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Clinical encounters between nurses and First Nations women in a Western Canadian hospital

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  • Browne, Annette J.

Abstract

Based on findings from an ethnographic study, this paper explores the sociopolitical context of nurses' encounters with First Nations women in a Western Canadian hospital. Data were collected using in-depth interviews and participant observation of clinical encounters involving nurses and First Nations women who were in-patients in the hospital. Four themes in the data are discussed: relating across presumed "cultural differences"; constructing the Other; assumptions influencing clinical practice; and responding to routine patient requests. The findings illustrate how discourses and assumptions about Aboriginal people, culture, and presumed differences can become interwoven into routine clinical encounters. These results highlight the importance of analyzing health-care encounters in light of the wider sociopolitical and historical forces that give rise to racialization, culturalism and Othering, and underscore the need for critical awareness of these issues among nurses and other heath-care providers.

Suggested Citation

  • Browne, Annette J., 2007. "Clinical encounters between nurses and First Nations women in a Western Canadian hospital," Social Science & Medicine, Elsevier, vol. 64(10), pages 2165-2176, May.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:10:p:2165-2176
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    References listed on IDEAS

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    1. Potter, Sharyn J. & McKinlay, John B., 2005. "From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship," Social Science & Medicine, Elsevier, vol. 61(2), pages 465-479, July.
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    Cited by:

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    2. Simon Graham & Nicole M. Muir & Jocelyn W. Formsma & Janet Smylie, 2023. "First Nations, Inuit and Métis Peoples Living in Urban Areas of Canada and Their Access to Healthcare: A Systematic Review," IJERPH, MDPI, vol. 20(11), pages 1-18, May.
    3. Anne Esther Marcus-Varwijk & Dónya S Madjdian & Emely de Vet & Monique W M Mensen & Tommy L S Visscher & Adelita V Ranchor & Joris P J Slaets & Carolien H M Smits, 2019. "Experiences and views of older people on their participation in a nurse-led health promotion intervention: “Community Health Consultation Offices for Seniors”," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-17, May.
    4. Goodman, Ashley & Fleming, Kim & Markwick, Nicole & Morrison, Tracey & Lagimodiere, Louise & Kerr, Thomas, 2017. "“They treated me like crap and I know it was because I was Native”: The healthcare experiences of Aboriginal peoples living in Vancouver's inner city," Social Science & Medicine, Elsevier, vol. 178(C), pages 87-94.
    5. Romppainen, Katri & Jähi, Rita & Saloniemi, Antti & Virtanen, Pekka, 2010. "Encounters with unemployment in occupational health care: Nurses' constructions of clients without work," Social Science & Medicine, Elsevier, vol. 70(4), pages 605-608, February.
    6. Lavoie, Josée Gabrielle & Forget, Evelyn L. & Prakash, Tara & Dahl, Matt & Martens, Patricia & O'Neil, John D., 2010. "Have investments in on-reserve health services and initiatives promoting community control improved First Nations' health in Manitoba?," Social Science & Medicine, Elsevier, vol. 71(4), pages 717-724, August.
    7. Chakanyuka, Christina & Bacsu, Juanita-Dawne R. & DesRoches, Andrea & Dame, Jessy & Carrier, Leah & Symenuk, Paisly & O'Connell, Megan E. & Crowshoe, Lynden & Walker, Jennifer & Bourque Bearskin, Lisa, 2022. "Indigenous-specific cultural safety within health and dementia care: A scoping review of reviews," Social Science & Medicine, Elsevier, vol. 293(C).

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