Health Services Accessibility
Health Services, Indigenous - standards
Humans
Longitudinal Studies
Male
Ontario
Patient Discharge
Prospective Studies
Qualitative Research
Self Report
Abstract
To explore the barriers and enablers surrounding the transition from health care to home community settings for Aboriginal clients recovering from acquired brain injuries (ABI) in northwestern Ontario.
Participatory research design using qualitative methods.
Focus groups conducted with clients with ABI, their caregivers and hospital and community health-care workers. The Framework Method of analysis was used to uncover emerging themes.
Six main categories emerged: ABI diagnosis accuracy, acute service delivery and hospital care, transition from hospital to homecare services, transition from hospital to community services, participant suggestions to improve service delivery and transition, and views on traditional healing methods during recovery.
A lack of awareness, education and resources were acknowledged as key challenges to successful transitioning by clients and healthcare providers. Geographical isolation of the communities was highlighted as a barrier to accessibility of services and programmes, but the community was also regarded as an important source of social support. The development of educational and screening tools and needs assessments of remote communities were identified to be strategies that may improve transitions.
Findings demonstrate that the structure of rehabilitation and discharge processes for Aboriginal clients living on reserves or in remote communities are of great concern and warrants further research.
PubMed ID
21219087 View in PubMed
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Improving the health status of Alaskans: University of Alaska's role

https://arctichealth.org/en/permalink/ahliterature76390
Source
University of Alaska Anchorage. 15 p.
Publication Type
Report
Date
May-2004
University is expanding delivery of its village-based counselor program, Rural Human Services, acclaimed for its successful integration of western and traditional models of healing. !Baccalaureate and Masters level social work programs are expanding to serve urban and rural students using distance
  1 document  
Author
Perdue, K
Happ, G
Author Affiliation
University of Alaska Anchorage
Source
University of Alaska Anchorage. 15 p.
Date
May-2004
Language
English
Geographic Location
U.S.
Publication Type
Report
File Size
381844
Keywords
Alaska
Health care
Abstract
The University of Alaska has a major role to play in improving the health status of Alaskans by educating the workforce needed in the health care field and by tackling tough health research questions. Health education and research has become a major focus of UA. That's because the University is responding to a tremendous need, as expressed by industry, for a trained health care workforce, especially in nursing, allied health, and behavioral health.
Notes
Available online
Documents

UA_Improving-the-Health-Status-of-Alaskans_n.d.pdf

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Health research in Alaska: A report in response to SJR 44

https://arctichealth.org/en/permalink/ahliterature76391
Source
Fairbanks, Alaska
Publication Type
Report
Date
Aug-2004
A Report in Response to SJR 44 UNIVERSITY of ALASKA Many Traditions One Alaska AUGUST 2004 COVER PHOTO CREDITS BACKGROUND PHOTO: LEONE THIERMAN INSETS (FROM TOP LEFT): CJ RED KEITH BRADLEY; UAF I RYAN WILSON; UAF/DEBBIE DEAN; COURTESY KAREN PERDUE;@ PATRICK J. ENDRES
  1 document  
Author
Perdue, K
Happ, G
Author Affiliation
University of Alaska
Source
Fairbanks, Alaska
Date
Aug-2004
Language
English
Geographic Location
U.S.
Publication Type
Report
File Size
41059871
Physical Holding
Alaska Medical Library
University of Alaska Anchorage
Keywords
Behavioral health
Biomedical research
Disability
Gerontology
Health disparities
Health services
Injury surveillance and prevention
Maternal, child, and family health
Abstract
In 2002, the Alaska Legislature passed SJR44 which requests that state and federal agencies work together to develop a joint research and development plan to help expand and diversify Alaska's economy, strengthen and maintain state research institutions, and protect the health of Alaskans and the environment of Alaska. The University of Alaska (UA) is taking the lead in coordinating the development of the state's health and welfare research agenda. Over the next few months, the UA's Health Research Task Force will work with representatives of state and federal agencies to identify research priorities and to develop and present a plan to the Legislature. Planning efforts will focus on the greatest threats to the health and welfare of Alaskans, as well as other issues/areas that will attract the best researchers. Planning efforts will focus on the greatest threats to the health and welfare of Alaskans, as well as other issues/areas that will attract the best researchers.
Notes
Available upon request at the Alaska Medical Library, located on the second floor of UAA/APU Consortium Library. Ask for accession no. 76391.
ALASKA RA447.A4 H42 2004
Documents
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