Cultural orientation and safety app for new and short-term health care providers in Nunavut
Setting One of the greatest challenges of Nunavut’s health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to addr...
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| Vydané v: | Canadian journal of public health Ročník 111; číslo 5; s. 694 - 700 |
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| Hlavní autori: | , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Cham
Springer International Publishing
01.10.2020
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| ISSN: | 0008-4263, 1920-7476, 1920-7476 |
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| Abstract | Setting
One of the greatest challenges of Nunavut’s health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to address this knowledge gap.
Intervention
We reviewed existing literature and interviewed key stakeholders to develop the content of the app covering the following: Inuit ways of communicating and expectations in the health care setting; Inuit history, settlement, and societal values (including a bibliography and a list of Inuktitut language phrases and resources); health care model (including referral pathways for tertiary care and mental health referrals); maps and community information; and useful information to prepare for your arrival. The app, HealthNU, was launched in September 2017. We targeted new and short-term health care providers in Nunavut, and the app has also been circulated and used by social workers, educators, and health care providers outside of the territory.
Outcomes
By September 5, 2019, the app had been downloaded more than 700 times. To evaluate the app, we conducted interviews and a brief survey with key stakeholders (
n
= 18), who indicated that (1) the app was easy to use; (2) the content was highly relevant and would result in improved cultural competencies; and (3) they would recommend the app to colleagues and were already using it for recruitment/orientation. Challenges and limitations included: ensuring practitioners “completed” all modules while reading/using the app, and low response rate among providers who were solicited for feedback.
Implications
HealthNU is an example of how technology solutions developed in partnership with community members, health care providers, researchers, and government can improve the quality of care for Nunavummiut. We are currently working with the Nunavut Department of Health to develop similar apps in other contexts. |
|---|---|
| AbstractList | Setting
One of the greatest challenges of Nunavut’s health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to address this knowledge gap.
Intervention
We reviewed existing literature and interviewed key stakeholders to develop the content of the app covering the following: Inuit ways of communicating and expectations in the health care setting; Inuit history, settlement, and societal values (including a bibliography and a list of Inuktitut language phrases and resources); health care model (including referral pathways for tertiary care and mental health referrals); maps and community information; and useful information to prepare for your arrival. The app, HealthNU, was launched in September 2017. We targeted new and short-term health care providers in Nunavut, and the app has also been circulated and used by social workers, educators, and health care providers outside of the territory.
Outcomes
By September 5, 2019, the app had been downloaded more than 700 times. To evaluate the app, we conducted interviews and a brief survey with key stakeholders (
n
= 18), who indicated that (1) the app was easy to use; (2) the content was highly relevant and would result in improved cultural competencies; and (3) they would recommend the app to colleagues and were already using it for recruitment/orientation. Challenges and limitations included: ensuring practitioners “completed” all modules while reading/using the app, and low response rate among providers who were solicited for feedback.
Implications
HealthNU is an example of how technology solutions developed in partnership with community members, health care providers, researchers, and government can improve the quality of care for Nunavummiut. We are currently working with the Nunavut Department of Health to develop similar apps in other contexts. One of the greatest challenges of Nunavut's health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to address this knowledge gap. We reviewed existing literature and interviewed key stakeholders to develop the content of the app covering the following: Inuit ways of communicating and expectations in the health care setting; Inuit history, settlement, and societal values (including a bibliography and a list of Inuktitut language phrases and resources); health care model (including referral pathways for tertiary care and mental health referrals); maps and community information; and useful information to prepare for your arrival. The app, HealthNU, was launched in September 2017. We targeted new and short-term health care providers in Nunavut, and the app has also been circulated and used by social workers, educators, and health care providers outside of the territory. By September 5, 2019, the app had been downloaded more than 700 times. To evaluate the app, we conducted interviews and a brief survey with key stakeholders (n = 18), who indicated that (1) the app was easy to use; (2) the content was highly relevant and would result in improved cultural competencies; and (3) they would recommend the app to colleagues and were already using it