ArticleInternational journal of circumpolar health2017
"They take care of their own": healthcare professionals' constructions of Sami persons with dementia and their families' reluctance to seek and accept help through attributions to multiple contexts.
Article in International journal of circumpolar health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Exploring the Poststroke Experiences and Needs of South Asian Communities Living in High-Income Countries: Findings from a Scoping Review.Journal of racial and ethnic health disparities · 2024Article
- Dementia among Minority Populations: A Scoping Review of Meaning, Language, and Translation.Dementia and geriatric cognitive disorders · 2024Article
- A sociological study of the significance of identity and ageing in a North Sami community.International journal of circumpolar health · 2023Article
- Experiences from using patient accessible electronic health records - a qualitative study within Sámi mental health patients in Norway.International journal of circumpolar health · 2022Article
- "All I expect is that they accept that I am a Sami"International journal of circumpolar health · 2022Article
- The use of formal care for dementia from a professional perspective: a scoping review.BMC health services research · 2022Article
- Accessibility of health care experienced by persons with dementia from ethnic minority groups and formal and informal caregivers: A scoping review of European literature.Dementia (London, England) · 2022Article
- A culturally sensitive approach to Indigenous older Sámi living with memory loss- disconnected from their environment and spirituality.International journal of circumpolar health · 2021Article
- A Salutogenic Perspective on End-of-Life Care among the Indigenous Sámi of Northern Fennoscandia.Healthcare (Basel, Switzerland) · 2021Article
- Article
- Factors affecting the use of home-based services and out-of-home respite care services: A survey of family caregivers for older persons with dementia in Northern Norway.Dementia (London, England) · 2020Article
- Clinicians' assumptions about Sami culture and experience providing mental health services to Indigenous patients in Norway.Transcultural psychiatry · 2020Article
- Exploring why and how encounters with the Norwegian health-care system can be considered culturally unsafe by North Sami-speaking patients and relatives: A qualitative study based on 11 interviews.International journal of circumpolar health · 2019Article
- Mental health among Sami people with intellectual disabilities.International journal of circumpolar health · 2019Article
- Psychometric validation of the Carers of Older People in Europe Index among family caregivers of older persons with dementia.SAGE open medicine · 2018Article
- Indigenous Sami Family Caregivers' Experiences With Accessing and Collaborating With Municipal Health and Care Services.Global qualitative nursing researchArticle
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundNorwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks.
objectiveIn this article we explore healthcare professionals' discursive constructions of Sami persons with dementia and their families' reluctance to seek and accept help from healthcare services.
designThe article is based on an analysis of focus group interviews with healthcare professionals (n = 18) in four municipalities in Northern Norway with multiethnic populations. A narrative context analysis, which involved an examination of sequences of discourse, was employed.
resultsReluctance to seek and accept help among Sami service users and assumptions about self-support were recurring themes in the focus groups. The reluctance was attributed to macro contexts, such as socio-historical processes and cultural norms, and to micro contexts, such as individual and interpersonal factors including the healthcare professionals' cultural backgrounds and language competence. The healthcare professionals' positioning as insiders or outsiders (Sami or non-Sami) affected their attributions.
conclusionsLocal healthcare professionals are at the front line for providing and assessing service users' needs for healthcare services. Consequently, their perceptions of service users' needs are pivotal for achieving equity in healthcare. The established opinion that Sami "take care of their own" and are reluctant to seek and accept help may lead to omissions or neglect. Healthcare professionals' awareness about how present encounters in healthcare settings are framed and shaped by the service users' previous and prevailing experiences of marginalisation and subordination is crucial to avoid omissions or neglect resulting from assumptions about cultural preferences. Discursively shaped boundaries and differences between groups may create the impression that the distance between the groups is too wide to traverse, which in turn may lead to further marginalisation of service users in healthcare encounters.
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