title: Bringing safety and responsiveness into the forefront of care for pregnant and parenting aboriginal people.
abstract: Poor access to prenatal care for Aboriginal people is well documented, and is explicated as an unethical barrier to care resulting from colonial and neocolonial values, attitudes, and practices. A postcolonial standpoint, participatory research principles, and a case study design were used to investigate 2 Aboriginal organizations' experiences improving care for pregnant and parenting Aboriginal people. Data were collected through exploratory interviews and small-group discussions with purposefully selected community leaders, providers, and community members. The study found that safety in healthcare relationships and settings, and responsiveness to individuals' and families' unique experiences and capacities must be brought into the forefront of care. Results suggest that the intention of care must be situated within a broader view of colonizing relations to improve early access to, and relevance of, care during pregnancy and parenting for Aboriginal people.
authors.affiliation: School of Nursing, University of Ottawa, Canada. dsmith@uottawa.ca
authors.forename: Dawn
authors.initials: D
authors.lastname: Smith
authors.forename: Nancy
authors.initials: N
authors.lastname: Edwards
authors.forename: Colleen
authors.initials: C
authors.lastname: Varcoe
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Martens
authors.forename: Barbara
authors.initials: B
authors.lastname: Davies
mesh_terms: D001291:Attitude of Health Personnel; D001955:British Columbia; D018595:Colonialism; D003142:Communication; D003144:Communication Barriers; D003159:Community-Institutional Relations; D003469:Culture; D004644:Emotions; D005260:Female; D006303:Health Services, Indigenous / Q000592:standards*; D006801:Humans; D004930:Inuit; D008297:Male; D009723:Nurse-Patient Relations; D016487:Parenting / Q000208:ethnology*; D011247:Pregnancy; D011295:Prenatal Care / Q000592:standards*; D011787:Quality of Health Care; D012449:Safety