Abstract：
Introduction: First Nations are most at risk of developing end-stage kidney disease. Kidney transplantation is the best treatment option for these patients; however, First Nations donors are underrepresented. The aim of this study was to describe and understand barriers and facilitators of culturally safe organ transplantation and donation from the perspective of First Nations and Health Professionals in the Province of Quebec, Canada. Methods/Approach: This was a qualitative descriptive study using the decolonizing Two-Eyed Seeing approach. The sample consisted of First Nations people and health professionals living in Quebec, Canada, who have had an experience of organ transplantation or donation. Semi-structured interviews were conducted between May and September 2021 with 11 people, including 5 healthcare professionals and 6 First Nations people. Findings: This study enrolled 11 participants. Several individual and contextual factors influencing culturally safe organ transplantation and donation among First Nations people were identified: language barrier, impacts of relocation, lack of knowledge about transplantation, mistrust of the healthcare system, family support and accompaniment, and transplant testimonials. Discussion: This study identified several avenues for reinforcing culturally safe transplantation and donation among First Nations, including the presence of a companion in medical consultations, focusing on access to culturally safe accommodation and sharing transplant testimonials. Further work in partnership with First Nations is needed to improve access to culturally safe organ transplantation.
摘要：
简介：原住民最容易患终末期肾脏疾病。肾移植是这些患者的最佳治疗选择；然而，第一民族捐助者代表性不足。这项研究的目的是从魁北克省原住民和卫生专业人员的角度描述和理解文化上安全的器官移植和捐赠的障碍和促进者，加拿大。方法/方法：这是一项使用脱色两眼观察方法的定性描述性研究。样本包括居住在魁北克的原住民和卫生专业人员，加拿大,有器官移植或捐赠经验的人。半结构化访谈于2021年5月至9月进行，有11人参加，包括5名医疗保健专业人员和6名原住民。研究结果：本研究招募了11名参与者。确定了影响原住民文化安全的器官移植和捐赠的几个个人和环境因素：语言障碍，搬迁的影响，缺乏关于移植的知识，对医疗系统的不信任，家庭支持和陪伴，和移植证明。讨论：这项研究确定了在原住民中加强文化安全移植和捐赠的几种途径，包括在医疗咨询中的同伴，专注于获得文化安全的住宿和分享移植证明。需要与原住民进一步合作，以改善获得文化上安全的器官移植的机会。
