Podcast
Questions and Answers
What is one major factor that impacts the burden of disease for Indigenous groups?
What is one major factor that impacts the burden of disease for Indigenous groups?
Which of the following is a significant health concern for Indigenous peoples?
Which of the following is a significant health concern for Indigenous peoples?
What is a challenge in accessing health services for Indigenous populations?
What is a challenge in accessing health services for Indigenous populations?
How have nurses historically responded to health inequities among Indigenous populations?
How have nurses historically responded to health inequities among Indigenous populations?
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Which of the following concepts is related to improving Indigenous health care?
Which of the following concepts is related to improving Indigenous health care?
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What term is used legally to describe Indigenous peoples in Canada who are not Inuit?
What term is used legally to describe Indigenous peoples in Canada who are not Inuit?
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What was one significant impact of the Daniels v. Canada decision?
What was one significant impact of the Daniels v. Canada decision?
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Which concept refers to the holistic framework of health traditionally used by Indigenous cultures?
Which concept refers to the holistic framework of health traditionally used by Indigenous cultures?
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What does the term 'cultural genocide' refer to in the context of Indigenous history?
What does the term 'cultural genocide' refer to in the context of Indigenous history?
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What is a primary focus of the Truth and Reconciliation Commission in relation to Indigenous peoples?
What is a primary focus of the Truth and Reconciliation Commission in relation to Indigenous peoples?
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Which issue is considered a form of structural racism faced by Indigenous peoples?
Which issue is considered a form of structural racism faced by Indigenous peoples?
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The Medicine Wheel teachings emphasize which of the following perspectives?
The Medicine Wheel teachings emphasize which of the following perspectives?
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What does the term 'settler ally' refer to?
What does the term 'settler ally' refer to?
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Which of the following is NOT a characteristic of Indigenous world views?
Which of the following is NOT a characteristic of Indigenous world views?
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What is a primary goal of cultural safety in healthcare?
What is a primary goal of cultural safety in healthcare?
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Which of the following values is included in the Seven Grandfathers Teachings?
Which of the following values is included in the Seven Grandfathers Teachings?
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What does intergenerational trauma refer to in the context of Indigenous peoples?
What does intergenerational trauma refer to in the context of Indigenous peoples?
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Which language family includes more than 70 Indigenous languages reported in Canada?
Which language family includes more than 70 Indigenous languages reported in Canada?
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What aspect of Indigenous health does the Medicine Wheel emphasize?
What aspect of Indigenous health does the Medicine Wheel emphasize?
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What percentage of Canada's population is Indigenous?
What percentage of Canada's population is Indigenous?
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Which of the following groups is NOT considered an Indigenous group in Canada?
Which of the following groups is NOT considered an Indigenous group in Canada?
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What is one significant legacy of residential schools on Indigenous communities?
What is one significant legacy of residential schools on Indigenous communities?
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Which term describes the historical development of understanding culture in nursing practice?
Which term describes the historical development of understanding culture in nursing practice?
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What is NOT a component that should guide the nursing care of Indigenous peoples in Canada?
What is NOT a component that should guide the nursing care of Indigenous peoples in Canada?
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Which of the following concepts is essential for understanding relationships between Indigenous peoples and Europeans?
Which of the following concepts is essential for understanding relationships between Indigenous peoples and Europeans?
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What should cultural assessments in nursing primarily focus on?
What should cultural assessments in nursing primarily focus on?
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How should nursing practice approach the Indigenous concept of spirituality?
How should nursing practice approach the Indigenous concept of spirituality?
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What is the primary focus of cultural humility in the context of nursing?
What is the primary focus of cultural humility in the context of nursing?
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Which of the following is considered a social determinant of health?
Which of the following is considered a social determinant of health?
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What approach emphasizes the importance of vulnerability and risk-taking in health care?
What approach emphasizes the importance of vulnerability and risk-taking in health care?
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Which health condition is NOT listed as a health disparity experienced by Indigenous peoples?
Which health condition is NOT listed as a health disparity experienced by Indigenous peoples?
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What aspect of cultural competence is essential for nursing on an institutional level?
What aspect of cultural competence is essential for nursing on an institutional level?
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How do Indigenous peoples globally compare in terms of poverty?
How do Indigenous peoples globally compare in terms of poverty?
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Which of the following best describes trauma-informed care?
Which of the following best describes trauma-informed care?
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What is a common misconception about chronic illness among Indigenous populations?
What is a common misconception about chronic illness among Indigenous populations?
