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Open Access Maternal-Infant Health Outcomes and Nursing Practice in a Remote First Nations Community in Northern Canada Résultats en matière de santé maternelle et infantile et pratique infirmière dans une communauté des Premières Nations en région éloignée au Canada

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Abstract:

This article reports those findings related to maternal-infant health outcomes of an ethnographic study that explored nursing practice, continuity of care, and health outcomes in one remote First Nations community in northern Canada. Use of multiple data sources within an ethnographic design ensured that quantitative health outcomes data were interpreted within a contextualized understanding of the remote First Nations community. The sample comprised the charts of 65 mothers and 63 infants randomly selected for retrospective chart review. The findings suggest suboptimal maternal-infant health outcomes on several of the health indicator criteria identified for the purposes of this study. The authors discuss long-term sequelae of prenatal and infant health in terms of diabetes and other chronic health conditions in First Nations populations. They explore the implications of these findings in relation to nurses' preparation to offer prenatal and infant primary care in remote First Nations communities.

French
Notre article présente des conclusions touchant la santé maternelle et infantile obtenues dans le cadre d'une étude ethnographique sur la pratique infirmière, la continuité des soins et les résultats de santé dans une communauté autochtone éloignée située au nord du Canada. L'usage de sources de données multiples suivant une méthode ethnographique a permis d'interpréter les résultats de santé quantitatifs en les situant dans le contexte particulier de la communauté à l'étude. L'échantillon comprenait les dossiers médicaux de 65 mères et de 63 nourrissons sélectionnés aléatoirement aux fins d'une étude rétrospective. On constate des résultats sous-optimaux en matière de santé maternelle et infantile pour plusieurs des critères indicateurs retenus. Les auteurs abordent les séquelles à long terme de l'état de santé de la mère et de l'enfant relativement au diabète et à d'autres maladies chroniques chez les Premières Nations. Ils explorent les implications découlant de ces observations en ce qui a trait à la préparation des infirmières en matière de prestation des soins primaires pré- et postnataux dans les communautés autochtones éloignées.

Keywords: ABORIGINAL; CONTINUITY OF CARE; FIRST NATIONS; HEALTH INDICATOR CONDITIONS; HEALTH OUTCOMES; INFANT HEALTH; MATERNAL HEALTH; NURSING PRACTICE; PRIMARY CARE; REMOTE COMMUNITIES

Document Type: Regular Paper

Publication date: 2013-06-01

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