Wabishki Bizhiko Skaanj Learning Pathway, Can-SOLVE CKD Network, Vancouver, BC, Canada.
Indigenous Peoples' Engagement and Research Council, Can-SOLVE CKD Network, Vancouver, Canada.
Can J Public Health. 2021 Oct;112(5):912-918. doi: 10.17269/s41997-020-00468-2. Epub 2021 May 18.
In Canada, Indigenous people experience racism across diverse settings, including within the health sector. This has negatively impacted both the quality of care that Indigenous people receive as well as how research related to Indigenous populations is conducted. Therefore, an Indigenous-led council at a kidney research network, in partnership with other key stakeholders, sought to create a learning pathway that aims to distill the racism that Indigenous people face, and build cultural competence, within the health sector.
The learning pathway was designed for researchers, health care providers, patient partners and administrators.
Various components of the pathway are established trainings in healthcare and research settings at provincial and national levels. Provincially, some components are implemented in British Columbia, Alberta, Saskatchewan, Manitoba and Ontario.
The pathway, called Wabishki Bizhiko Skaanj (meaning "White Horse" in Anishinaabemowin), involves six key steps: a culturally tailored blanket exercise that walks participants through the history of local Indigenous Nations/peoples; a more detailed online training program (San'yas); a series of webinars on Indigenous research ethics and protocols; an educational booklet about engaging Knowledge Keepers in research, as well as sharing details about their traditional knowledge and culture; two certification programs about Indigenous ownership of data; and a "book club," wherein the conversation of racism-and the goal for finding solutions-is continually discussed.
Wabishki Bizhiko Skaanj is working to build cultural competence in the Canadian health sector.
This learning pathway has the potential to address racial disparities across the country and improve health outcomes for Indigenous peoples.
在加拿大，原住民在各种环境中都经历着种族主义，包括在医疗保健领域。这不仅对原住民接受的医疗质量产生了负面影响，也对与原住民人口相关的研究产生了负面影响。因此，一个肾脏研究网络中的原住民领导委员会与其他主要利益相关者合作，寻求创建一条学习途径，旨在提炼原住民所面临的种族主义，并在医疗保健领域建立文化能力。
学习途径是为研究人员、医疗保健提供者、患者伙伴和管理人员设计的。
该途径的各种组成部分是在省和国家各级的医疗保健和研究环境中设立的培训。在省级层面，一些组成部分在不列颠哥伦比亚省、艾伯塔省、萨斯喀彻温省、马尼托巴省和安大略省实施。
该途径名为 Wabishki Bizhiko Skaanj（在奥吉布瓦语中的意思是“白马”），包括六个关键步骤：一项文化上量身定制的毛毯练习，引导参与者了解当地原住民/民族的历史；一个更详细的在线培训计划（San'yas）；一系列关于原住民研究伦理和协议的网络研讨会；一本关于在研究中让知识守护者参与并分享他们的传统知识和文化的教育手册；关于原住民对数据所有权的两个认证计划；以及一个“读书俱乐部”，在这个俱乐部中，不断讨论种族主义问题以及寻找解决方案的目标。
Wabishki Bizhiko Skaanj 正在努力在加拿大医疗保健领域建立文化能力。
这条学习途径有可能解决全国范围内的种族差异问题，并改善原住民的健康结果。
