Tk'emlu'ps te Secwe'pemc, Knowledge Holder, BC Indigenous Health Nursing Research, Kamloops, BC.
Beaver Lake Cree Nation, Chair, BC Indigenous Health Nursing Research, Associate Professor, University of Victoria, Victoria, BC.
Healthc Pap. 2023 Apr;21(2):35-41. doi: 10.12927/hcpap.2023.27107.
Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to experience much poorer health outcomes due to the intersectional legacies of colonialism and racism. In this commentary, we reflect on structural, systemic and service delivery racism at all levels of care, which are deeply embedded in historical, political, institutional and socioeconomic policies and practices that continue to perpetuate harm and genocide of Indigenous Peoples. We call for immediate action to re-establishing epistemic justice and reframing Indigenous knowledge systems in nursing practices, policies, research and education as the starting point in counteracting systemic racism.
尽管在原住民健康研究方面取得了进展，但原住民群体之间的健康不平等现象仍在不断扩大。在加拿大享有盛誉的全民医疗保健系统下，由于殖民主义和种族主义的交叉影响，原住民群体的健康状况仍然差得多。在这篇评论中，我们反思了在护理的各个层面上存在的结构性、系统性和服务提供方面的种族主义，这些种族主义深深地植根于历史、政治、制度和社会经济政策和实践中，这些政策和实践继续对原住民造成伤害和种族灭绝。我们呼吁立即采取行动，重新建立知识正义，并在护理实践、政策、研究和教育中重新构建原住民知识体系，作为对抗系统性种族主义的起点。
