“I wouldn’t want to be anywhere other than Esk̓ét” : exploring Esk̓étemc ways of caring for one another & the Nav-CARE intervention
department or school: Health and Social Development, Faculty of (Okanagan)
department or school: Nursing, School of (Okanagan)
data provider: DSpace
degree campus: UBCO
creator: Basil, Cara
issued: 2025-04-07T16:25:07Z
issued: 2025
related degree: Master of Arts - MA
degree grantor: University of British Columbia
description: Background: First Nations Peoples in Canada are the fastest growing population in the country, inherently self-determining Peoples, and yet, experience significant health inequities that impact health and healthcare service delivery such as palliative and end-of-life care. These inequities are prominent in First Nations communities and require further exploration of community-based and determined solutions. Methods: This research study, based in distinct Indigenous ways of knowing and being, sought to understand how a current volunteer model of navigation, Nav-CARE, may be adapted to or suitable for Esk̓étemc. The research was conducted with an Indigenous Research Methodology, Knucwentwécw, and guided by a Research Agreement that encompassed key principles and processes for Indigenous-led Research. Data collection occurred in Esk̓étemc through three Talking Circles. Findings: Esk̓étemc shared their stories of living with or caring for a loved one with advanced chronic illness. Through the sharing of stories, significant findings emerged that both align with and contribute to improving Indigenous palliative care practices. First, Esk̓étemc practices and protocols for caring for one another are critical to palliative and end-of-life care but remain impacted by colonial legacies. These findings emphasize the importance of traditional practices, persons remaining in community and the lack of culturally appropriate care. Second, A comprehensive, community-based and funded navigation team is necessary to support Esk̓étemc and address current gaps in care and caring for one another. This model needs to address jurisdictional barriers, healthcare standards, and patient navigation. Finally, the re-establishment of community roles and practices are essential to a community-based model of palliative care. The involvement of family and community are foundational to this community-based model. Discussion: The findings of this thesis are fundamental to and contribute to a signifi…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/90591
note: “I Wouldn’t Want to be Anywhere other than Esk̓ét”: Exploring Esk̓étemc Ways of Caring for One Another & the Nav-CARE Intervention by Cara Basil B.A., Thompson Rivers University, 2017 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS in THE COLLEGE OF GRADUATE STUDIES (Interdisciplinary Studies) (Community Engagement, Social Change and Equity) THE UNIVERSITY OF BRITISH COLUMBIA (Okanagan) April 2025 © Cara Basil & Esk̓étemc, 2025 ii The following individuals certify that they have read, and recommend to the College of Graduate Studies for acceptance, a thesis entitled: “I Wouldn’t Want to be Anywhere other than Esk̓ét”: Exploring Esk̓étemc Ways of Caring for One Another & the Nav-CARE Intervention submitted by Cara Basil in partial fulfillment of the requirements of the degree of Master of Arts. Dr. Barbara Pesut, Faculty of Health and Social Development Co-Supervisor Doreen M. Johnson, Esk̓ét Co-Supervisor Dr. Dixon Sookraj, Faculty of Health and Social Development Supervisory Committee Member Dr. Lisa Bourque-Bearskin, University of Victoria Supervisory Committee Member Dr. Peter Hutchinson, Faculty of Arts and Social Sciences University Examiner iii Abstract Background: First Nations Peoples in Canada are the fastest growing population in the country, inherently self-determining Peoples, and yet, experience significant health inequities that impact health and healthcare service delivery such as palliative and end-of-life care. These inequities are prominent in First Nations communities and require further exploration of community-based and determined solutions. Methods: This research study, based in distinct Indigenous ways of knowing and being, sought to understand how a current volunteer model of navigation, Nav-CARE, may be adapted to or suitable for Esk̓étemc. The research was conducted with an Indigenous Research Methodology, Knucwentwécw, and guided by a Research Agreement that encompassed key principles a…
has type: Thesis/Dissertation
date issued: 2025-05
is shown at: 10.14288/1.0448315
language: eng
degree discipline: Interdisciplinary Studies
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Pesut, Barbara
contributor: Johnson, Doreen M.
type: Text
identifier URI: http://hdl.handle.net/2429/90591