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Focus on first peoples first thousand days : Cultural safety from the perspectives of select Aboriginal women in Regina, Saskatchewan

dc.contributor.advisorDietrich Leurer, Marieen_US
dc.contributor.committeeMemberPetrucka, Pammlaen_US
dc.contributor.committeeMemberBassendowski, Sandraen_US
dc.creatorLaczko, Danaen_US
dc.date.accessioned2016-04-12T12:00:16Z
dc.date.available2016-04-12T12:00:16Z
dc.date.created2016-03en_US
dc.date.issued2016-04-11en_US
dc.date.submittedMarch 2016en_US
dc.description.abstractABSTRACT Background. A wealth of data highlights the health disparities and barriers to health care experienced by Aboriginal women and children when compared to non-Aboriginal women and children. The first thousand days time period, from conception to the age of two, is an opportunity for health professionals to positively impact the health of Aboriginal children with effects lasting into adulthood. Cultural safety has been reported to improve access to health care for Aboriginal Canadians, but little is known about the significance of cultural safety from the perspective of Aboriginal women during the first thousand days. Methodology. An interpretive descriptive design and a postcolonial perspective guided this study. In-depth interviews were conducted with six Aboriginal women at a community health centre located in the inner-city of Regina, Saskatchewan, between June and July of 2015. Data was analyzed using principles of interpretive description to determine themes. Findings. Culturally safe and unsafe care was experienced during the first thousand days. Three themes common to participants included: the importance of being able to trust that they are safe when accessing health care, the overwhelming impact of poverty on their ability to achieve or maintain good health, and finally, the experience of worry related to the first thousand days including the worry about being worthy of respectful, culturally safe treatment by all employed in health environments. Discussion. The perception of culturally safe care was significant in affecting access to health care for this group of participants. Findings of this study suggest that more attention needs to be paid to the development of trust in health care encounters, and future research could explore the concept of trust for Aboriginal peoples. Emphasis on awareness of the social determinants of health, including colonialism and racism, should be included in educational programming for health professionals locally.en_US
dc.identifier.urihttp://hdl.handle.net/10388/ETD-2016-03-2454en_US
dc.language.isoengen_US
dc.subjectAboriginalen_US
dc.subjectcultural safetyen_US
dc.subjectsocial determinants of healthen_US
dc.subjectnursingen_US
dc.subjectSaskatchewanen_US
dc.subjectinterpretive descriptionen_US
dc.titleFocus on first peoples first thousand days : Cultural safety from the perspectives of select Aboriginal women in Regina, Saskatchewanen_US
dc.type.genreThesisen_US
dc.type.materialtexten_US
thesis.degree.departmentNursingen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Saskatchewanen_US
thesis.degree.levelMastersen_US
thesis.degree.nameMaster of Nursing (M.N.)en_US

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