ArticleBMJ supportive & palliative care2013
Cultural understanding in the provision of supportive and palliative care: perspectives in relation to an indigenous population.
Article in BMJ supportive & palliative care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Definition of supportive care: does the semantic matter?Current opinion in oncology · 2014Pooled it
- Indigenous Peoples' Experiences in Palliative and End-of-Life Care in Canada: A Scoping Review.Journal of advanced nursing · 2026Article
- Assessing the Impact of an Indigenous Palliative Care Nurse Navigator: A Program Evaluation.Palliative medicine reports · 2025Article
- A qualitative exploration of allied health providers' perspectives on cultural humility in palliative and end-of-life care.BMC palliative care · 2023Article
- Physical pain among Indigenous Peoples in Canada: a scoping review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Service providers' perceptions of support needs for Indigenous cancer patients in Saskatchewan: a needs assessment.BMC health services research · 2021Article
- Cultural competency and sensitivity in the curriculum for palliative care professionals: a survey in Switzerland.BMC medical education · 2021Article
- Cultural Considerations in Palliative Care Provision: A Scoping Review of Canadian Literature.Palliative medicine reports · 2021Article
- Pacific meets west in addressing palliative care for Pacific populations in Aotearoa/New Zealand: a qualitative study.BMC palliative care · 2020Article
- Supporting quality care for ESRD patients: the social worker can help address barriers to advance care planning.BMC nephrology · 2020Article
- Jesus Practiced Advance Care Planning: Biblical Basis and Possible Applications.Palliative medicine reports · 2020Article
- "If you understand you cope better with it": the role of education in building palliative care capacity in four First Nations communities in Canada.BMC public health · 2019Article
- The Enduring Plague: How Tuberculosis in Canadian Indigenous Communities is Emblematic of a Greater Failure in Healthcare Equality.Journal of epidemiology and global health · 2019Article
- Inuit interpreters engaged in end-of-life care in Nunavik, Northern Quebec.International journal of circumpolar health · 2017Article
- A knowledge synthesis of culturally- and spiritually-sensitive end-of-life care: findings from a scoping review.BMC geriatrics · 2016Article
- Supportive care needs of Iranian cancer patients.Indian journal of palliative care · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe provision of supportive and palliative care for an indigenous people in Nova Scotia, Canada, was examined to further our understanding and thereby improve cultural competency. Most of Nova Scotia's indigenous people are Mi'kmaq. The Mi'kmaq Nation lives in Atlantic Canada as well as New England in the eastern USA.
methodsThemes were identified in the literature and through discussion with seven experts who have Mi'kmaq health and cultural research expertise. This paper has been reviewed and approved by two Mi'kmaq consultants who frequently speak on behalf of the Mi'kmaq people in relation to health and cultural understanding. Recommendations for non-indigenous care providers are presented.
resultsThe themes identified focused on jurisdictional issues and cultural understanding. They are interconnected and grounded in the historic Mi'kmaq context of colonialism. Jurisdictional issues experienced by the Mi'kmaq affect access, continuity and appropriateness of care. Cultural concepts were associated with worldview, spirituality, the role of family and community relationships and communication norms, and thereby with the alignment of values and language in the provision of care. Three Mi'kmaq concepts are noted: apiksiktatulti, nemu'ltus and salite.
conclusionThrough reflection on the situation of Nova Scotia's Mi'kmaq, non-indigenous healthcare providers can assess how they might increase their cultural understanding in the provision of supportive and palliative care. Recommendations relate to the health system, relationships with individual persons and direction for research.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.