Indigenous Social Exclusion to Inclusion: Case Studies on Indigenous Nursing Leadership in Four High Income Countries

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aut.relation.endpage624
aut.relation.issue3-4
aut.relation.journalJournal of Clinical Nursing
aut.relation.startpage610
aut.relation.volume32
dc.contributor.authorBrockie, Teresa
dc.contributor.authorClark, Terryann C
dc.contributor.authorBest, Odette
dc.contributor.authorPower, Tamara
dc.contributor.authorBourque Bearskin, Lisa
dc.contributor.authorKurtz, Donna LM
dc.contributor.authorLowe, John
dc.contributor.authorWilson, Denise
dc.date.accessioned2023-03-03T01:37:06Z
dc.date.available2023-03-03T01:37:06Z
dc.date.copyright2021-05-04
dc.description.abstractAIMS AND OBJECTIVES: This discursive paper provides a call to action from an international collective of Indigenous nurse academics from Australia, Canada, Aotearoa New Zealand and the USA, for nurses to be allies in supporting policies and resources necessary to equitably promote Indigenous health outcomes. BACKGROUND: Indigenous Peoples with experiences of colonisation have poorer health compared to other groups, as health systems have failed to address their needs and preferences. Achieving health equity will require leadership from Indigenous nurses to develop and implement new systems of care delivery. However, little is known about how Indigenous nurses influence health systems as levers for change. DESIGN: A Kaupapa Māori case study design. METHODS: Using a Kaupapa Māori case study methodology, coupled with expert Indigenous nursing knowledge, we developed a consensus on key themes. Themes were derived from three questions posed across the four countries. Themes were collated to illustrate how Indigenous nurses have provided nursing leadership to redress colonial injustices, contribute to models of care and enhance the Indigenous workforce. RESULTS: These case studies highlight Indigenous nurses provide strong leadership to influence outcomes for Indigenous Peoples. Five strategies were noted across the four countries: (1) Indigenous nationhood and reconciliation as levers for change, (2) Indigenous nursing leadership, (3) Indigenous workforce strategies, (4) Development of culturally safe practice and Indigenous models of care and (5) Indigenous nurse activism. CONCLUSIONS: In light of 2020 declared International Year of the Nurse and Midwife, we assert Indigenous nurses' work must be visible to support development of strategic approaches for improving health outcomes, including resources for workforce expansion and for implementing new care models. RELEVANCE TO CLINICAL PRACTICE: Curating strategies to promote Indigenous nurse leaders around the world is essential for improving models of healthcare delivery and health outcomes for Indigenous Peoples.
dc.identifier.citationJournal of Clinical Nursing, ISSN: 0962-1067 (Print); 1365-2702 (Online), Wiley, 32(3-4), 610-624. doi: 10.1111/jocn.15801
dc.identifier.doi10.1111/jocn.15801
dc.identifier.issn0962-1067
dc.identifier.issn1365-2702
dc.identifier.urihttps://hdl.handle.net/10292/15929
dc.languageeng
dc.publisherWiley
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1111/jocn.15801
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectindigenous
dc.subjecteducation and leadership
dc.subjectinequity
dc.subjectminority
dc.subjectnative
dc.subjectworkforce
dc.subjectscience & technology
dc.subjectlife sciences & biomedicine
dc.subjectNew Zealand
dc.subjecthealth
dc.subjectpeoples
dc.subjectcare
dc.subjectnurses
dc.subjectdiscrimination
dc.subjectperspectives
dc.subjectexperiences
dc.subjectstudents
dc.subjectracism
dc.subjecthealth services
dc.subjectclinical research
dc.subject8 Health and social care services research
dc.subject8.1 Organisation and delivery of services
dc.subjectGeneric health relevance
dc.subject1110 Nursing
dc.subject1117 Public Health and Health Services
dc.subject1701 Psychology
dc.subject4203 Health services and systems
dc.subject4205 Nursing
dc.subject.meshHumans
dc.subject.meshLeadership
dc.subject.meshDeveloped Countries
dc.subject.meshDelivery of Health Care
dc.subject.meshCanada
dc.subject.meshSocial Isolation
dc.subject.meshHumans
dc.subject.meshSocial Isolation
dc.subject.meshLeadership
dc.subject.meshDeveloped Countries
dc.subject.meshDelivery of Health Care
dc.subject.meshCanada
dc.subject.meshHumans
dc.subject.meshLeadership
dc.subject.meshDeveloped Countries
dc.subject.meshDelivery of Health Care
dc.subject.meshCanada
dc.subject.meshSocial Isolation
dc.titleIndigenous Social Exclusion to Inclusion: Case Studies on Indigenous Nursing Leadership in Four High Income Countries
dc.typeJournal Article
pubs.elements-id430230
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