{"id":4034,"date":"2016-09-21T14:58:44","date_gmt":"2016-09-21T18:58:44","guid":{"rendered":"http:\/\/52.229.122.34\/en\/?p=4034"},"modified":"2021-02-17T11:04:40","modified_gmt":"2021-02-17T16:04:40","slug":"decision-making-strategy-aims-to-empower-first-nations-inuit-and-metis-patients","status":"publish","type":"post","link":"https:\/\/www.ottawahospital.on.ca\/en\/uncategorized\/decision-making-strategy-aims-to-empower-first-nations-inuit-and-metis-patients\/","title":{"rendered":"Decision-making strategy aims to empower First Nations, Inuit and M\u00e9tis patients"},"content":{"rendered":"<p class=\"text-center\"><em>Postdoctoral fellow Dr. Janet Jull is tailoring and testing a peer-support shared decision-making strategy and guide to better meet the health-care needs of First Nations, Inuit and M\u00e9tis.<\/em><\/p>\n<p>While working as an occupational therapist with Inuit children in Nunavut and the Northwest Territories in the 1990s, Dr. Janet Jull realized that her tools weren\u2019t always well suited to the task.<\/p>\n<p>\u201cOne of the tasks was \u2018Organize these blocks to look like a train,\u2019\u201d she said. \u201cThese kids had never seen a train in their lives. I asked them to make a Ski-Doo instead.\u201d<\/p>\n<p>That\u2019s when she realized how health care could fail to meet the needs of First Nations, Inuit and M\u00e9tis (FNIM) people. Today Dr. Jull, a postdoctoral fellow at The Ottawa Hospital and the University of Ottawa, is working with communities to develop shared decision-making strategies that work for FNIM populations.<\/p>\n<p>FNIM people face increasing risks for cancer in relation to general populations. Poor detection and access to screening, as well as inadequate and culturally inappropriate care, are important issues. There is limited understanding of diverse FNIM cultures within the health-care system. Many people feel unsafe due to perceived racism, historic events or bad personal experiences.<\/p>\n<p>Dr. Jull hopes that a peer-support shared decision-making strategy (which includes a guide), developed in collaboration with a local FNIM community and adapted from a tool originally created at The Ottawa Hospital, will empower FNIM people to participate in decisions about their health care.<\/p>\n<p>The guide can be used by a trained peer-support worker and patient during a visit with a health-care provider. It will help define the decision, and consider the options and their harms and benefits. It also identifies patients\u2019 values and preferences, as well as the support they need to access different options.<\/p>\n<p>\u201cIt ensures people get the information to make the decision that is right for them,\u201d said Dr. Jull, who has been awarded a fellowship from the Canadian Institutes of Health Research for the project.