School of Nursing, University of British Columbia (Dr Horrill), and Nursing and Allied Health Research and Knowledge Translation, BC Cancer (Dr Horrill), Vancouver, British Columbia, Canada; College of Nursing (Drs Martin and Schultz) and Department of Community Health Sciences (Dr Lavoie), University of Manitoba, Winnipeg, Manitoba, Canada.
ANS Adv Nurs Sci. 2022;45(4):292-308. doi: 10.1097/ANS.0000000000000428. Epub 2022 Jun 13.
Inequitable access to oncology care is a significant issue among Indigenous Peoples in Canada; however, the perspectives of oncology nurses have not been explored. Guided by an interpretive descriptive methodology, we explored nurses' perspectives on access to oncology care among Indigenous Peoples in Canada. Nurses described the health care system as "broken" and barriers to accessing oncology care as layered and compounding. Lack of culturally safe care was articulated as a significant issue impacting equitable access, while biomedical discourses were pervasive and competed with nurses' attempts at providing culturally safe and trauma- and violence-informed care by discounting the relational work of nurses.
在加拿大，癌症护理的不平等获取是一个在原住民中存在的重大问题；然而，肿瘤护士的观点尚未得到探索。在解释性描述方法的指导下，我们探讨了护士对加拿大原住民获得肿瘤护理的看法。护士们将医疗保健系统描述为“破碎”的，并且获得肿瘤护理的障碍是分层和复杂的。缺乏文化安全的护理被认为是影响公平获取的一个重要问题，而生物医学话语普遍存在，并通过贬低护士的关系工作，与护士提供文化安全、创伤和暴力知情护理的尝试相竞争。
