Evidence map›Paper›PMID 42527325›Full record

ArticleCanadian family physician Medecin de famille canadien

Braiding knowledges: Integrating Indigenous healing into team-based primary care.

Jacklyn Desharnais, Samuel Goertz, Zeenat Ladak, Kimberly Morrisseau, Deena M Hamza, Alan Katz, Mandy Buss

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Jacklyn DesharnaisProject Evaluator at the University of Manitoba at the time of study and is currently a student in the Master of Social Work program at the University of Manitoba.
Samuel GoertzDoctoral candidate at the University of Alberta in Edmonton.
Zeenat LadakDoctoral candidate in Applied Psychology & Human Development at the University of Toronto in Ontario at the time of the study.
Kimberly MorrisseauKnowledge Keeper, Elder Helper, and Project Manager at the Winnipeg Regional Health Authority.
Deena M HamzaEvaluation Lead in Postgraduate Medical Education in the Faculty of Medicine & Dentistry at the University of Alberta.
Alan KatzProfessor in the Department of Community Health Sciences and the Department of Family Medicine at the University of Manitoba.
Mandy BussProject Lead at the University of Manitoba.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the integration of Indigenous healing practices within an interprofessional team-based primary care clinic.

designGuided by the Two-Eyed Seeing and Eco-Normalization frameworks, a developmental evaluation was conducted from November 2023 to July 2024, and included surveys, semistructured interviews, and a facilitated sharing circle. Quantitative data were analyzed descriptively. Deductive content analysis-using the Eco-Normalization Framework and the Empathy Map analysis-was used for qualitative data analysis.

settingAn interprofessional team-based primary care clinic in Winnipeg, Man, in Canada.

participantsIndigenous and non-Indigenous patients (n=9) and health care providers (n=14).

methodsAn Indigenous Elder, Knowledge Keeper, and mental health counsellor were integrated into the study to embed Indigenous ways of knowing into care. Perspectives of patients and health care providers regarding the perceived value of integrating Indigenous ways of knowing and healing were explored. MAIN

findingsNine themes emerged: valuing Indigenous ways of knowing and healing; culturally relevant, holistic care; incorporating Indigenous healing practices; whole-person care; collaboration within a team-based model; relationship building; barriers to health care access; lost traditional knowledge and continuation of intergenerational trauma; and centrality of emotional health. Patients and providers reported improved cultural safety, enhanced trust, and deeper engagement. Key facilitators included interdisciplinary collaboration, community partnerships, and integration of ceremony and land-based healing. Challenges included systemic barriers beyond the clinic and sustainability concerns.

conclusionIntegrating Indigenous knowledge into team-based primary care can advance culturally safe, holistic, and equity-oriented health services. Structural transformation, sustainable funding, Indigenous governance, and embedding Indigenous ways of knowing into health professional education are critical for scaling and sustaining such models. Our findings support the Truth and Reconciliation Commission of Canada's Calls to Action.

Indexed as

Health Services, IndigenousIndigenous CanadiansMedicine, TraditionalPatient Care TeamPrimary Health CareCanadaFemaleHolistic HealthHumansMaleMiddle AgedQualitative Research

Identifiers

PMID42527325
PMCPMC13431213

What OpenQuestion holds

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Registered trials

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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.