Identity matters: Aboriginal mothers' experiences of accessing care
Kimberley Anne Van Herk
School of Nursing, University of Ottawa; Ottawa Inner City Health, Ottawa ON, Canada
Dawn Smith
School of Nursing, University of Ottawa, Ottawa ON, Canada
Caroline Andrew
School of Political Studies, University of Ottawa, Ottawa ON, Canada
PP: 057 - 068
Abstract
This paper reports on research examining how service providers' perceptions of Aboriginal women's identities contributes to their experiences of accessing preventive care during pregnancy and parenting in an urban setting. An intersectionality paradigm was adopted to conduct a secondary analysis of purposively selected transcripts of exploratory interviews with Aboriginal women.
Findings indicate that how Aboriginal women identity as mothers was perceived by service providers was the focal point at which women described positive or negative experiences of accessing care. These conclusions challenge nurses' understandings of developing therapeutic relationships with marginalised populations and highlight the necessity of examining how perceptions of identity shape issues of oppression and discrimination within therapeutic relationships.
Keywords
feminist postcolonial; Aboriginal women; identity; intersectionality paradigm
References
Alcoff, L. M. (2003). Identities: Modern and postmodern. In L. M. Alcoff & E. Mendieta (Eds.), Identities: Race, class, gender and nationality. (pp. 1-8). Malden, MA: Blackwell.
Anderson, J. M. (2004). Lessons from a postcolonial- feminist perspective: Suffering and a path to healing. Nursing Inquiry, 11(4), 238-246.
Baldwin, L. M., Grossman, D., Casey, S., Hollow, W., Sugarman, J., Freeman, W., et al. (2002). Perinatal and infant health among rural and urban American Indian and Alaska Natives. American Journal of Public Health, 92(9), 1491-1497.
Benoit, C., Carroll, D., & Chaudhry, M. (2003). In search of a healing place: Aboriginal women in downtown Vancouver's eastside. Social Science and Medicine, 56, 821-833.
Browne, A. J. (2007). Clinical encounters between nurses and First Nations women in a Western Canadian hospital. Social Science and Medicine, 64(11), 2165-2176.
Browne, A. J., Fiske, J. A., & Thomas, G. (2000). First Nations women's encounters with mainstream health care services and systems. Vancouver, BC: BC Centre of Excellence for Women's Health.
Browne, A. J., Smye, V. L., & Varcoe, C. (2005). The relevance of postcolonial theoretical perspectives to research in Aboriginal health. Canadian Journal of Nursing Research, 37(4), 16-37.
Browne, A. J., Smye, V. L., & Varcoe, C. (2007). Postcolonial-feminist theoretical perspectives and women's health. In M. Morrow, O. Hankivsky, & C. Varcoe (Eds.), Women's health in Canada: Critical perspectives on theory and policy. (pp. 124-142). Toronto, ON: University of Toronto Press.
Canadian Institute of Health Research. (2007). Guidelines for health research involving aboriginal people. Retrieved December 13, 2009 from http://www.cihr-irsc.gc.ca/e/29134.html
Chow, B., Pederson, A., Haworth-Brockman, M., & Bernier, J. (2009). Rising to the challenge: Sex- and gender-based analysis for health planning, policy and research in Canada. Halifax, NS: Atlantic Centre of Excellence for Women's Health.
Cull, R. (2006). Aboriginal mothering under the state's gaze. In D. M. Lavell-Harvard & J. Corbiere Lavell (Eds.), 'Until our hearts are on the ground': Aboriginal mothering, oppression, resistance and rebirth (pp. 141-156). Toronto, ON: Demeter Press.
Davis-Dick, L. R. (2009). It takes a village to raise a nurse. In S. D. Bosher & M. D. Pharris (Eds.), Transforming nursing education: The culturally inclusive environment (pp. 345-361). New York: Springer.
Dickson, G. (2000). Participatory action research: Theory and practice. In M. J. Stewart (Ed.), Community nursing: Promoting Canadians' health. Toronto, ON: W.B. Saunders.
Guruge, S., & Humphreys, J. (2009). Barriers affecting access to and use of formal social supports among abused immigrant women. Canadian Journal of Nursing Research, 43(1), 64-85.