<\/p>\n<p>Dr. Jull acknowledges that there is still a lot to be done to make the health-care experience better for FNIM people.<\/p>\n<p>\u201cThis is not \u2018the\u2019 solution, but it\u2019s a way to increase awareness and communication within the health-care system,\u201d she said. \u201cI\u2019m hopeful, and my FNIM research partners say this is a good first step.\u201d<\/p>\n<hr style=\"border-color: #000000;\">\n<h2>\u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u152a\u14d5\u14ab\u1466 \u140a\u14ea\u14da\u1403\u1466, \u1403\u14c4\u1403\u1466 \u140a\u14bb\u14aa\u14d7 \u140a\u14ea\u14da\u1593\u152a\u1403\u1466 \u1583\u144e\u1583\u144e\u148c\u14d0\u14c2\u1483\u146f\u1466 \u140b\u1585\u146d\u14f1\u1585\u1455\u1403\u14c2\u140a\u1550\u1450\u1466 \u140a\u1450\u140a\u1490\u1483\u14f4\u1405\u1490\u152d\u1585\u1450\u14a5\u1466<\/h2>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-4038 size-full img-responsive\" src=\"\/wp-content\/uploads\/2016\/11\/YIMCJull-photo_final.jpg\" alt=\"Decision-making strategy aims to empower First Nations, Inuit and M\u00e9tis patients\" width=\"740\" height=\"315\" srcset=\"https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2016\/11\/YIMCJull-photo_final.jpg 740w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2016\/11\/YIMCJull-photo_final-600x255.jpg 600w, https:\/\/www.ottawahospital.on.ca\/wp-content\/uploads\/2016\/11\/YIMCJull-photo_final-300x128.jpg 300w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/p>\n<p class=\"text-center\"><em>\u1583\u1405\u1528\u14f5\u1546\u14ef\u14aa\u152d\u1593\u14c4\u1466 \u1403\u14d5\u14f4\u1546\u152d\u1405\u14ef\u14aa\u152a\u1585 \u14d8\u1466\u1456\u1585 \u152d\u14c7\u1466 \u152b\u14ea \u140b\u1585\u146d\u14f1\u1403\u1559\u14ea\u14d5\u140a\u1595\u14aa\u1466 \u140a\u1450\u140a\u1490\u1483\u14f4\u1405\u1490\u152d\u1585\u1450\u1585\u14a5 \u1583\u14c4\u1585 \u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u152a\u14d5\u14ab\u1466 \u1403\u1472\u152a\u1585\u1455\u1405\u1466\u144e\u140a\u1483\u1472\u14d0\u14c2\u1548\u14d0\u14c7\u14aa\u1594\u1455 \u140b\u14d0\u14c2\u140a\u1585\u1450\u14d5\u1546\u14c2\u1555\u14d0\u14c2.<\/em><\/p>\n<p>\u152e\u14c7\u1466 \u152b\u14ea \u1403\u1585\u1472\u14c7\u1403\u152e\u1583\u14da\u1405\u1550\u144e\u14ea\u14d7\u148d \u1403\u14c4\u1403\u1466 \u14f1\u1548\u14ef\u158f\u14d0\u14c2 \u140b\u14d0\u14c2\u140a\u1555\u14d0\u14c2 \u14c4\u14c7\u1557\u14bb\u14a5 \u140a\u14bb\u14aa\u14d7 \u14c4\u14c7\u1466\u14ef\u140a\u1550\u14a5, \u14d8\u1466\u1456\u1585 \u152e\u14c7\u1466 \u152b\u14ea \u1583\u1405\u1528\u14da\u1405\u1585\u1450\u1585 \u140a\u1450\u1585\u1455\u158f\u1466 \u14c8\u14bb\u14aa\u14da\u1405\u158f\u14bb\u14aa\u1455.