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Negotiating culturally incongruent healthcare systems : the process of accessing dementia care in northern Saskatchewan

This study is an exploration of the process of accessing dementia care for Aboriginal Older Adults living in Northern Saskatchewan. The research question for this project was, What is the process of accessing formal healthcare for dementia from the perspective of Northern Saskatchewan Aboriginal communities, and what factors specifically impede or encourage accessing formal care? <p>Grounded theory methodology informed the research process. Theoretical sampling resulted in a sample of thirty participants. Data were generated through eighteen in-person, semi-structured interviews; two in-person, semi-structured group interviews; and three focus group discussions including a directed activity led by participants. Analysis of data using the grounded theory constant comparison method led to an emergent theory that was verified by research participants.<p>The theory that emerged explains the basic social process at the heart of the research question. The grounded theory, The process of negotiating culturally incongruent healthcare systems explains the access to and use of formal healthcare from the perspective of those living in Northern Saskatchewan. Specific attention to the social context of healthcare access helped to illuminate the challenges faced by Aboriginal Older Adults when accessing healthcare services. The findings indicate a need for enhancing the cultural competence of healthcare provision to Older Adults with dementia in Northern Saskatchewan while providing formal support for those persons with dementia as well as for their informal caregivers.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:SSU.etd-12192006-160831
Date20 December 2006
CreatorsCammer, Allison Lee
ContributorsWoods, Shirley, Stewart, Norma J., Morgan, Debra, Leis, Anne, Janzen, Bonnie, Green, Kathryn
PublisherUniversity of Saskatchewan
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://library.usask.ca/theses/available/etd-12192006-160831/
Rightsunrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Saskatchewan or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.

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