Exploring paramedic care for First Nations in Alberta: a qualitative study.

Area of Science:

• Indigenous Health
• Emergency Medical Services
• Health Equity

Background:

• First Nations patients disproportionately use ambulance services to reach emergency departments in Alberta.
• Existing research highlights disparities in healthcare access for Indigenous populations.

Purpose of the Study:

• To explore First Nations perspectives on care transitions involving paramedics.
• To understand paramedic experiences serving First Nations communities.

Main Methods:

• Participatory qualitative study utilizing purposive sampling.
• Four virtual sharing circles conducted with First Nations participants.
• Thematic analysis of data, with review by Indigenous researchers.

Main Results:

• Identified themes of racism, system barriers, and proposed solutions.
• First Nations participants reported stereotyping and discrimination by paramedics and ED staff.
• Paramedics experienced moral distress and observed discrimination impacting patient care.

Conclusions:

• First Nations individuals face discrimination and systemic barriers within paramedicine.
• Recommendations include First Nations self-determination in service design and integrating cultural training.
• Expanding paramedic roles to incorporate First Nations perspectives is crucial.