<\/p>\n<p>\u201c\u1403\u14da\u1593 \u140a\u1450\u1550\u1455\u1405\u14ea\u14d7\u14c2 \u201c\u157f\u152a\u1472\u14ea\u14da\u14c2\u1466 \u140a\u1450\u1550\u1450\u14c2 \u14c4\u14c7\u14ef\u1405\u144e\u146f\u1456\u14d0\u1591\u140a\u14a5\u1466 \u140b\u1585\u146d\u14f1\u1581\u1528\u14ea\u14d7\u14c2\u201d \u1405\u1583\u1585\u1450\u14c2. \u201c\u14c4\u14c7\u1472\u1483\u1470\u1548\u144e\u146f\u1456\u14a5\u1466 \u1455\u146f\u14da\u1405\u1550\u14ef\u14aa\u158f\u14d0\u14c2\u158f\u14d0\u14c4\u1466 \u140a\u1431\u1546\u14d5\u14da\u1405\u1455\u158f\u1466 \u14ef\u146d\u1451\u14d0\u1591\u140a\u14a5\u1466 \u14f4\u14c7\u1581\u1594\u14d5\u1585\u1450\u148b\u1466.\u201d<\/p>\n<p>\u1583\u1405\u153e\u1528\u140a\u14ea\u14da\u14da\u1405\u1550\u1450\u1585 \u140b\u14d0\u14c2\u140a\u1585\u1450\u14d5\u1546\u14c2\u1405\u1449 \u14aa\u14d5\u1490\u158f\u1466 \u140a\u1451\u144e\u1583\u1466\u144e\u140a\u152e\u158f\u14bb\u14aa\u1466 \u1450\u154c\u1593\u158f\u1449\u1438\u1455 \u14c4\u14c7\u1583\u1585\u1473\u1585\u1450\u14d5\u14ab\u14c4\u1466 \u140a\u14ea\u14da\u14c4\u1466, \u1403\u14c4\u14d0\u14c4\u1466 \u140a\u14bb\u14aa\u14d7 \u140a\u14ea\u14da\u1593\u152a\u14c4\u1466. \u1405\u14ea\u14d7\u14a5, \u14d8\u1466\u1456\u1585 \u152b\u14ea, \u1583\u1405\u1528\u14f5\u14a5\u14c4\u1466 \u1403\u14d5\u14f4\u1546\u152d\u1405\u14ef\u14aa\u152a\u1585 \u140b\u1450\u155a \u140b\u14d0\u14c2\u140a\u1555\u140a\u14c2 \u140a\u14bb\u14aa\u14d7 \u140b\u1450\u155a \u1403\u14d5\u14d0\u14c2\u140a\u1550\u1555\u153e\u152a\u140a\u1593\u14c2, \u1431\u14d5\u1546\u1583\u144e\u1583\u1550\u1450\u1585 \u14c4\u14c7\u14d5\u1595\u14c2 \u140b\u1585\u146d\u1505\u14f1\u1403\u1490\u14f1\u140a\u1550\u1450\u144e \u1403\u1472\u152a\u1583\u144e\u148c\u14d0\u14c2\u1483\u146f\u1466 \u140a\u1450\u1548\u1455\u1405\u1490\u152d\u1550\u1450\u14c2\u1466 \u1450\u154c\u152a\u14c2 \u14c4\u14c7\u1583\u1466\u1473\u1585\u14ef\u14aa\u152a\u14c4\u1466 \u14c4\u14c7\u14d5\u1405\u152a\u14c2.<\/p>\n<p>\u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u152a\u1403\u1466 \u140b\u14d0\u14c2\u140a\u1456\u1585\u1438\u14ea\u14d5\u140a\u152a\u1466 \u1405\u14c4\u1550\u14c2\u14f4\u14bb\u14aa\u1546\u140a\u14d8\u14bb\u14aa\u1455 \u1403\u14c4\u1595\u14c2\u1466 \u140a\u14ef\u158f\u14d0\u14c2 \u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u158f\u1450\u14d0\u14c2. \u1583\u1405\u1528\u14f4\u1585\u1455\u1405\u1466\u144e\u140a\u1583\u1466\u1455\u158f\u14d0\u14c2\u158f\u14d0\u14c4\u1466 \u140a\u14bb\u14aa\u14d7 \u1583\u1405\u1528\u14f4\u1548\u144e\u158f\u1466 \u1403\u14d5\u1585\u146f\u14ef\u158f\u14d0\u14c4\u1466 \u1450\u154c\u1593\u152a\u14c2\u1466 \u140a\u1450\u1403\u14d0\u14c7\u1405\u158f\u14d7\u140a\u1550\u14c2\u158f\u14d0\u14c4\u1466, \u1455\u14aa\u1483\u146f\u140a \u1431\u14bb\u14aa\u1546\u140a\u14d8\u144e\u14ea\u14d7\u148b. \u140b\u14d0\u14c2\u140a\u1585\u1450\u14d5\u1546\u1529\u1466 \u1450\u146d\u14ef\u14ef\u14aa\u158f\u14d7\u140a\u1550\u14aa\u1455 \u14c4\u14c7\u1583\u1585\u1473\u1585\u1450\u14a5\u14c3\u1466 \u1403\u14d5\u1585\u146f\u14ef\u158f\u14d0\u14c2. \u140a\u14a5\u14f2\u152a\u1466 \u1472\u1449\u1431\u140a\u14f1\u1583\u1466\u1455\u14bb\u14aa\u1455 \u146d\u1483\u1470\u14c2\u158f\u1455 \u1455\u146f\u14d0\u14c7\u1585\u1455\u1405\u14c2\u158f\u14d0\u14c4\u1466, \u1403\u14d5\u1585\u146f\u14ef\u158f\u144e\u148d\u1466 \u14f1\u152d\u1405\u1472\u14bb\u14aa\u14ef\u14aa\u14c2\u158f\u148d\u1466 \u1405\u155d\u1559\u14d8\u14d0\u14c3\u1466 \u140a\u1450\u1472\u14bb\u14aa\u14ef\u14aa\u152d\u158f\u144e\u148d\u1466 \u1431\u153e\u152a\u144e\u1583\u1585\u1450\u144e.