Hakim, C. (1982). Secondary analysis in social research: A guide to data sources and methods with examples. London: George Allen & Unwin.
Hancock, A. M. (2007). Intersectionality as a normative and empirical paradigm. Politics and Gender, 3(2), 248-254.
Harkreader, H., Hogan, M. A., & Thobaben, M. (2007). Fundamentals of nursing (3rd ed.). New York: Elsevier Saunders.
Hart-Wasekeesikaw, F. (2009). Cultural competence and cultural safety in First Nations, Inuit, and Métis nursing education. Ottawa, ON: Aboriginal Nurses Association of Canada.
Henry, F., Tator, C., Mattis, W., & Rees, T. (2000). The colour of democracy: Racism in Canadian society (2nd ed.). Toronto, ON: Harcourt Canada.
Jacob, S. R. (2008). Cultural competency and social issues in nursing and health care. In B. Cherry & S. R. Jacob (Eds.), Contemporary nursing: Issues, trends and management (pp. 207-233). St. Louis, MO: Mosby.
Kirkham, S. R., & Anderson, J. M. (2002). Postcolonial nursing scholarship: From epistemology to method. Advances in Nursing Science, 25(1), 1-17.
Kurtz, D. L. M., Nyberg, J. C., Van Den Tillart, S., & Mills, B. (2008, January). Silencing of voice: An act of structural violence. Journal of Aboriginal Health, 53-63.
Luo, Z., Kierans, W., Wilkins, R., Liston, R., Uh, S., & Kramer, M. (2004). Infant mortality among First Nations versus non-First Nations in British Columbia: Temporal trends in rural versus urban areas, 1981-2000. International Journal of Epidemiology, 33(6), 1252-1259.
Luo, Z., Wilkins, R., Platt, R., & Kramer, M. (2004). Risks of adverse pregnancy outcomes among Inuit and North American Indian women in Quebec, 1985-1997. Paediatric and Perinatal Epidemiology, 18(1), 40-50.
Mann, M. (2005). Aboriginal women: An issues backgrounder. Retrieved October 7, 2008 from http://www.swc-cfc.gc.ca/resources/consultations/ges09-2005/aboriginal_e.html
Miller, P. S. (2007). Racial disparities in access to care within the cardiac revascularization population. Journal of National Black Nurses Association, 18(2), 63-74.
Native Women's Association of Canada. (2002). Aboriginal women and health care in Canada. Retrieved March 23, 2010 from http://action.web.ca/home/narcc/attach/AboriginalWomenandHealthCareinCanada.pdf
Miller, P. S. (2007). Racial disparities in access to care within the cardiac revascularization population. Journal of National Black Nurses Association, 18(2), 63-74.
Native Women's Association of Canada. (2007). Social determinants of health and Canada's Aboriginal women. Retrieved September 28, 2009 from http://www.nwac-hq.org/en/documents/NWAC_WHO-CSDH_Submission2007-06-04.pdf
Pharris, M. D. (2009). Inclusivity: Attending to who is in the centre. In S. D. Bosher & M. D.
Pharris (Eds.), Transforming nursing education: The culturally inclusive environment (pp. 3-26). New York: Springer.
Smith, D., Edwards, N., Varcoe, C., Martens, P. J., & Davies, B. (2006). Bringing safety and responsiveness into the forefront of care for pregnant and parenting Aboriginal people. Advances in Nursing Science, 29(2), E27-E44.
Tait, C. (1999). New beginnings project: Wellness needs assessment of Aboriginal women living in Montréal. Montreal, QC: Aboriginal Women of Montreal.
Thorne, S., Kirkham, S. R., & MacDonald-Emes, J. (1997). Interpretive description: A non-categorical qualitative alternative for developing nursing knowledge. Research in Nursing and Health, 2, 169-177.
United Nations. (n.d.). The universal declaration of human rights. Retrieved November 2, 2009 from http://www.un.org/en/documents/udhr/
Wahoush, E. O. (2009). Equitable health-care access: The experiences of refugee and refugee claimant mothers with an ill preschooler. Canadian Journal of Nursing Research, 43(1), 186-206.
World Health Organization. (2002). International decade of the world's indigenous people. Retrieved November 2, 2009 from http://apps.who.int/gb/archive/pdf_files/WHA55/ea5535.pdf

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