In Canada, consistent growth of Aboriginal health and social inequities signal a critical need for public policy juncture (Richmond & Cook, 2016) Richmond & Cook identify that current public policy fails to meet Canadian Aboriginal health needs, as influences of historic colonialism still perpetuate current public policies (2016).It is understood that colonialism efforts destroyed First Nations political and economic systems, trivializing and degrading world views And further, causing dislocation and detachment from culture causing rippling intergenerational effects(Wasekeesikaw, 2014). These impacts of colonialism are significant still today, contributing to unique social determinants of health that present largely in social and health inequities. …show more content…
Wasekeesikaw, (2016) states that not only do biases and lack of cultural knowledge contribute to inadequate delivery of health services, but also correlate with perceptions Aboriginal people have with nurses and the nursing profession. With policies still deeply rooted in colonization, nurses may be seen as contributing factors in inability to access health care and negatively influence nurse patient relations(Wasekeesikaw, 2014).
Richmond and Cook identify that a growing body of research highlights the impact racism has on health and health status, in addition to evolving racial attitudes and practices through institutional approaches and system development (2016) The CNA and ANA working collaboratively together have identified that the commitment to addressing institutional barriers including racism and discrimination to support positive change for quality of care (CNA, 2016). However, the growing inequities and disparity warrant a critical need to examine current political policies contributing to the marginalization and disparity of Aboriginal Peoples. Current policies, rooted in colonization necessitate a healthcare reform where culturally specific and safe healing systems are implemented (Wasekeesikaw, 2014). By examining colonization impact on current policies, individual nurses are better equipped to understand health inequities, and
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Colonization, an assimilation process whereby First Nations peoples economic and political systems were destroyed has had detrimental and lasting effects on First Nations health and way of life. (Wasekeesikaw, 2014). With European settlers came the displacement of First Nations and to adoption of government policies to protect, civilize and assimilate First Nations into Canadian Society. The assimilation process depleted both the physical and spiritual health of First nations peoples, repressing First nations governance and cultural identity (Wasekeesikaw, 2014). To add insult, the inherent oppressive nature of past policies lingers in current policies and continue to contribute to health disparity among First peoples
Indigenous Australian’s health has been a focal point and topic of interest for many members of the government and policy markers. The reasoning for why this topic has been of popular interest for the government and policy makers is due to the startling and atrocious lack of health that Indigenous Australian’s suffer. Indigenous Australian’s are disadvantaged in the Australian healthcare system and have the poorest health out of all Australians. “Between 2004 and 2008, 66% of Indigenous deaths occurred before the age of 65 compared with 20% of non-Indigenous deaths.” (Red Dust, p.1) Indigenous Australian’s experience this major disadvantage and neglect in the Australian society due to the poor health care system and policies that haven’t been able to solve the issue. This essay will explore the significant and negative impact on the Indigenous communities and how policy decisions have impacted and continue to impact the Indigenous communities. This essay will also outline why there have been significant policy shifts over time, the current issues in delivering services to Indigenous Australian’s and why these issues have emerged.
Her book focuses on the myriads of issues and struggles that Indigenous men and women have faced and will continue to face because of colonialism. During her speech, Palmater addressed the grave effects of the cultural assimilation that permeated in Indigenous communities, particularly the Indian Residential School System and the Indian Act, which has been extensively discussed in both lectures and readings. Such policies were created by European settlers to institutionalize colonialism and maintain the social and cultural hierarchy that established Aboriginals as the inferior group. Palmater also discussed that according to news reports, an Aboriginal baby from Manitoba is taken away every single day by the government and is put in social care (CTVNews.ca Staff, 2015). This echoes Andrea Smith’s argument in “Heteropatriarchy and the Three Pillars of White Supremacy: Rethinking Women of Color Organizing” that colonialism continues to affect Aboriginals through genocide (2006, p. 68). Although such actions by the government are not physical acts of genocide, where 90% of Aboriginal population was annihilated, it is this modern day cultural assimilation that succeeded the Indigenous Residential School System and the Indian Act embodies colonialism and genocide (Larkin, November 4,
The Canadian population is composed of people with different cultural background that consist of different communities of immigrants and natives. The Aboriginal community is one of the native community living in Canada holding 4.3% of total population as per National Household Survey 2011 (Statistics Canada, 2011).The Aboriginal people are culturally diverse in Canada having unique historical, linguistic and social contexts. Distinct cultural background of the Aboriginal communities is one of the reason they are experiencing inequities and disparities in health status compared to the non-aboriginal people. In this regard, Canadian nurses are expected to learn about cultural diversity, knowledge, skills and attitudes to provide culturally
In a study, Li writes, “Healthcare team performance may be hindered due to the different cultural backgrounds of the nurses” (2014, p. 316). A report mentions that the IENs have less confidence in providing culturally competent care to the patients of the different culture due to lack of understanding of health beliefs, values and behaviors of that culture (Lampley, 2008). For instance, in Philippines, most of the decisions are made by the doctors. Nurses just follow doctors’ order in decision making (Tregunno, et al., 2009). But in Canada nurses are required to be more assertive and actively involved in decision-making and have more responsibility and accountability regarding patient care. Further, Canada is a multicultural country and