<\/p>\n<p>\u14d8\u1466\u1456\u1585 \u152b\u14ea \u1455\u146f\u148d\u14aa\u152a\u1585 \u1431\u14d5\u1546\u1583\u144e\u148c\u14d0\u14c2\u1483\u146f\u1466 \u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u152a\u14c4\u1466 \u140b\u1585\u146d\u1466\u1455\u1405\u152a\u14a5 \u140a\u1450\u140a\u1490\u1483\u14f4\u1405\u1490\u152d\u1585\u1450\u1585 (\u1403\u14da\u1583\u1550\u14d7\u14c2 \u14aa\u14d5\u1490\u1550\u14a5) \u140a\u14bb\u14aa\u14d7 \u140a\u1450\u1550\u14d7\u144e \u140b\u1450\u155a \u140b\u14d0\u14c2\u140a\u1555\u1593\u1455 \u140a\u1450\u140a\u1490\u158f\u14d0\u14c2 \u140b\u1585\u146d\u14f1\u1403\u14d7\u144e \u14c4\u14c7\u1583\u1585\u1473\u1585\u1450\u14a5\u14c2\u1550\u14c4\u1466 \u1450\u154c\u1593\u152a\u14c2\u1466 \u140b\u14d0\u14c2\u140a\u1450\u14d5\u1546\u14c2\u1550\u14a5\u1466 \u1431\u153e\u152a\u144e\u14d5\u1466.<\/p>\n<p>\u14aa\u14d5\u1490\u1483\u14f4\u1585 \u140b\u1585\u146d\u14f1\u1585\u1455\u1405\u1490\u152d\u1550\u14d7\u14c2 \u1403\u1583\u14c7\u1403\u152d\u1585\u144e\u14a5 \u1403\u1472\u152a\u1550\u144e\u14a5 \u1403\u14d5\u14d0\u14c2\u140a\u1585\u14ef\u14aa\u1466\u144e\u140a\u1550\u1450\u14a5 \u140a\u14bb\u14aa\u14d7 \u140b\u14d0\u14c2\u140a\u1555\u14d5\u140a\u1585\u14ef\u14aa\u152a\u14a7\u1466. \u140a\u158f\u148d\u1455\u1405\u152a\u1466 \u1472\u152a\u14ef\u1466\u144e\u140a\u1581\u14ea\u14d7\u148b\u1466, \u140a\u14bb\u14aa\u14d7 \u157f\u14a5\u1550\u1548\u152d\u1405\u14d7\u144e \u140a\u1450\u140a\u1490\u1483\u14f4\u1403\u1466 \u140a\u14bb\u14aa\u14d7 \u140a\u1466\u1455\u14c7\u1550\u14c2\u1546\u1490\u152d\u1585\u1455\u158f \u140a\u14bb\u14aa\u14d7 \u1431\u1405\u14c2\u158f\u1466. \u14f4\u1585\u146e\u14c2\u140a\u1550\u14aa\u1466 \u140b\u14d0\u14c2\u140a\u1555\u14d5\u140a\u1585\u14ef\u14aa\u152b\u1449 \u1403\u14f1\u14aa\u148b\u152d\u158f\u1466 \u140a\u14bb\u14aa\u14d7 \u1431\u1581\u152d\u158f\u1466, \u140a\u14bb\u14aa\u14d7\u1466\u1455\u1405 \u140a\u153e\u1528\u148c\u158f\u1466\u1450\u14c2 \u140a\u1450\u154b\u1483\u14f4\u1405\u1490\u152d\u1585\u1450\u14c2\u1466 \u14f4\u1585\u146e\u1583\u1455\u1405\u14d7\u14c2.<\/p>\n<p>\u201c\u1583\u1405\u1528\u14aa\u152d\u1405\u152d\u1546\u140a\u14d6\u1466 \u140b\u1585\u146d\u1455\u1405\u1466\u144e\u140a\u1581\u14ea\u14d7\u148b\u1466 \u1450\u154c\u1593\u152a\u1466 \u14c4\u14c7\u1583\u1585\u1473\u1585\u1450\u14a5\u14c2\u1550\u14c4\u1466,\u201d \u1405\u1583\u1585\u1450\u1585 \u14d8\u1466\u1456\u1585 \u152b\u14ea, \u1450\u14c2\u152d\u1405\u14ef\u14aa\u152a\u1466 \u1583\u1405\u1528\u14f4\u1548\u144e\u148b\u14ef\u14aa\u152d\u1593\u14c4\u1466 \u1472\u14c7\u1455\u1405\u1449 \u140b\u14d0\u14c2\u140a\u1585\u1450\u14d5\u1546\u1555\u158f\u14d0\u14c2 \u1583\u1405\u1528\u14f4\u1585\u1555\u1466.