Creating space for Indigenous healing practices in patient care plans

Background: The Truth and Reconciliation Commission of Canada’s Calls to Action ask that those who can effect change within the Canadian healthcare system recognize the value of Indigenous healing practices and support them in the treatment of Indigenous patients. Methods: We distributed a...

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Autores principales: Lindsey Logan, Jacinta McNairn, Shelley Wiart, Lynden Crowshoe, Rita Henderson, Cheryl Barnabe
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Lenguaje:EN
Publicado: Canadian Medical Education Journal 2020
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Acceso en línea:https://doaj.org/article/d9a2e1e9e1d24d8697e54526c778e37b
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spelling oai:doaj.org-article:d9a2e1e9e1d24d8697e54526c778e37b2021-12-01T22:41:27ZCreating space for Indigenous healing practices in patient care plans10.36834/cmej.686471923-1202https://doaj.org/article/d9a2e1e9e1d24d8697e54526c778e37b2020-03-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/68647https://doaj.org/toc/1923-1202 Background: The Truth and Reconciliation Commission of Canada’s Calls to Action ask that those who can effect change within the Canadian healthcare system recognize the value of Indigenous healing practices and support them in the treatment of Indigenous patients. Methods: We distributed a survey to the Canadian Rheumatology Association membership to assess awareness of Indigenous healing practices, and attitudes informing their acceptance in patient care plans. Results: We received responses from 77/514 members (15%), with most (73%) being unclear or unaware of what Indigenous healing practices were. Nearly all (93%) expressed interest in the concept of creating space for Indigenous healing practices in rheumatology care plans. The majority of support was for the use in preventive or symptom management strategies, and less as adjuncts to disease activity control. Themes identified through qualitative analysis of free-text responses included a desire for patient-centered care and support for reconciliation in medicine, but with a colonial construct of medicine, demonstration of an evidence bias, and hierarchy of medicines. Conclusions: Overall, respondents were open to the idea of inclusion of Indigenous healing practices in patient’s car plans, emphasizing importance for patient empowerment and patient-centered care. However, they cited concerns that provide the indication for further learning and reconciliation in medicine. Lindsey LoganJacinta McNairnShelley WiartLynden CrowshoeRita HendersonCheryl BarnabeCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 1 (2020)
institution DOAJ
collection DOAJ
language EN
topic Education (General)
L7-991
Medicine (General)
R5-920
spellingShingle Education (General)
L7-991
Medicine (General)
R5-920
Lindsey Logan
Jacinta McNairn
Shelley Wiart
Lynden Crowshoe
Rita Henderson
Cheryl Barnabe
Creating space for Indigenous healing practices in patient care plans
description Background: The Truth and Reconciliation Commission of Canada’s Calls to Action ask that those who can effect change within the Canadian healthcare system recognize the value of Indigenous healing practices and support them in the treatment of Indigenous patients. Methods: We distributed a survey to the Canadian Rheumatology Association membership to assess awareness of Indigenous healing practices, and attitudes informing their acceptance in patient care plans. Results: We received responses from 77/514 members (15%), with most (73%) being unclear or unaware of what Indigenous healing practices were. Nearly all (93%) expressed interest in the concept of creating space for Indigenous healing practices in rheumatology care plans. The majority of support was for the use in preventive or symptom management strategies, and less as adjuncts to disease activity control. Themes identified through qualitative analysis of free-text responses included a desire for patient-centered care and support for reconciliation in medicine, but with a colonial construct of medicine, demonstration of an evidence bias, and hierarchy of medicines. Conclusions: Overall, respondents were open to the idea of inclusion of Indigenous healing practices in patient’s car plans, emphasizing importance for patient empowerment and patient-centered care. However, they cited concerns that provide the indication for further learning and reconciliation in medicine.
format article
author Lindsey Logan
Jacinta McNairn
Shelley Wiart
Lynden Crowshoe
Rita Henderson
Cheryl Barnabe
author_facet Lindsey Logan
Jacinta McNairn
Shelley Wiart
Lynden Crowshoe
Rita Henderson
Cheryl Barnabe
author_sort Lindsey Logan
title Creating space for Indigenous healing practices in patient care plans
title_short Creating space for Indigenous healing practices in patient care plans
title_full Creating space for Indigenous healing practices in patient care plans
title_fullStr Creating space for Indigenous healing practices in patient care plans
title_full_unstemmed Creating space for Indigenous healing practices in patient care plans
title_sort creating space for indigenous healing practices in patient care plans
publisher Canadian Medical Education Journal
publishDate 2020
url https://doaj.org/article/d9a2e1e9e1d24d8697e54526c778e37b
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AT lyndencrowshoe creatingspaceforindigenoushealingpracticesinpatientcareplans
AT ritahenderson creatingspaceforindigenoushealingpracticesinpatientcareplans
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