In Canada, access to health care is ‘universal’ to its citizens under the Canadian Health Care Act and this system is considered to the one of the best in the world (Laurel & Richard, 2002). Access to health care is assumed on the strong social value of equality and is defined as the distribution of services to all those in need and for the common good and health of all residents (Fierlbeck, 2011). Equitable access to health care does not mean that all citizens are subjected to receive the same number of services but rather that wherever the service is provided it is based on need. Therefore, not all Canadians have equal access to health services. The Aboriginal peoples in Canada in particular are a population that is overlooked and underserved
There are significant health disparities that exist between Indigenous and Non-Indigenous Australians. Being an Indigenous Australian means the person is and identifies as an Indigenous Australian, acknowledges their Indigenous heritage and is accepted as such in the community they live in (Daly, Speedy, & Jackson, 2010). Compared with Non-Indigenous Australians, Aboriginal people die at much younger ages, have more disability and experience a reduced quality of life because of ill health. This difference in health status is why Indigenous Australians health is often described as “Third World health in a First World nation” (Carson, Dunbar, Chenhall, & Bailie, 2007, p.xxi). Aboriginal health care in the present and future should encompass a holistic approach which includes social, emotional, spiritual and cultural wellbeing in order to be culturally suitable to improve Indigenous Health. There are three dimensions of health- physical, social and mental- that all interrelate to determine an individual’s overall health. If one of these dimensions is compromised, it affects how the other two dimensions function, and overall affects an individual’s health status. The social determinants of health are conditions in which people are born, grow, live, work and age which includes education, economics, social gradient, stress, early life, social inclusion, employment, transport, food, and social supports (Gruis, 2014). The social determinants that are specifically negatively impacting on Indigenous Australians health include poverty, social class, racism, education, employment, country/land and housing (Isaacs, 2014). If these social determinants inequalities are remedied, Indigenous Australians will have the same opportunities as Non-Ind...
Saggers, S., & Walter, M. (2007). Poverty and social class. In Bailie, Carson, Chanhall + Dunbar Social determinants of indigenous health. Crows Nest, N.S.W.: Allen & Unwin.
Introduction In this essay the writer will discuss the colonisation of Australia, and the effects that dispossession had on indigenous communities. It will define health, comparing the difference between indigenous and non- indigenous health. It will point out the benefits and criticism of the biomedical and sociological models of health, and state why it is important in healthcare to be culturally competent with transcultural theory. The case study of Rodney will be analyzed to distinguish which models of health were applied to Rodney’s care, and if transcultural theory was present when health care workers were dealing with Rodney’s treatment plan.
After colonization began there were countless detrimental changes to the indigenous way of life that took place. Neu (2000) discusses these detrimental changes in detail. The author accounts for the lost of their land and natural environment, the discouragement of their lifestyle focused on hunting and gathering, the separation of families via the residential school system, and the punishment received for the usage of traditional customs and language. In many ways the colonists disrespected the Aboriginal people by disregarding their fundamental needs and wants. Additionally, the process of colonization implemented some drastic gender role changes into Aboriginal culture. Colonization imposed European patriarchy, accompanied by racism and sexism, on the matriarchal Aboriginal cultures. As a result, the Aboriginal women of Canada lost their sense of purpose and responsibility, burdening them with less respect and power compared to the men. This loss contributed to many negative effects for these women and made them feel a strong sense of cultural estrangement.
Environmental justice can influence the population’s health. This environmental justice is relevant to nursing, because awareness brings changes and can save and improve many lives. When a person in a hospital or in a community setting is affected by a health problem, the entire community is at risk, knowing the population is lack of knowledge and have limited access to understand health care system. Therefore, a solution to eliminating cultural disparities is optimal for immigrant communities. In conformity with the Journal of Transcultural Nursing journal, nurses need to follow 12 steps to have a successful result when integrating cultural competence in the health care environment: social justice, critical reflection, knowledge of cultures, culturally competent practice, cultural competence in the health care systems and organizations, patient advocacy and empowerment, multicultural workforce, education and training in culturally competent care, cross-cultural communication, cross-cultural leadership, policy development, a...
There are 1.1 million Aboriginal peoples living in Canada as of 1996 and 408,100 of them are women (Statistics Canada, 2000; Dion Stout et al, 2001). More than half live in urban centres and two thirds of those reside in Western Canada (Hanselmann, 2001). Vancouver is comprised of 28,000 Aboriginal people representing 7% of the population (Joseph, 1999). Of this total population, 70% live in Vancouver’s poorest neighbourhood which is the Downtown Eastside (DTES).
As we learned throughout the duration of the course through lecture, readings and discussions, Indigenous Canadians are faced with many determinants of health.
Calma, T. & Dudgeon, P. 2013, Mental health gap must be addressed, The Australian, .
Similar to other marginalized groups affected by colonialism due to the government in power, the Indigenous peoples of Canada have struggled as a nation due to the unequal treatment they have encountered in the past. The governing bodies that control these Indigenous communities have continued to have colonialistic tendencies that attempt to put the ‘white man’s’ needs before the Indigenous peoples.
Department of Health South Australia. (2004). Cultural Respect Framework for Aboriginal and Torres Strait Islander Health. Australian Health Ministers’ Advisory Council. Standing Committee on Aboriginal and Torres Strait Islander Health Working Party