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Related Experiment Video

Updated: Jul 8, 2025

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

John G Taplin1, Lea Bill1, Ian E Blanchard1

  • 1Alberta First Nations Information Governance Centre (Taplin, Bill); Department of Community Health Sciences (Taplin, Blanchard, Barnabe), University of Calgary; Emergency Medical Services (Taplin, Blanchard), Alberta Health Services; Department of Medicine (Barnabe), University of Calgary, Calgary, Alta.; Department of Emergency Medicine (Holroyd, McLane), University of Alberta; Emergency Strategic Clinical Network (Holroyd, McLane), Alberta Health Services, Edmonton, Alta.; Blackfoot Confederacy Tribal Council (Healy), Stand Off, Alta.

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Summary

First Nations patients experience racism and system barriers when using paramedic services. Solutions involve First Nations leading service design and integrating cultural perspectives into paramedicine.

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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.