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Article
Publication date: 6 June 2016

Harmony Johnson, Cathy Ulrich, Nicole Cross and Margo Greenwood

The purpose of this paper is to describe the process of transformation in the Northern Health region of British Columbia (BC), Canada, based on a new relationship between…

Abstract

Purpose

The purpose of this paper is to describe the process of transformation in the Northern Health region of British Columbia (BC), Canada, based on a new relationship between governments of BC, Canada, and First Nations.

Design/methodology/approach

Written from the perspective of four key participants in the transformation process, this paper highlights the ways in which partnership has been integral to the transformation of health service delivery to First Nations communities in Northern BC.

Findings

In sharing their experiences with health system transformation through partnership, the authors of this paper hope to contribute to a growing set of promising practices as indigenous health service organizations take a greater role in health service provision, and non-indigenous health service organizations improve their understanding of and relationships with indigenous communities.

Originality/value

This paper outlines a unique and leading edge transformation in health service delivery, told from the perspectives of key partners involved in the transformation process.

Details

International Journal of Health Governance, vol. 21 no. 2
Type: Research Article
ISSN: 2059-4631

Keywords

Open Access
Article
Publication date: 5 December 2016

John O’Neil, Joe Gallagher, Lloy Wylie, Brittany Bingham, Josee Lavoie, Danielle Alcock and Harmony Johnson

The purpose of this paper is to present a study of the transformation of First Nationshealth governance, describing the development of partnerships between First Nations and…

5726

Abstract

Purpose

The purpose of this paper is to present a study of the transformation of First Nationshealth governance, describing the development of partnerships between First Nations and provincial and federal governments for co-creating solutions to address First Nationshealth inequities in British Columbia (BC). The paper frames this transformation in the context of a Canada-wide reconciliation initiative stimulated by the Truth and Reconciliation Commission.

Design/methodology/approach

This qualitative case study was a joint initiative between Simon Fraser University and the BC First Nations Health Authority (FNHA), involving interviews with senior leaders within the BC health system, FNHA and First Nations communities. In addition, a policy roundtable was held in February 2015 which gathered 60 participants for further dialogue on the process.

Findings

Key themes included: partnership and relationships, governance and reciprocal accountability, First Nations perspectives on health and wellness, and quality and cultural safety. Findings indicate that significant transformational changes have happened in the relationship between First Nations and the mainstream health system. The creation of the FNHA has led to more representation for First Nations people at all levels of governance and health service planning, which will ultimately lead to more culturally safe health services that incorporate a First Nations perspective of wellness.

Social implications

The transformation of First Nations health governance in BC can serve as an example in other indigenous health settings both within Canada and internationally.

Originality/value

This paper describes a transformative health governance process in First Nations communities that is an historical first in Canada.

Content available

Abstract

Details

Leadership in Health Services, vol. 20 no. 4
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 16 August 2019

Julieann Coombes and Courtney Ryder

One’s standpoint and consequent research paradigm impacts how we conduct research, including study design, analyses interpretation and dissemination of results. In 2017, the…

Abstract

Purpose

One’s standpoint and consequent research paradigm impacts how we conduct research, including study design, analyses interpretation and dissemination of results. In 2017, the authors began PhD, studying the potential barriers to aftercare treatment for Aboriginal and Torres Strait Islander children aged under 16 who had sustained a burn injury in one of five major hospitals in Australia. The paper aims to discuss this issue.

Design/methodology/approach

As Aboriginal PhD students, the authors are conducting research using Aboriginal ontology as a framework, which is based on a holistic framework with interconnectedness, person-centred care and Aboriginal ways of knowing as the foundation. The framework has been shaped by the first author’s knowing, being and doing, and the authors’ worldview has informed and shaped the standpoint and the way the research has been developed and conducted.

Findings

It was important for the authors to have a connectedness to each aspect of the research and to each individual person that shared their story: this was paramount to the ways of being.

Originality/value

This connectedness stems from growing up on the authors’ country and learning from elders, from the connection to all entities living around, within and with the authors. The Indigenous research methodology was used throughout the study, including yarning and Dadirri, a way of deep listening and learning, as the basis for interviewing.

Details

Qualitative Research in Organizations and Management: An International Journal, vol. 15 no. 1
Type: Research Article
ISSN: 1746-5648

Keywords

Article
Publication date: 5 December 2016

Fiona MacVane Phipps

In considering the present and future state of the world’s health, it is worth revisiting the Alma-Ata declaration of 1978 (International Conference on Primary health Care, 1978)…

344

Abstract

Purpose

In considering the present and future state of the world’s health, it is worth revisiting the Alma-Ata declaration of 1978 (International Conference on Primary health Care, 1978). This international declaration, signed almost 40 years ago confirmed the World Health Organisation (WHO) definition of health from the 1946 WHO Constitution as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (Office of the High Commissioner for Human Rights, 2015). The declaration clearly stated that health is a universal human right and that the gross inequalities in health apparent at the time of the conference, between and within countries, were unacceptable. The paper aims to discuss these issues.

Design/methodology/approach

This provides a review of the key articles in the current issue of IJHG with added evidence and commentary.

Findings

A global approach to health which acknowledges climate change, respects Aboriginal populations’ self-determination and which rejects the commodification of health in the way forward for twenty-first century health care.

Originality/value

IJHG is the only Emerald journal providing a review section in each issue.

