超越无知和认识暴力:土著卫生护士对系统转型的反应
Meste'si Llucmetkwe1, Colleen Seymour1, Mona Lisa Bourque Bearskin2
1Tk'emlu'ps te Secwe'pemc, Knowledge Holder, BC Indigenous Health Nursing Research, Kamloops, BC.
HealthcarePapers
|July 7, 2023
概括
加拿大的土著人口面临着由于殖民主义和种族主义而加剧的健康不平等,在通用医疗保健系统内. 解决系统性种族主义需要将土著知识系统放在卫生政策和实践的中心.
科学领域:
- 土著健康研究土著健康研究
- 卫生公平研究 卫生公平研究
- 医疗保健社会学 医疗保健社会学
背景情况:
- 持续的健康不平等影响加拿大的土著人口,尽管健康研究取得了进展.
- 殖民主义和种族主义在加拿大的全民医疗保健系统中造成了健康结果的严重差异.
- 结构性,系统性和服务提供种族主义深深植根于政策和实践中,使伤害延续.
研究的目的:
- 分析影响土著人民的医疗保健中的种族主义的多面性质.
- 倡导重新建立在土著健康的认识正义.
- 建议重新构建土著知识体系,作为打击系统性种族主义的基本要素.
主要方法:
- 对现有文献和政策进行评论和批判性反思.
- 对结构性,系统性和服务提供种族主义的分析.
- 考察历史,政治,制度和社会经济因素.
主要成果:
- 系统性种族主义深深植根于加拿大医疗保健的各个层面.
- 现有的政策和做法延续了对土著人民的伤害和历史不公正.
- 目前的方法未能充分解决健康不平等的根本原因.
结论:
- 需要立即采取行动,在土著健康领域消除系统性种族主义.
- 重新建立认识正义对于实现健康平等至关重要.
- 将土著知识系统整合到护理,政策,研究和教育中,对于抵消种族主义至关重要.
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