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A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey.
- Source :
- Nursing Inquiry; Jan2022, Vol. 29 Issue 1, p1-12, 12p
- Publication Year :
- 2022
-
Abstract
- Inequities in access to oncology care among Indigenous peoples in Canada are well documented. Access to oncology care is mediated by a range of factors; however, emerging evidence suggests that healthcare providers, including nurses, play a significant role in shaping healthcare access. The purpose of this study was to critically examine access to oncology care among Indigenous peoples in Canada from the perspective of oncology nurses. Guided by postcolonial theoretical perspectives, interpretive descriptive and critical discourse analysis methodologies informed study design and data analysis. Oncology nurses were recruited from across Canada to complete an online survey (n = 78). Nurses identified a range of barriers experienced by Indigenous peoples when accessing oncology care, yet located these barriers primarily at the individual and systems levels. Nurses perceived themselves as mediators of access to oncology care; however, their efforts to facilitate access to care were constrained by the dominance of biomedicine within healthcare. Nurses' constructions of access to oncology care highlight the embedded narrative of individualism within nursing practice and the relative invisibility of racism as a determinant of equitable access to care among Indigenous peoples. This suggests a need for oncology nurses to better understand and incorporate structural determinants of health perspectives. [ABSTRACT FROM AUTHOR]
- Subjects :
- TUMOR treatment
PREVENTION of racism
ONCOLOGY nursing
OCCUPATIONAL roles
NURSES' attitudes
HEALTH services accessibility
SOCIAL determinants of health
RESEARCH methodology
COMMUNICATION barriers
HEALTH status indicators
EARLY detection of cancer
SOCIOECONOMIC factors
NURSE-patient relationships
ABORIGINAL Canadians
NURSES
RESEARCH funding
DISCOURSE analysis
DESCRIPTIVE statistics
DATA analysis software
MEDICAL care of indigenous peoples
CANCER patient medical care
TRANSPORTATION
HEALTH promotion
Subjects
Details
- Language :
- English
- ISSN :
- 13207881
- Volume :
- 29
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Nursing Inquiry
- Publication Type :
- Academic Journal
- Accession number :
- 154833279
- Full Text :
- https://doi.org/10.1111/nin.12446