Northern Québec James Bay Cree Regional Health Governance in Support of Community Participation: Honouring the "Butterfly"

IF 0.8 Q3 ANTHROPOLOGY
M. C. Lévesque, S. Law, J. Torrie, R. Carlin, Lucy Trapper, A. Kutcher, M. Macdonald
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引用次数: 1

Abstract

Successful responses to the Truth and Reconciliation Commission of Canada's (TRC, 2015) Calls to Action require “joint leadership, trust-building, and transparency” between Canadian public institutions and First Nations. In the area of health and wellness, community participation in priority setting and planning constitutes one important step forward. In 2013, the Québec Cree regional health and social services agency launched a unique wellness planning initiative involving community participation in regional level policy-making. This article reports on a qualitative study conducted with key agency staff, an early component of a broader developmental participatory evaluation. Focusing on contextual challenges to and ways forward on community participation in planning, thematic analysis of 17 semi-structured interviews revealed important nuances between Cree and non-Cree perspectives: These perspectives reflected an empowerment versus a utilitarian view of participation, respectively. Cree Elders consulted on these results highlighted the ontological and epistemological distinction of Cree perspectives, and the importance of bringing these forth. These interpretations point to the relevance of extending cultural safety to institution-level processes bearing on relationships with communities and potentially building capacity for participation.
魁北克北部James Bay Cree地区卫生治理支持社区参与:向“蝴蝶”致敬
成功响应加拿大真相与和解委员会(TRC, 2015)的行动呼吁需要加拿大公共机构和第一民族之间的“共同领导,建立信任和透明度”。在保健和保健领域,社区参与确定优先事项和规划是向前迈出的重要一步。2013年,曲海贝克族区域卫生和社会服务机构发起了一项独特的健康规划倡议,涉及社区参与区域一级的决策。本文报告了与主要机构工作人员进行的定性研究,这是更广泛的发展参与性评价的早期组成部分。通过对17个半结构化访谈的主题分析,重点关注社区参与规划的背景挑战和前进方向,揭示了克里族和非克里族观点之间的重要细微差别:这些观点分别反映了赋权与功利的参与观点。克里长老咨询了这些结果,强调了克里观点的本体论和认识论区别,以及提出这些观点的重要性。这些解释指出,将文化安全扩展到与社区关系有关的机构一级进程,并有可能建立参与能力。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
12
审稿时长
16 weeks
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