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doi: 10.1097/ANS.0000000000000428.
Online ahead of print.
Affiliations
Affiliation
- 1 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.
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Tara C Horrill et al.
ANS Adv Nurs Sci.
.
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doi: 10.1097/ANS.0000000000000428.
Online ahead of print.
Affiliation
- 1 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.
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Abstract
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.
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
References
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Allan B, Smylie J. First Peoples, Second Class Treatment: The Role of Racism in the Health and Well-Being of Indigenous Peoples in Canada. Wellesley Institute; 2015. Accessed November 14, 2017. www.wellesleyinstitute.com
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Public Health Agency of Canada. Key Health Inequalities in Canada: A National Portrait. Public Health Agency of Canada; 2018. Accessed July 19, 2019. https://www.canada.ca/content/dam/phac-aspc/documents/services/publicati…
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Browne AJ, Smye VL, Rodney P, Tang SY, Mussell B, O’Neil J. Access to primary care from the perspective of Aboriginal patients at an urban emergency department. Qual Health Res. 2011;21(3):333–348. doi:10.1177/1049732310385824
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Cameron BL, Carmargo Plazas Mdel P, Salas AS, Bourque Bearskin RL, Hungler K. Understanding inequalities in access to health care services for Aboriginal people: a call for nursing action. ANS Adv Nurs Sci. 2014;37(3):E1–E16. doi:10.1097/ANS.0000000000000039
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Horrill TC, Dahl L, Sanderson E, et al. Comparing cancer incidence, stage at diagnosis and outcomes of First Nations and all other Manitobans: a retrospective analysis. BMC Cancer. 2019;19(1):1055. doi:10.1186/s12885-019-6296-7
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