for recruitment/orientation. Challenges and limitations included: ensuring practitioners "completed" all modules while reading/using the app, and low response rate among providers who were solicited for feedback. HealthNU is an example of how technology solutions developed in partnership with community members, health care providers, researchers, and government can improve the quality of care for Nunavummiut. We are currently working with the Nunavut Department of Health to develop similar apps in other contexts. One of the greatest challenges of Nunavut's health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to address this knowledge gap.SETTINGOne of the greatest challenges of Nunavut's health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit historical/cultural context and the organization of health care in the territory. Our objective was to develop a free iOS/Android app to address this knowledge gap.We reviewed existing literature and interviewed key stakeholders to develop the content of the app covering the following: Inuit ways of communicating and expectations in the health care setting; Inuit history, settlement, and societal values (including a bibliography and a list of Inuktitut language phrases and resources); health care model (including referral pathways for tertiary care and mental health referrals); maps and community information; and useful information to prepare for your arrival. The app, HealthNU, was launched in September 2017. We targeted new and short-term health care providers in Nunavut, and the app has also been circulated and used by social workers, educators, and health care providers outside of the territory.INTERVENTIONWe reviewed existing literature and interviewed key stakeholders to develop the content of the app covering the following: Inuit ways of communicating and expectations in the health care setting; Inuit history, settlement, and societal values (including a bibliography and a list of Inuktitut language phrases and resources); health care model (including referral pathways for tertiary care and mental health referrals); maps and community information; and useful information to prepare for your arrival. The app, HealthNU, was launched in September 2017. We targeted new and short-term health care providers in Nunavut, and the app has also been circulated and used by social workers, educators, and health care providers outside of the territory.By September 5, 2019, the app had been downloaded more than 700 times. To evaluate the app, we conducted interviews and a brief survey with key stakeholders (n = 18), who indicated that (1) the app was easy to use; (2) the content was highly relevant and would result in improved cultural competencies; and (3) they would recommend the app to colleagues and were already using it for recruitment/orientation. Challenges and limitations included: ensuring practitioners "completed" all modules while reading/using the app, and low response rate among providers who were solicited for feedback.OUTCOMESBy September 5, 2019, the app had been downloaded more than 700 times. To evaluate the app, we conducted interviews and a brief survey with key stakeholders (n = 18), who indicated that (1) the app was easy to use; (2) the content was highly relevant and would result in improved cultural competencies; and (3) they would recommend the app to colleagues and were already using it for recruitment/orientation. Challenges and limitations included: ensuring practitioners "completed" all modules while reading/using the app, and low response rate among providers who were solicited for feedback.HealthNU is an example of how technology solutions developed in partnership with community members, health care providers, researchers, and government can improve the quality of care for Nunavummiut. We are currently working with the Nunavut Department of Health to develop similar apps in other contexts.IMPLICATIONSHealthNU is an example of how technology solutions developed in partnership with community members, health care providers, researchers, and government can improve the quality of care for Nunavummiut. We are currently working with the Nunavut Department of Health to develop similar apps in other contexts. |
| Author | Cherba, Maria Tabish, Taha Healey Akearok, Gwen |
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| Cites_doi | 10.1111/j.1753-6405.2008.00232.x 10.2307/20466636 10.1080/22423982.2019.1589208 10.1111/j.1753-6405.2011.00687.x 10.1007/s11013-013-9314-2 |
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| Keywords | Health care provider orientation Orientation des prestataires de soins de santé Nunavut Mobile app development Compétences culturelles Développement d’applications mobiles Cultural competency |
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| References | CR4 Kabloona (CR11) 2016 CR3 Jenness (CR10) 1991 Young, Tabish, Young, Healey (CR22) 2019; 19 CR5 Creswell (CR6) 2013 Aitken, Power, Dwyer (CR1) 2008; 32 CR17 CR16 CR15 CR14 Crouch, Robinson, Pitts (CR7) 2011; 35 Kirmayer (CR12) 2013; 37 Wihak, Merali (CR21) 2007; 30 McDonnell, Healey (CR13) 2017 Healey (CR8) 2006 (CR20) 2015 (CR18) 2019 Redvers, Marianayagam, Blondin (CR19) 2019; 78 Aylward (CR2) 2007; 22 Healey (CR9) 2007 311_CR4 311_CR3 TK Young (311_CR22) 2019; 19 S Crouch (311_CR7) 2011; 35 311_CR5 311_CR17 311_CR16 KA Kabloona (311_CR11) 2016 GK Healey (311_CR9) 2007 SE Jenness (311_CR10) 1991 C Wihak (311_CR21) 2007; 30 C Aitken (311_CR1) 2008; 32 GK Healey (311_CR8) 2006 Public Health Agency of Canada (311_CR18) 2019 Truth and Reconciliation Commission of Canada (311_CR20) 2015 JW Creswell (311_CR6) 2013 ML Aylward (311_CR2) 2007; 22 LJ Kirmayer (311_CR12) 2013; 37 L McDonnell (311_CR13) 2017 311_CR15 311_CR14 N Redvers (311_CR19) 2019; 78 |
