Ginn Carla S, Ginn Craig W C, Gervais Lawrence, Gentes Judy, Bergum Doreen Dumont Vaness, Rees Noelle, Ronald Travis, Doupé Tom, Camponi Ashley
Faculty of Nursing (C.S. Ginn) and Department of Classics and Religion (C.W.C. Ginn), University of Calgary; Métis Nation of Alberta - Region 3 (Gervais, Gentes, Bergum, Rees, Ronald, Doupé, Camponi), Calgary, Alta.
CMAJ Open. 2021 Apr 22;9(2):E451-E458. doi: 10.9778/cmajo.20200018. Print 2021 Apr-Jun.
There is a lack of Métis-guided participatory research on factors that contribute to individual, family and community well-being, such as developing social support and engaging in cultural, social and historical processes for healing and health. The purpose of this study was to explore links among health, spirituality and well-being within the Métis Nation of Alberta (MNA) - Region 3.
In the largest of 12 MNA - Region 3 communities, together with a working group of 9 community members, informal and elected leaders, and an Elder, we codeveloped a qualitative structured survey exploring health, spirituality and well-being. Following face-to-face distribution of the paper survey to community members (February to March 2019), we engaged with 7 working group members in coding and theme development. Results were shared with the community.
Thirty-one community members requested surveys, with 29 participants aged 28-80 years (mean 54.77 yr, standard deviation 15.31 yr) completing the surveys (94% completion rate). Six participants were in the working group that codeveloped the survey. An overarching theme of connection and 4 corresponding subthemes were identified; central to well-being was maintaining connection and balance in mental, emotional, spiritual and physical aspects of health. Connection to Métis ancestry required understanding identity; connection to community involved feeling at home; connection to land included belonging; and connection to tradition encompassed blending of cultures.
Connection among ancestry, land, community and tradition contributed to well-being in our sample. Under the direction of each MNA region, exploration of health, spirituality and well-being with the use of our survey could be considered in community-specific Métis-guided ways across the remaining 5 MNA regions; the survey may also be of use to other provincial bodies in the Métis Nation.
缺乏由梅蒂斯人主导的参与式研究，以探讨有助于个人、家庭和社区福祉的因素，例如发展社会支持以及参与文化、社会和历史进程以促进康复与健康。本研究的目的是探索艾伯塔省梅蒂斯民族（MNA）第3地区内健康、灵性与福祉之间的联系。
在MNA第3地区的12个社区中最大的一个社区，我们与9名社区成员、非正式和当选领导人以及一位长者组成的工作小组共同制定了一项定性结构化调查，以探索健康、灵性与福祉。在将纸质调查问卷面对面分发给社区成员（2019年2月至3月）之后，我们与7名工作小组成员一起进行编码和主题开发。结果与社区进行了分享。
31名社区成员索要调查问卷，29名年龄在28 - 80岁之间（平均54.77岁，标准差15.31岁）的参与者完成了调查（完成率94%）。6名参与者来自共同制定调查问卷的工作小组。确定了一个总体的联系主题以及4个相应的子主题；福祉的核心是在健康的心理、情感、灵性和身体方面保持联系与平衡。与梅蒂斯血统的联系需要了解身份认同；与社区的联系意味着有归属感；与土地的联系包括归属；与传统的联系涵盖文化融合。
在我们的样本中，血统、土地、社区和传统之间的联系有助于福祉。在每个MNA地区的指导下，可以以特定于社区的梅蒂斯人主导的方式，在其余5个MNA地区考虑使用我们的调查问卷来探索健康、灵性与福祉；该调查问卷可能对梅蒂斯民族的其他省级机构也有用。
