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Open Access Using Narrative Inquiry to Elicit Diabetes Self-Care Experience in an Aboriginal Population Recours à l'enquête narrative pour recueillir l'expérience de l'autogestion du diabète dans une population autochtone

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Abstract:

A narrative inquiry approach was used to explore the experience of Aboriginal people living with type 2 diabetes mellitus in a rural community. Narrative inquiry based on hermeneutic phenomenological philosophy was the methodology used to guide the research. A purposive sample of 4 persons of Nuxalk ancestry living in Bella Coola, Canada, were selected for their ability to present rich life narratives and to reveal meaning in their particular diabetes stories. Three key insights or overarching analytical interpretations emerged and could contribute broadly to Aboriginal health research. The focus of the article is the expansion of our understanding of diabetes within a specific cultural context. The discussion connects various philosophical, epistemological, and methodological orientations to research with Aboriginal people living with diabetes.

French
C'est selon l'approche de l'enquête narrative qu'a été analysée l'expérience de personnes autochtones vivant avec le diabète de type 2 dans une collectivité rurale. La méthode utilisée pour guider la recherche a été l'enquête narrative fondée sur l'herméneutique phénoménologique. Un échantillon de 4 personnes descendant de la nation Nuxalk qui vit à Bella Coola (Canada) a été choisi à dessein. Ces personnes ont été sélectionnées pour leur aptitude à présenter des récits de vie étoffés et à faire apparaître du sens dans leur propre histoire de diabète. Trois principes clés ou interprétations analytiques prédominantes se sont dégagés, qui pourraient contribuer à la recherche sur la santé autochtone d'une manière générale. L'article est axé sur notre compréhension accrue du diabète dans un contexte culturel précis. L'analyse met en relation diverses orientations philosophiques, épistémologiques et méthodologiques avec la recherche auprès de personnes autochtones vivant avec le diabète.

Keywords: ABORIGINAL KNOWLEDGE; ABORIGINAL PEOPLES; CROSS-CULTURAL RESEARCH; DIABETES; FIRST NATIONS; NARRATIVE INQUIRY; NURSING PRACTICE; NUXALK ANCESTRY

Document Type: Research Article

Publication date: September 1, 2008

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