Indigenous Health

Question 1

Indigenous Proximal SDoH

Answer 1

direct impacts on health

• health behaviours (substance abuse, self-harm from lack of coping skills from IRSS)
• physical environment
• employment and income (lack of opportunity)
• education (have to relocate)
• food security (high prices)

Question 2

Indigenous: Intermediate SDoH

Answer 2

the origins of proximal determinants

• health care system
• education system
• community infrastructure
• resource and capacity
• environmental stewardship
• cultural continuity

Question 3

Indigenous: distal SDoH

Answer 3

represents political, economic and social context

• racism and social exclusion
• colonialism
• self-determination

Question 4

Cultural competence

Answer 4

• ability to understand and communicate effectively with people across cultures
• foundation to a person learning. A starting place as a nurse. It involves self-examination

Question 5

Cultural Safety

Nurses role:

Answer 5

An environment where all people feel respected and safe when interacting with health care.
Nurses role:
- power recognition and shift: there is a power balance, shift the power to the client. Ask how I can provide better care?
- health advocacy- become and ally and an advocate

Question 6

Cultural humility

Answer 6

acknowledge people are unique no matter what culture they come from. Just because you understand a culture, you do not know the person
- culture is dynamic, be open to changes and learning new information (life-long learner)

Question 7

Indigenous reconciliation as Nurses

Answer 7

• prime position in health care (often first point of contact)
• establish trusting relationships
• be aware of your own assumptions/biases
• be open to learning
• acknowledge limitations
• Equitable care
• be an ally