Alberta Health Services, Strategic Clinical Networks, Alberta Health Services Corporate Office, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street NW, Edmonton, AB, T5J 3E4, Canada.
Department of Emergency Medicine, University of Alberta, 790 University Terrace Building, 8303 - 112 Street, Edmonton, AB, T6G 2T4, Canada.
BMC Health Serv Res. 2022 Jun 21;22(1):804. doi: 10.1186/s12913-022-08129-5.
First Nations people experience racism in society and in the healthcare system. This study aimed to document emergency care providers' perspectives on care of First Nations patients. First Nations research partner organizations co-led all aspects of the research.
Sixteen semi-structured interviews were conducted with Alberta emergency department (ED) physicians and nurses between November 2019 and March 2020.
ED providers reported that First Nations patients are exposed to disrespect through tone and body language, experience overt racism, and may be neglected or not taken seriously. They described impacts of racist stereotypes on patient care, and strategies they took as individuals to address patient barriers to care. Recognized barriers to care included communication, resources, access to primary care and the ED environment itself.
Results may inform the content of anti-racist and anti-colonial pedagogy that is contextually tailored to ED providers, and inform wider systems efforts to counter racism against First Nations members and settler colonialism within healthcare.
第一民族人在社会和医疗保健系统中经历种族主义。本研究旨在记录急诊护理提供者对第一民族患者护理的看法。第一民族研究合作伙伴组织共同领导研究的各个方面。
2019 年 11 月至 2020 年 3 月，在艾伯塔省急诊室（ED）与医生和护士进行了 16 次半结构化访谈。
ED 提供者报告说，第一民族患者受到不尊重的言语和肢体语言的影响，经历公然的种族主义，并且可能被忽视或不被认真对待。他们描述了种族主义刻板印象对患者护理的影响，以及他们个人采取的策略来解决患者护理障碍。公认的护理障碍包括沟通、资源、获得初级保健和 ED 环境本身。
结果可以为针对急诊提供者量身定制的反种族主义和反殖民教育学的内容提供信息，并为更广泛的系统努力提供信息，以对抗医疗保健中针对第一民族成员的种族主义和殖民主义。
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