Evidence map›Paper›PMID 35729530›Full record

ArticleBMC health services research2022

Impacts of racism on First Nations patients' emergency care: results of a thematic analysis of healthcare provider interviews in Alberta, Canada.

Patrick McLane, Leslee Mackey, Brian R Holroyd, Kayla Fitzpatrick, Chyloe Healy, Katherine Rittenbach, Tessy Big Plume, Lea Bill, Anne Bird, Bonnie Healy and 3 more

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
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  6. Observational
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  8. Observational
  9. Review
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  11. Interventions to improve equity in emergency departments for Indigenous people: A scoping review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  12. International journal of circumpolar health · 2024
    Article
  13. Article
  14. Article
  15. Leaving emergency departments without completing treatment among First Nations and non-First Nations patients in Alberta: a mixed-methods study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  16. Article
  17. Access to Specialized Care Across the Lifespan in Tetralogy of Fallot.CJC pediatric and congenital heart disease · 2023
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Patrick McLaneAlberta Health Services, Strategic Clinical Networks, Alberta Health Services Corporate Office, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street NW, Edmonton, AB, T5J 3E4, Canada. mclane@ualberta.ca.
Leslee MackeyDepartment of Emergency Medicine, University of Alberta, 790 University Terrace Building, 8303 - 112 Street, Edmonton, AB, T6G 2T4, Canada.
Brian R HolroydAlberta Health Services, Strategic Clinical Networks, Alberta Health Services Corporate Office, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street NW, Edmonton, AB, T5J 3E4, Canada.
Kayla FitzpatrickUniversity of Alberta, School of Public Health, Edmonton Clinic Health Academy, 3-341, 11405 87 Ave NW, Edmonton, AB, T6G 1C9, Canada.
Chyloe HealyBlackfoot Confederacy Tribal Council, P.O. Box 916, Standoff, AB, T0L 1Y0, Canada.
Katherine RittenbachAlberta Health Services, Strategic Clinical Networks, Alberta Health Services Corporate Office, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street NW, Edmonton, AB, T5J 3E4, Canada.
Tessy Big PlumeStoney Nakoda Tsuut'ina Tribal Council, PO Box 350, 9911 Chiila Boulevard S.W., Tsuut'ina, AB, T2W 6H6, Canada.
Lea BillAlberta First Nations Information Governance Centre, Suite 101, 535 8 Ave SE, Calgary, AB, T2G 5S9, Canada.
Anne BirdPaul First Nation Health Services, Box 89, Duffield, AB, TOE 0N0, Canada.
Bonnie HealyBlackfoot Confederacy Tribal Council, P.O. Box 916, Standoff, AB, T0L 1Y0, Canada.
Kristopher JanvierKee Tas Kee Now Health Services, KTC Sub Office, 17015 - 105 Avenue NW, Edmonton, AB, T5S 1M5, Canada.
Eunice LouisMaskwacis Health Services, Box 100, 14 Ermineskin Ave, Maskwacis, AB, Canada.
Cheryl BarnabeUniversity of Calgary, Departments of Medicine and Community Health Sciences, Health Sciences Centre, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFirst Nations people experience racism in society and in the healthcare system. This study aimed to document emergency care providers' perspectives on care of First Nations patients. First Nations research partner organizations co-led all aspects of the research.

methodsSixteen semi-structured interviews were conducted with Alberta emergency department (ED) physicians and nurses between November 2019 and March 2020.

resultsED providers reported that First Nations patients are exposed to disrespect through tone and body language, experience overt racism, and may be neglected or not taken seriously. They described impacts of racist stereotypes on patient care, and strategies they took as individuals to address patient barriers to care. Recognized barriers to care included communication, resources, access to primary care and the ED environment itself.

conclusionsResults may inform the content of anti-racist and anti-colonial pedagogy that is contextually tailored to ED providers, and inform wider systems efforts to counter racism against First Nations members and settler colonialism within healthcare.

Indexed as

Emergency Medical ServicesRacismAlbertaCanadaHealth PersonnelHumansIndigenous PeoplesCultural safetyDiscriminationEmergency medicineFirst NationsHealthcare providersHealth servicesIndigenous healthIndigenous peoplesMedical educationRacism

Identifiers

PMID35729530
PMCPMC9210059

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.