加拿大土著人民与死亡医疗援助的交集:当前文献的范围审查。

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Nancy Paris Rosen, Grant Bae, Patricia Farrugia, Laura Banfield
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引用次数: 0

摘要

导读:2016年,加拿大将临终医疗援助(MAID)合法化,这使得临终关怀发生了重大转变。然而,由于历史上的虐待、文化差异和卫生保健系统内的系统性障碍,土著人口在MAID方面面临着独特的挑战。目的:通过这一范围审查,我们确定了在理解土著与MAID经验方面的关键差距。我们还试图找出障碍和促进因素,以提供文化上适当的护理,并将土著观点纳入MAID政策和做法。结果:我们确定了关键主题,包括对文化敏感性和安全性的需求,社区和家庭参与的重要性,沟通障碍以及政策和立法方面的考虑。未来方向:根据我们的研究结果,我们强调了让土著社区参与开发MAID服务的必要性,以确保它们在文化上是适当的和受尊重的。解决这些需求对于为加拿大土著人民提供尊重的临终关怀至关重要。我们还强调了文献中的重大差距和迫切需要进一步研究,以确保MAID服务在文化上是适当的,并与土著价值观和需求保持一致。定义:在本文中,“土著民族”一词是指北美的原始民族及其后裔。加拿大宪法承认三个不同的土著民族群体:第一民族、因纽特人和姆萨姆蒂斯人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Intersection of Indigenous Peoples in Canada and Medical Assistance in Dying: A Scoping Review of the Current Literature.

Introduction: Medical assistance in dying (MAID) was legalized in Canada in 2016, creating a significant shift in end-of-life care. However, Indigenous populations face unique challenges with MAID due to historical mistreatment, cultural differences, and systemic barriers within the health care system. Objectives: By means of this scoping review, we identify the critical gap in understanding Indigenous experiences with MAID. We also seek to identify barriers and facilitators to providing culturally appropriate care and to incorporate Indigenous perspectives into MAID policies and practices. Results: We identified key themes, including the need for cultural sensitivity and safety, the importance of community and family involvement, communication barriers, and policy and legislative considerations. Future Directions: From our findings, we highlight the necessity of engaging Indigenous communities in developing MAID services to ensure they are culturally appropriate and respectful. Addressing these needs is essential to providing respectful end-of-life care for Indigenous peoples in Canada. We also highlight significant gaps in the literature and the urgent need for further research to ensure that MAID services are culturally appropriate and aligned with Indigenous values and needs. Definition: In this article, the term "Indigenous peoples" refers to the original peoples of North America and their descendants. The Canadian Constitution recognizes three distinct groups of Indigenous peoples: First Nations, Inuit, and Métis.

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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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