Details

International Journal of Health Governance, vol. 21 no. 4
Type: Research Article
ISSN: 2059-4631

Keywords

Book part
Publication date: 8 August 2016

Angela Mashford-Pringle

This systematic review will attempt to begin the fusion of Aboriginal health and Aboriginal education to show the need for strategic research and policy development that brings…

Abstract

Purpose

This systematic review will attempt to begin the fusion of Aboriginal health and Aboriginal education to show the need for strategic research and policy development that brings these two important fields together for the benefit of improving the lives of Aboriginal people regardless of residency or socioeconomic conditions.

Methodology/approach

A search of published and gray literature that examined Aboriginal health and Aboriginal education was conducted. Through computerized database (PubMed, PsycInfo, ERIC, Google Scholar, and Google) searches were performed in November 2014 to find abstracts, articles, gray literature, and reports pertaining to Aboriginal health and Aboriginal education in Canada.

Findings

Inadequate datasets impede the ability to look at Aboriginal health and education in Canada as there are no national datasets that adequately provide data to do more than cross-sectional analysis. By conducting research in a pan-Aboriginal manner negates that there is traditional worldviews that individuals, families, and communities embrace and embody in their daily lives. It is necessary for the Canadian government and society to work with Aboriginal people to change the fundamental ways in which the macro-level systems work together in order for true social change to occur which will lead to increased self-determination specifically in Aboriginal health and education.

Originality/value

The chapter reveals that Aboriginal health and education are key determinants to the health and well-being of Aboriginal people. Identity, self-determination, and Aboriginal worldviews need to be a part of research studies in order to have “two-eyed seeing” of the intertwined and interconnectedness of health and education.

Details

Special Social Groups, Social Factors and Disparities in Health and Health Care
Type: Book
ISBN: 978-1-78635-467-9

Keywords

Book part
Publication date: 14 October 2022

Linda Mussell

Intergenerational confinement is an under-recognized, policy-driven issue which greatly impacts Indigenous and racialized peoples in countries with ongoing colonial legacies…

Abstract

Intergenerational confinement is an under-recognized, policy-driven issue which greatly impacts Indigenous and racialized peoples in countries with ongoing colonial legacies. Numerous policy solutions enacted over colonial history have exacerbated instead of mitigated this situation. This chapter advances an improved understanding of the impacts of carceral legacies, moving beyond the dominant focus of parental incarceration in the literature. Focusing on Indigenous peoples, multiple generations in families and communities have been subjected to changing methods of confinement and removal. Using critical policy analysis and interview research, this chapter interrogates these intergenerational impacts of carceral policy-making in Canada, Australia, and New Zealand. Drawing on qualitative interviews with 124 people in the three case countries, this chapter centers perspectives of people who have been intergenerationally confined in carceral institutions. With a goal of transformation, it then explores an alternative orientation to policy-making that seeks to acknowledge, account for, and address the harmful direct and indirect ripple-effects of carceral strategies over generations.

Details

The Justice System and the Family: Police, Courts, and Incarceration
Type: Book
ISBN: 978-1-80382-360-7

Keywords

Article
Publication date: 1 April 2008

William Mussell

Bill participated in the International Initiative for Mental Health Leadership exchanges in 2005 in Wellington New Zealand and in 2007 in Ottawa Canada. Bill was interviewed by…

Abstract

Bill participated in the International Initiative for Mental Health Leadership exchanges in 2005 in Wellington New Zealand and in 2007 in Ottawa Canada. Bill was interviewed by Janet Peters (IIMHL) about his IIMHL experiences and the benefits for First Nations, Inuit and Métis peoples.

Details

International Journal of Leadership in Public Services, vol. 4 no. 1
Type: Research Article
ISSN: 1747-9886

Article
Publication date: 29 April 2014

Gerald Fallon and Jerald Paquette

The purpose of this paper is to provide to First and non-First Nation educators, scholars, and policy makers alternative perspectives that can reshape research on educational…

3239

Abstract

Purpose

The purpose of this paper is to provide to First and non-First Nation educators, scholars, and policy makers alternative perspectives that can reshape research on educational leadership in First Nation education with new imaginings that question fundamentally the cultural-political-economic-space defined by Euro-centred notion of modernity.

Design/methodology/approach

The paper addresses two questions in dealing with issues of conceptions of educational leadership in a First Nations setting: first, in what socio-cultural paradigm and epistemic framework, should the paper ground the view of relations among persons and between them and their environment, in a way that opens up spaces for prospects for action of those located outside a Euro-centric epistemic and ontological field; second, how could this paradigm assist us in formulating a conception of educational leadership that increases the leverage of First Nations education in constructing alternative sociocultural and educational worlds not grounded in the Eurocentric modernity?

Findings

For non-First Nation educators, power brokers, and policy makers who want to create alliances with First Nation people, this paper outlines the necessity to consider cross-cultural dialogue about conceptions of educational leadership as an “opportunity to challenge conventional assumptions about knowledge, power, and a sense of place” (Marker, 2006, p. 21).

Originality/value

The originality of this paper resides in its presentation of alternative conceptual horizons for educational leadership, horizons that acknowledge power inequities between mainstream societies and institutions on the one hand and First Nations peoples and their institutions on the other.

Details

Journal of Educational Administration, vol. 52 no. 2
Type: Research Article
ISSN: 0957-8234

Keywords

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