UBC Graduate Research

Primary Care Services for Indigenous People : Implications for Nurse Practitioners Sam, Michelle

Abstract

Findings: The environmental scan shows inequitable PHC services available to the urban Indigenous population across FHA and VCH. Analysis of the literature identified five main themes that influence Indigenous peoples access to health care: the historical impact of colonization and state interference on health care access; governmental power and authority; emotional responses to discrimination in mainstream health care; culturally appropriate health care is needed; and shifting towards cultural safety. The implications of persistent, inaccessible health care were two-fold; increased health care utilization and poor health outcomes in the Indigenous population. Four relevant areas of discussion were identified from the literature that supports the role of NPs in working with marginalized populations: NP’s roles within health care reform; NP’s distinction from medical practice; NPs as socially responsive professionals; and health care strategies in Indigenous populations.

Item Citations and Data

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Attribution-NonCommercial-NoDerivatives 4.0 International