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dc.contributor.authorBlix, Bodil Hansen
dc.contributor.authorHamran, Torunn
dc.date.accessioned2018-02-13T14:58:05Z
dc.date.available2018-02-13T14:58:05Z
dc.date.issued2017-06-06
dc.description.abstractBackground: Norwegian government white papers have stated that the Sami population is reluctant to seek help from healthcare services and has traditions of self-help and the use of local networks. <br>Objective: In this article we explore healthcare professionals’ discursive constructions of Sami persons with dementia and their families’ reluctance to seek and accept help from healthcare services. <br>Design: The article is based on an analysis of focus group interviews with healthcare professionals (n = 18) in four municipalities in Northern Norway with multiethnic populations. A narrative context analysis, which involved an examination of sequences of discourse, was employed. <br>Results: Reluctance to seek and accept help among Sami service users and assumptions about self-support were recurring themes in the focus groups. The reluctance was attributed to macro contexts, such as socio-historical processes and cultural norms, and to micro contexts, such as individual and interpersonal factors including the healthcare professionals’ cultural backgrounds and language competence. The healthcare professionals’ positioning as insiders or outsiders (Sami or non-Sami) affected their attributions. <br>Conclusions: Local healthcare professionals are at the front line for providing and assessing service users’ needs for healthcare services. Consequently, their perceptions of service users’ needs are pivotal for achieving equity in healthcare. The established opinion that Sami “take care of their own” and are reluctant to seek and accept help may lead to omissions or neglect. Healthcare professionals’ awareness about how present encounters in healthcare settings are framed and shaped by the service users’ previous and prevailing experiences of marginalisation and subordination is crucial to avoid omissions or neglect resulting from assumptions about cultural preferences. Discursively shaped boundaries and differences between groups may create the impression that the distance between the groups is too wide to traverse, which in turn may lead to further marginalisation of service users in healthcare encounters.en_US
dc.descriptionSource at <a href=http://dx.doi.org/10.1080/22423982.2017.1328962> http://dx.doi.org/10.1080/22423982.2017.1328962 </a>.en_US
dc.identifier.citationBlix, B. H., Hamran, T. (2017). “They take care of their own”: Healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contexts. International Journal of Circumpolar Health. 76(1)en_US
dc.identifier.cristinIDFRIDAID 1474361
dc.identifier.doihttp://dx.doi.org/10.1080/22423982.2017.1328962
dc.identifier.issn1239-9736
dc.identifier.issn2242-3982
dc.identifier.urihttps://hdl.handle.net/10037/12146
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalInternational Journal of Circumpolar Health
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/HELSEVEL/238146/NORWAY/Public dementia care in terms of equal services - family, local and multiethnic perspectives//en_US
dc.relation.urihttp://www.tandfonline.com/doi/full/10.1080/22423982.2017.1328962
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en_US
dc.title“They take care of their own”: Healthcare professionals’ constructions of Sami persons with dementia and their families’ reluctance to seek and accept help through attributions to multiple contextsen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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