| References_xml | – volume: 22 start-page: 1 issue: 7 year: 2007 end-page: 9 ident: CR2 article-title: Discourses of cultural relevance in Nunavut schooling publication-title: Journal of Research in Rural Education – year: 2013 ident: CR6 publication-title: Qualitative inquiry and research design – volume: 32 start-page: 288 issue: 3 year: 2008 end-page: 289 ident: CR1 article-title: A very low response rate in an on-line survey of medical practitioners publication-title: Australian and New Zealand Journal of Public Health doi: 10.1111/j.1753-6405.2008.00232.x – volume: 19 start-page: 5113 issue: 2 year: 2019 end-page: 5113 ident: CR22 article-title: Patient transportation in Canada’s northern territories: patterns, costs and providers’ perspectives publication-title: Rural and Remote Health – year: 2016 ident: CR11 publication-title: Note to my clinician 2016. Internal publication of the Department of Health – year: 2019 ident: CR18 publication-title: Core competencies for public health in Canada – ident: CR3 – ident: CR4 – ident: CR14 – ident: CR15 – ident: CR16 – year: 2006 ident: CR8 publication-title: Report on health research ethics workshop and community consultation in Iqaluit, Nunavut – ident: CR17 – volume: 30 start-page: 291 issue: 1 year: 2007 end-page: 322 ident: CR21 article-title: Racial/cultural identity: transformation among school-based mental health professionals working in Nunavut publication-title: Canadian Journal of Education doi: 10.2307/20466636 – year: 2015 ident: CR20 publication-title: Calls to action – volume: 78 start-page: 1589208 issue: 2 year: 2019 ident: CR19 article-title: Improving access to Indigenous medicine for patients in hospital-based settings: a challenge for health systems in northern Canada publication-title: International Journal of Circumpolar Health doi: 10.1080/22423982.2019.1589208 – volume: 35 start-page: 187 issue: 2 year: 2011 end-page: 189 ident: CR7 article-title: A comparison of general practitioner response rates to electronic and postal surveys in the setting of the National STI Prevention Program publication-title: Australian and New Zealand Journal of Public Health doi: 10.1111/j.1753-6405.2011.00687.x – year: 2007 ident: CR9 publication-title: Report on health research ethics workshop and community consultation in Rankin Inlet, Nunavut – year: 2017 ident: CR13 publication-title: Perspectives of primary care providers on the topic of medevac communication and rural practice in Northwest Territories and Nunavut: a report on survey findings – ident: CR5 – volume: 37 start-page: 365 issue: 2 year: 2013 end-page: 372 ident: CR12 article-title: Embracing uncertainty as a path to competence: cultural safety, empathy, and alterity in clinical training publication-title: Culture, Medicine and Psychiatry doi: 10.1007/s11013-013-9314-2 – year: 1991 ident: CR10 publication-title: Arctic odyssey: the diary of Diamond Jenness 1913–1916 – ident: 311_CR17 – ident: 311_CR5 – ident: 311_CR16 – ident: 311_CR3 – ident: 311_CR14 – volume-title: Arctic odyssey: the diary of Diamond Jenness 1913–1916 year: 1991 ident: 311_CR10 – ident: 311_CR15 – ident: 311_CR4 – volume: 37 start-page: 365 issue: 2 year: 2013 ident: 311_CR12 publication-title: Culture, Medicine and Psychiatry doi: 10.1007/s11013-013-9314-2 – volume-title: Core competencies for public health in Canada year: 2019 ident: 311_CR18 – volume: 78 start-page: 1589208 issue: 2 year: 2019 ident: 311_CR19 publication-title: International Journal of Circumpolar Health doi: 10.1080/22423982.2019.1589208 – volume: 30 start-page: 291 issue: 1 year: 2007 ident: 311_CR21 publication-title: Canadian Journal of Education doi: 10.2307/20466636 – volume: 19 start-page: 5113 issue: 2 year: 2019 ident: 311_CR22 publication-title: Rural and Remote Health – volume-title: Report on health research ethics workshop and community consultation in Iqaluit, Nunavut year: 2006 ident: 311_CR8 – volume: 32 start-page: 288 issue: 3 year: 2008 ident: 311_CR1 publication-title: Australian and New Zealand Journal of Public Health doi: 10.1111/j.1753-6405.2008.00232.x – volume-title: Qualitative inquiry and research design year: 2013 ident: 311_CR6 – volume-title: Perspectives of primary care providers on the topic of medevac communication and rural practice in Northwest Territories and Nunavut: a report on survey findings year: 2017 ident: 311_CR13 – volume-title: Calls to action year: 2015 ident: 311_CR20 – volume: 22 start-page: 1 issue: 7 year: 2007 ident: 311_CR2 publication-title: Journal of Research in Rural Education – volume-title: Report on health research ethics workshop and community consultation in Rankin Inlet, Nunavut year: 2007 ident: 311_CR9 – volume: 35 start-page: 187 issue: 2 year: 2011 ident: 311_CR7 publication-title: Australian and New Zealand Journal of Public Health doi: 10.1111/j.1753-6405.2011.00687.x – volume-title: Note to my clinician 2016. 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One of the greatest challenges of Nunavut’s health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit... One of the greatest challenges of Nunavut's health care system is its reliance on short-term professionals, many of whom are not oriented to the Inuit... |
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| Title | Cultural orientation and safety app for new and short-term health care providers in Nunavut |
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