Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Department of Health, Aging and Society, McMaster University, Hamilton, ON, Canada.
Qual Health Res. 2023 Jun;33(7):638-646. doi: 10.1177/10497323231167308. Epub 2023 Apr 14.
Western health research's approach to knowledge translation (KT) has been criticized by Indigenous scholars, leaders, and communities for its misalignment with Indigenous ways of knowing and relational approaches to sharing knowledge. Conversely, Indigenous KT is understood as 'sharing what we know about living a good life' (Kaplan-Myrth & Smylie, 2006). Whereas KT in Euro-Western science contexts focuses on closing the gap implying a separation of knowledge and action, knowledge in the Indigenous context is inherently practical and based on centuries old practices including oral traditions, experiential knowledge, and cross-cultural sharing. This article describes the development of a decolonized KT strategy. This community-engaged KT initiative was developed at the suggestion of Indigenous mothers who participated in a research study in Hamilton, Canada, which examined their experiences using health care to meet the health needs of their infants. Indigenous mothers participated in three main roles related to the KT activities: sharing their story in video, participating as team members on an Advisory Board, and directing the creation of a video series and website educational resource (KT strategy). Five Indigenous mothers participated as members of the Advisory Board. The process of participating had positive impacts on the mothers, namely, empowerment, strength, 'I am not alone', and healing. These unexpected findings, which go beyond the original project purpose to create an educational resource, show the significant and important benefits for research participants, particularly those from Indigenous communities, to be involved in decolonized KT strategies.
西方健康研究的知识转化(KT)方法因其与原住民的认知方式和分享知识的关系方法不一致,受到了原住民学者、领袖和社区的批评。相反,原住民的 KT 被理解为“分享我们关于美好生活的知识”(Kaplan-Myrth & Smylie,2006)。而在欧洲-西方科学背景下,KT 侧重于缩小差距,这暗示了知识和行动的分离,而在原住民背景下,知识本质上是实用的,并且基于包括口头传统、经验知识和跨文化分享在内的数百年的实践。本文描述了一种去殖民化 KT 策略的发展。这项社区参与的 KT 倡议是应参与加拿大汉密尔顿研究的原住民母亲的建议而提出的,该研究探讨了她们利用医疗保健满足婴儿健康需求的经验。原住民母亲在与 KT 活动相关的三个主要角色中参与:在视频中分享她们的故事、作为咨询委员会成员参与、并指导视频系列和网站教育资源的创建(KT 策略)。五名原住民母亲作为咨询委员会成员参与。参与的过程对母亲们产生了积极的影响,即赋权、力量、“我并不孤单”和疗愈。这些意想不到的发现超出了创建教育资源的原始项目目的,表明对于研究参与者,特别是来自原住民社区的参与者,参与去殖民化 KT 策略具有重要意义和重要好处。