The Portal brings together a broad selection of resources from all six of the National Collaborating Centres (NCCs). Search for resources by clicking on NCC, Type, Topic and Core Competency.
Please note: the Portal is not exhaustive and not all resources are indexed by PHAC Core Competency.
Introduction - Digital Story Research Project
The short video mite achimowin: Heart Talk – First Nations Women’s Expressions of Heart Health Digital Story Research Project, provides an introduction to the project and Indigenous and biomedical models that lend to heart health and wellness.
Indigenous peoples generally, and First Nations women specifically, are experiencing disproportionately higher rates of chronic conditions and cardiovascular disease compared to the general Canadian population. This paper examines the context of First Nations women’s heart health, with a particular view to understanding the role of colonization in the prevalence of and risk factors for heart diseases, and in diagnosing and treating them. Beyond colonization, authors Diffey, Fontaine and Schultz situate First Nations women’s burden of heart-related illness and risk factors for the disease within a determinants of health framework, including racism and gender. They weave first hand narratives of First Nations women into the paper in order to highlight their unique perspectives and experiences of surviving cardiovascular disease as well as their cultural understandings of heart health. The paper concludes by identifying a number of strategies for closing the gap in First Nations women’s heart health, as well as the challenges and barriers that still need to be addressed.Read More
First Nations communities may be disproportionately impacted by a variety of emergencies and disasters, including floods, wildfires, and crude oil spills in their traditional territories.The aim of this topic page is to provide Indigenous communities and environmental health professionals with resources that describe and improve upon the current state of emergency response at the community-, provincial-, and federal-level. Case studies are provided to show the ways in which standard practice has been problematic (e.g., effects of evacuation on kin relationships and land-based activities). Finally, we have included a number of reports that reflect on past events in Indigenous communities, and provide powerful examples for Indigenous and non-Indigenous communities alike trying to recover from disasters.Read More
This annotated online Oxford Bibliographies, written by NCCAH staff Regine Halseth, Roberta Stout, and Donna Atkinson, aims to enhance understanding of ‘cultural safety’ in health care by providing a brief overview of the most relevant literature in this field, including what cultural safety is and how it differs from other related concepts, methods to enhance learning about cultural safety, and the various health contexts in which it can be applied (policy, practice and research).
DOI: 10.1093/0B0/9780199756797-0192 | Oxford Bibliographies subscription required to accessRead More
Overcoming barriers to culturally safe and appropriate dementia care services and supports for Indigenous peoples in Canada
As individuals age, memory loss can sometimes occur, resulting from both the natural aging process as well as from medical conditions like Alzheimer’s disease and other dementias that are progressively degenerative and irreversible. Dementias can affect an individual’s daily functioning and quality of life, as well as place a significant burden on family caregivers. While little is known about dementias among Indigenous populations in Canada, they are recognized as an emerging health issue in these communities. The Indigenous seniors population, while proportionately smaller than the general Canadian population, has been growing rapidly and rates of dementias are expected to increase due to a higher prevalence of risk factors in the development of the disease, including diabetes, midlife hypertension and obesity, physical inactivity, lower levels of education, and smoking. Further, Indigenous people face a host of barriers in accessing health care, including access to dementia care services and supports.
This paper aims to identify the challenges and burdens Indigenous people in Canada face in accessing culturally safe and appropriate dementia care services and supports, and suggests ways of overcoming these challenges. It begins by providing an overview of the general challenges Indigenous seniors face in accessing health services, then summarizes the literature on Indigenous perspectives of aging well and caring for loved ones with dementia, as understanding these perspectives is essential for developing programs and services that are responsive to their needs. Key elements of a culturally safe framework for dementia care for Indigenous communities and examples of innovative dementia care services for Indigenous peoples concludes the paper.Read More
A NCCIH webinar, co-hosted with Northern Health, was held on February 17, 2016 on “Cultural safety for Indigenous peoples: A determinant of health.” Dr. Sarah de Leeuw, Associate Professor in the Northern Medical Program, University of Northern British Columbia and a Research Associate for the National Collaborating Centre for Aboriginal Health, explored how racism has manifested in the way health care services are provided to Indigenous peoples and is thus a barrier to their optimal health. Specifically, the presentation highlighted the ways in which Indigenous people have expressed their realities of experiencing racism, and discussed ways that healthcare professionals might engage with the arts and humanities in order to more deeply reflect on their thoughts about racism and Indigenous peoples. The webinar attracted great interest, with 366 participants in attendance.Read More
This fact sheet aims to demonstrate how health care providers can provide a culturally safe health care environment when caring for Métis patients. Cultural safety is an on-going and evolving process that will require health care providers to revisit and adjust modes of services in order to meet the needs of Métis. Culturally safe health care systems and environments are established by a continuum of building blocks – cultural awareness, cultural sensitivity, and cultural competency.Read More