Résumés
Résumé
Les circonstances tragiques entourant le décès de Joyce Echaquan offrent un exemple poignant du racisme qu’expérimentent les Atikamekw Nehirowisiwok dans le système de soins, une situation aussi vécue et documentée au sein d’autres nations autochtones au Québec, et ailleurs au Canada. Cette tragédie a mobilisé l’attention du public et de divers acteurs autour de l’importance de la sécurisation culturelle, une approche de transformation des soins de santé qui prend en compte les besoins, les valeurs, les droits et l’identité culturelle des Autochtones. En partenariat avec le Conseil de la Nation atikamekw (CNA) et les communautés de Manawan, Wemotaci et Opitciwan, notre équipe s’est engagée à l’automne 2019 dans une démarche de co-construction d’un nouveau modèle d’intervention visant à favoriser la sécurité culturelle des Atikamekw Nehirowisiwok dans les soins et services de santé. Ce projet de recherche-action mobilise l’expérience, le savoir et l’expertise de professionnels de la santé, de décideurs et de professionnels atikamekw, d’experts, de vécu culturel et d’universitaires. Il vise à développer un nouveau modèle d’intervention culturellement « sécuritaire », qui laisse place à diverses conceptions de la santé et du mieux-être ainsi qu’à des trajectoires de guérison spécifiques pour les Atikamekw Nehirowisiwok. Cet article vise à présenter divers aspects de notre démarche de recherche, ainsi que des résultats embryonnaires qui ouvrent des pistes d’action potentielles en faveur de la transformation des systèmes de soins dans une perspective de sécurité culturelle. On y discutera plus largement des relations entre le système de santé, le colonialisme, le racisme et la sécurisation culturelle.
Mots-clés :
- Sécurisation et sécurité culturelle,
- accès aux soins,
- Autochtones,
- Atikamekw Nehirowisiwok
Abstract
The tragic circumstances surrounding the death of Joyce Echaquan provide a poignant example of the racism experienced by the Atikamekw Nehirowisiwok in the healthcare system, a situation also experienced and documented within other Indigenous nations in Quebec and elsewhere in Canada. This tragedy mobilized public and stakeholder attention around the importance of cultural safety, an approach to transforming healthcare that takes into account the needs, values, rights and cultural identity of Indigenous people. In partnership with the Conseil de la Nation Atikamekw (CNA) and the communities of Manawan, Wemotaci and Opitciwan, our team has embarked on a process of co-construction of a new intervention model aimed at fostering the cultural safety of the Atikamekw Nehirowisiwok in healthcare and services in the fall of 2019. This action-research project mobilizes the experience, knowledge and expertise of Atikamekw healthcare professionals, Atikamekw decision-makers and cultural experts, non-indigenous professionals and academics. It aims to develop a new model of culturally “safe” intervention that makes room for diverse conceptions of health and wellness, as well as specific healing trajectories for the Atikamekw Nehirowisiwok. This article aims to present various aspects of our research approach, as well as embryonic results that open up potential avenues of action in favour of transforming care systems from a cultural safety perspective. More broadly, it will discuss the relationship between the healthcare system, colonialism, racism and cultural security.
Keywords:
- Cultural Safety,
- Healthcare Access,
- Indigenous Health,
- Atikamekw Nehirowisiwok
Parties annexes
Bibliographie
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