<\/p>\n<p>\u14d8\u1466\u1456\u1585 \u152b\u14ea \u14c7\u14d7\u14c7\u1403\u1585\u14ef\u152a\u1585 \u1431\u14d5\u1546\u140a\u1483\u14f4\u14d5\u14bb\u14aa\u1546\u140a\u14d8\u14bb\u14aa\u1455\u148e\u1585 \u14f1\u14d5 \u140b\u14d0\u14c2\u140a\u1585\u1450\u14d5\u1546\u14c2\u1550\u14a5\u1466 \u1583\u14c4\u1585 \u140a\u1472\u1405\u14ef\u155a\u14ea\u14d5\u144e\u1483\u1472\u14d0\u14c2\u1548\u14d0\u14c7\u14c2\u1550\u14a5 \u1450\u154c\u1593\u152a\u14c2\u1466 \u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u152a\u14c4\u1466.<\/p>\n<p>\u201c\u1455\u14aa\u14d0\u14c7 \u140b\u1585\u146e\u152e\u158f\u1466\u1450\u1585, \u146d\u14ef\u140a\u14c2\u14d5 \u1583\u1405\u1528\u155a\u14ea\u14d5\u144e\u1466\u144e\u140a\u14c2\u1550\u1450\u1585 \u1583\u1405\u1528\u14aa\u152d\u1405\u152d\u1546\u140a\u14d5\u1595\u14c2 \u140a\u14bb\u14aa\u14d7 \u14c2\u14ea\u14d5\u140a\u1583\u144e\u148c\u1466\u144e\u140a\u1548\u144e\u1483\u14f4\u14c2 \u140b\u14d0\u14c2\u140a\u1585\u1450\u14d5\u1546\u1555\u14d0\u14c2,\u201d \u1405\u1583\u1585\u1450\u1585. \u201c\u1405\u1449\u1431\u1548\u14f1\u1449\u1433\u1585, \u140a\u14bb\u14aa\u14d7 \u14c4\u14c7\u1583\u1585\u1473\u1585\u14ef\u14aa\u152a\u1466 \u1431\u14d5\u1546\u1583\u144e\u148b\u152d\u1483\u1472 \u1583\u1405\u1528\u14f4\u1550\u14c2\u140a\u1405\u152a\u14a5\u1466 \u14c8\u14bb\u14aa\u14f4\u1550\u1433\u1466.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Postdoctoral fellow Dr. Janet Jull is tailoring and testing a peer-support shared decision-making strategy and guide to better meet the health-care needs of First Nations, Inuit and M\u00e9tis. While working as an occupational therapist with Inuit children in Nunavut and the Northwest Territories in the 1990s, Dr. Janet Jull realized that her tools weren\u2019t always [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":4038,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4034","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"wps_subtitle":"","_links":{"self":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts\/4034","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/users\/25"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/comments?post=4034"}],"version-history":[{"count":0,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/posts\/4034\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media\/4038"}],"wp:attachment":[{"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/media?parent=4034"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/categories?post=4034"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ottawahospital.on.ca\/en\/wp-json\/wp\/v2\/tags?post=4034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}