Access Denied: Nurses' Perspectives of Access to Oncology Care Among Indigenous Peoples in Canada.
ANS. Advances in nursing science(2022)
Abstract
Inequitable access to oncology care is a significant issue among Indigenous Peoples in Canada; however, the perspectives of oncology nurses have not been explored. Guided by an interpretive descriptive methodology, we explored nurses' perspectives on access to oncology care among Indigenous Peoples in Canada. Nurses described the health care system as "broken" and barriers to accessing oncology care as layered and compounding. Lack of culturally safe care was articulated as a significant issue impacting equitable access, while biomedical discourses were pervasive and competed with nurses' attempts at providing culturally safe and trauma- and violence-informed care by discounting the relational work of nurses.
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Key words
cancer,cultural safety,determinants of health,health care access,health services accessibility,Indigenous Peoples,qualitative research,trauma- and violence-informed care
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