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Study Notes
Indigenous Health in Canada
- Indigenous population diversity is not homogenous
- Includes First Nations, Métis, and Inuit
- Each group has unique languages, heritages, cultural practices, and spiritual beliefs
- More than 70 Indigenous languages exist, grouped into 12 language families (2016 Census)
- Term "Indian" legally refers to Indigenous people who are not Inuit
- Included are Status, non-Status, and Treaty Indians
- The Daniels v. Canada decision had an impact
Indigenous History in Canada
-
Pre-European contact: Refers to the time period before European arrival and settlement
- Diverse Indigenous cultures existed across various regions like the Arctic, Western Subarctic, Eastern Subarctic, Northeastern Woodlands, the Plains, the Plateau, and the Northwest Coast
- The Inuit are a distinct population
- Holistic view of health encompassing traditional healers (shamans, herbalists)
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Post-European contact: Refers to the period following European arrival and settlement
- Colonialism:
- Settlers aimed to settle, plunder resources, and marginalize existing inhabitants
- Institutions and policies concerning Indigenous peoples (reserves, governance)
- Residential schools, intergenerational trauma, and cultural genocide
- Truth and Reconciliation Commission, Common Experience Payment, Financial settlements, and Commemoration initiatives
- Colonialism:
- Steps to becoming a settler ally involve self-awareness, self-education, creating a supportive environment, and taking action
- Post-European contact (cont.): Includes structural racism, delays in services for on-reserve children, assault against Indigenous women, child welfare issues (Sixties Scoop), Indigenous child poverty, and disproportionate incarceration rates
Cultural Orientations
- Indigenous worldviews are connected to the land, emphasizing collective well-being rather than individual gain
- Indigenous cultures often have a flexible concept of time, distinct from a linear Western view
- Indigenous cultures in Canada are diverse, with connections between physical and spiritual well-being, and many matriarchal cultures
- Indigenous health theories:
- Medicine Wheel: A circular representation of interconnectedness of life, core belief in sacredness, balance among emotional, physical, spiritual, and mental dimensions
- Modes of treatment include ceremonial, herbal and medicinal practices, and storytelling
- Seven Grandfathers Teachings (Seven Sacred Values): Includes wisdom, love, respect, bravery, honesty, humility, and truth
- Correlation between health and Indigenous worldview
Historical Development of Culture
- Key concepts: Cultural awareness, cultural humility, cultural safety, cultural sensitivity, culturally competent care and culturally congruent care
- Transcultural assessment model and transcultural nursing approaches
Cultural Safety and Humility
- Cultural safety focuses on considering the redistribution of power and resources in relationships.
- Cultural humility is a lifelong learning experience shaping character traits, actions focusing on respect and reflection of cultural assumptions/biases
Nursing Considerations and Indigenous Health
- Elements for respectful engagement with Indigenous peoples include considerations of respect, a reciprocal process; trust, including vulnerability, dependence, and risk-taking; spirituality, which should include traditional Indigenous faiths and healing; strengths-based approach to identify strengths; and trauma-informed care
Illness Experiences and Chronic Diseases
- Implications for nursing: Cultural competence, cultural safety, and humility are crucial for navigating chronic diseases
- Social determinants of health, including proximal, intermediate, and distal determinants
- Aspects of chronic diseases such as health disparities, diabetes mellitus, HIV/AIDS, cancer, tuberculosis, chronic obstructive pulmonary disease and asthma, cardiovascular disease, otitis media, rheumatic disease, and mental health
- Issues related to experiences of Indigenous people and COVID-19
Social Determinants of Health
- Social determinants of health are crucial for understanding the root cause of disparities in health among Indigenous Peoples
- Factors like health activities, geophysical environments, employment and income, education, food insecurity, infrastructure, community resources, environmental stewardship, cultural resurgence, colonial ideologies, colonial governance, and Indigenous self-determination are included
Indigenous Health—The Global Perspective
- Indigenous populations globally represent a significant portion of the impoverished populations
- Globally, they make up 5% of the population but contribute to about 15% of global poverty
- Indigenous peoples continue to face challenges like abuse and denial of human rights regarding health and land rights
- Recognition of the burden of disease among Indigenous groups requires understanding of the colonial impact
- Connections between determinants of health and illness patterns, lower health expectancy, and challenging access to holistic and culturally appropriate health services are present
Nurses and Indigenous Health
- Nurses are actively involved in advocacy related to health inequities and social injustices affecting Indigenous peoples
- Nurses play a key role in assisting Indigenous peoples to develop capacity to work closely with care systems, as radical reorientation is urgently needed
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Description
Explore the diverse Indigenous populations of Canada, including First Nations, Métis, and Inuit. Learn about their unique languages, cultural practices, and historical impacts before and after European contact. This quiz examines significant legal decisions and the holistic view of health traditionally held by Indigenous communities.
