Perspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: a scoping review

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dc.contributor.authorBerg, Kelsey
dc.contributor.authorMcLane, Patrick
dc.contributor.authorEshkakogan, Nicole
dc.contributor.authorMantha, Jennifer
dc.contributor.authorLee, Tracy
dc.contributor.authorCrowshoe, Chelsea
dc.contributor.authorPhillips, Ann
dc.date.accessioned2019-05-14T21:52:32Z
dc.date.available2019-05-14T21:52:32Z
dc.date.issued2019
dc.descriptionAccepted author manuscripten_US
dc.description.abstractBackground: Emergency departments are primary health care entry points for Indigenous persons in Canada. They are also among the settings where Indigenous patients report access barriers and discriminatory treatment. Cultural competency and cultural safety have been proposed as approaches to improving emergency care. Aim:To identify and elaborate upon barriers and facilitators of cultural competency and safety in Canadian Emergency Departments. Methods: We conducted a scoping review to search published and grey literature to identify and extract data on definitions, measures, facilitators and barriers of cultura lcompetency and safety. Results: Six articles met inclusion criteria. Studies presented perspectives from patients, care providers, health care organizations, and Indigenous knowledge holders. Key themes emerged across studies and stakeholders. These include: Interpersonal relationships between patients and care providers; cultural competency training; Emergency Department capacity; and racism and discrimination. Conclusion: We recommend that Emergency Department cultural competency and safety initiatives i) be built up on post-colonial understanding and partnerships with local Indigenous communities ii) provide practitioners with competencie sin relationship-building and self-awareness iii) orient ED resources and services to meet the needs of patients with limited access to non-emergency health care and iv) aim to prevent discrimination.en_US
dc.description.peer-reviewYesen_US
dc.identifier.citationBerg, K., McLane, P., Eshkakogan, N., Mantha, J., Lee, T., Crowshoe, C., & Phillips. A. (2019). Perspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: A scoping review. International Emergency Nursing, 43, 133-140. doi:10.1016/j.ienj.2019.01.004en_US
dc.identifier.urihttps://hdl.handle.net/10133/5357
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.publisher.facultyHealth Sciencesen_US
dc.publisher.institutionAlberta Health Servicesen_US
dc.publisher.institutionUniversity of Lethbridgeen_US
dc.publisher.institutionUniversity of Albertaen_US
dc.publisher.institutionThe Anne Johnston Health Stationen_US
dc.publisher.urlhttps://doi.org/10.1016/j.ienj.2019.01.004
dc.titlePerspectives on Indigenous cultural competency and safety in Canadian hospital emergency departments: a scoping reviewen_US
dc.typeArticleen_US
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