Aboriginal Patient Navigator Deb Donald (right) speaks with Secwepemc patient Debbara Toney about her care plan for when she goes home from hospital. Photo: Interior Health.

Aboriginal Patient Navigator Deb Donald (right) speaks with Secwepemc patient Debbara Toney about her care plan for when she goes home from hospital. Photo: Interior Health.

Interior Health aims to add 1,200 Aboriginal workers by 2025

Culturally safe care benefits First Nations patients.

Tsucwmínte (welcome) Aboriginal employees

Interior Health sets goal to add 1,200 Aboriginal employees to workforce by 2025

The patient from a First Nations community was in pain and frightened. The faces around him at the hospital were unfamiliar, and although the hospital staff members were kind, they couldn’t reassure him that he was in safe hands.

As he became more agitated, a call was made to Aboriginal patient navigator (APN) Deb Donald. She arrived quickly and immediately introduced herself as a member of the Simpcw First Nation. The man settled down and she was able to convince him that he needed an X-ray before he could be scheduled for surgery.

“His anxiety also eased up when he saw a security officer who was Aboriginal. Familiar identifying factors made him feel more comfortable, and that’s why it’s so important to encourage Aboriginal people toward careers in health care,” says Donald.

Donald works at Royal Inland Hospital (RIH) in Kamloops, which sees many Aboriginal patients from First Nations communities across IH West, and also Métis patients in urban neighbourhoods.

“We have Aboriginal employees at RIH, but I wish there were more,” she says. “I would like to see a solid representation in housekeeping, security, food, and porter services, as well as nurses, Allied Health, and physicians.”

Cariboo Memorial Hospital health services director Lori Boothby agrees. Her Williams Lake hospital serves a large population of Aboriginal people from the three First Nations located across the Cariboo-Chilcotin.

“Increasing our Aboriginal employee complement is a priority, and our managers know it is a priority. Interior Health Aboriginal recruiter Carrie Desjarlais has met with our managers and is supporting them in recruitment efforts.”

Boothby says it’s really a matter of common sense for an organization. 0“No matter what the population is, you want to make sure the staff and people who take care of the patients are reflected in that population.”

Health Minister Adrian Dix says it’s becoming increasingly clear that it is necessary to create an environment that provides culturally appropriate care that is supportive of all patients. “The progress we have made so far is good, and I acknowledge that the targets set are ambitious but necessary. This approach is part of a broader strategy in which health authorities work closely with the First Nations Health Authority and other partners to improve cultural safety and humility across the health-care system.”

Mal Griffin, VP of Human Resources, says Interior Health has launched a recruitment strategy focusing on attracting Aboriginal people to health-care careers. Senior leadership has set a goal to increase the number of IH employees identifying as having Aboriginal heritage from the current number of 3.93 per cent to 10 per cent by 2025.

Cariboo Memorial staff got a reminder of how much they rely on the knowledge of Aboriginal staff when there was a six-month vacancy in the hospital’s Aboriginal patient navigator position.

“When I took our new APN Harriet Hird around on her first day, the staff members were ecstatic because they regularly encounter situations where they need the expertise, guidance, and wisdom that can only come from a person who is First Nations or Métis,” says Boothby.

The wife of a stroke patient at RIH was able to compare two separate experiences, one with the support of Aboriginal staff and one without.

Deborah Wilson-Green, who is from the Haisla First Nation, says it made such a difference to her when she was able to turn to APN Deb Donald for support. Although Wilson-Green has worked in both education and health centres, she felt she was in a maze the first time her husband had a stroke. She said while the staff members were competent and kind, they were too busy helping patients to be able to provide other necessary supports to family members.

When Larry Green had a second stroke, his wife was connected to Donald, and the whole experience was different. Donald helped her find community supports that allowed her to stay close to her husband—they live in Ashcroft—and she offered guidance about his in-hospital care.

“Deb was just a wealth of information,” says Wilson-Green. “I was so thankful to have her there to help me deal with the ‘life’ issues so I could support my husband 100 per cent in his recovery.”

She adds that it’s not easy for people unacquainted with the Aboriginal culture to understand certain things that are important to First Nations and Métis families.

“When someone is ill in our culture, we go support the family, so huge numbers of people show up at the hospital and nurses struggle to understand that. Aboriginal nurses get it, though. They know that’s just how we do it in the Aboriginal world, and they find a spare area or room for the family and friends to wait.”

Donald says she finds her non-Aboriginal colleagues at Royal Inland eager to learn about their Aboriginal patients because they want to make their stay more comfortable.

“I really welcome their questions, but I am just one person. Other Aboriginal employees bring the same knowledge.” She’s also not afraid to explain when she hears comments that might hurt an Aboriginal patient. She recalled one of her patients telling her she was offended to hear nurses talking about having a “powwow” about something.

In those cases, it’s unintentional harm, and Donald helps her colleagues understand why it’s important to think about their words.

“I am really happy at how the culture has changed here over the years.”

She adds that the ability to offer culturally safe care will continue to improve as more Aboriginal employees join the IH workforce and are able to share their culture with their colleagues.



editorial@accjournal.ca

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