{"id":"https://openalex.org/W7128607367","doi":"https://doi.org/10.1093/pch/pxaf108","title":"Cultural safety in practice: Providing quality health care for First Nations, Inuit, and M\u00e9tis children and youth","display_name":"Cultural safety in practice: Providing quality health care for First Nations, Inuit, and M\u00e9tis children and youth","publication_year":2025,"publication_date":"2025-10-18","ids":{"openalex":"https://openalex.org/W7128607367","doi":"https://doi.org/10.1093/pch/pxaf108","pmid":"https://pubmed.ncbi.nlm.nih.gov/41994037","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13079081"},"language":"en","primary_location":{"id":"doi:10.1093/pch/pxaf108","doi":"https://doi.org/10.1093/pch/pxaf108","is_oa":false,"landing_page_url":"https://doi.org/10.1093/pch/pxaf108","pdf_url":null,"source":{"id":"https://openalex.org/S87934238","display_name":"Paediatrics & Child Health","issn_l":"1205-7088","issn":["1205-7088","1918-1485"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatrics & Child Health","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13079081/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019140476","display_name":"\u00c9milie Beaulieu","orcid":"https://orcid.org/0000-0002-7475-9808","observed_orcids":["https://orcid.org/0000-0002-7475-9808"]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Emilie Beaulieu","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125657871","display_name":"Sara Citron","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Sara Citron","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011705162","display_name":"Ryan Giroux","orcid":"https://orcid.org/0000-0001-9847-1887","observed_orcids":["https://orcid.org/0000-0001-9847-1887"]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Ryan Giroux","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092443323","display_name":"Cheyenne LaForme","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Cheyenne Laforme","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043721054","display_name":"Amber Miners","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Amber Miners","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023344971","display_name":"Brett Schrewe","orcid":"https://orcid.org/0000-0001-9743-2894","observed_orcids":["https://orcid.org/0000-0001-9743-2894"]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Brett Schrewe","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080614769","display_name":"Elizabeth A. C. Sellers","orcid":"https://orcid.org/0000-0003-3279-2017","observed_orcids":["https://orcid.org/0000-0003-3279-2017"]},"institutions":[{"id":"https://openalex.org/I2800860928","display_name":"Canadian Paediatric Society","ror":"https://ror.org/037qnwq20","country_code":"CA","type":"other","lineage":["https://openalex.org/I2800860928"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Elizabeth Sellers","raw_affiliation_strings":["Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Canadian Paediatric Society, First Nations, Inuit and M\u00e9tis Health Committee , Ottawa, Ontario ,","institution_ids":["https://openalex.org/I2800860928"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800860928"],"apc_list":{"value":4981,"currency":"USD","value_usd":4981},"apc_paid":null,"fwci":0.2846,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.32116105,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"31","issue":"3","first_page":"228","last_page":"234"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cultural-safety","display_name":"cultural safety","score":0.9940000176429749},{"id":"https://openalex.org/keywords/indigenous-health","display_name":"Indigenous health","score":0.6320000290870667},{"id":"https://openalex.org/keywords/first-nations","display_name":"First Nations","score":0.8519999980926514},{"id":"https://openalex.org/keywords/inuit","display_name":"Inuit","score":0.9990000128746033},{"id":"https://openalex.org/keywords/metis","display_name":"M\u00e9tis","score":0.9509999752044678},{"id":"https://openalex.org/keywords/paediatric-care","display_name":"paediatric care","score":0.7870000004768372},{"id":"https://openalex.org/keywords/cultural-humility","display_name":"cultural humility","score":0.8920000195503235},{"id":"https://openalex.org/keywords/antiracism","display_name":"anti-racism","score":0.9890000224113464},{"id":"https://openalex.org/keywords/trauma-informed-care","display_name":"trauma-informed care","score":0.9990000128746033},{"id":"https://openalex.org/keywords/institutional-discrimination","display_name":"institutional discrimination","score":0.5730000138282776},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.675000011920929},{"id":"https://openalex.org/keywords/family-environment","display_name":"family environment","score":0.5509999990463257},{"id":"https://openalex.org/keywords/language","display_name":"language","score":0.7300000190734863},{"id":"https://openalex.org/keywords/cultural-heritage","display_name":"cultural heritage","score":0.9729999899864197},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.5419999957084656}],"concepts":[{"id":"https://openalex.org/C2777507618","wikidata":"https://www.wikidata.org/wiki/Q5193403","display_name":"Cultural safety","level":3,"score":0.9047999978065491},{"id":"https://openalex.org/C55958113","wikidata":"https://www.wikidata.org/wiki/Q169480","display_name":"Indigenous","level":2,"score":0.7411999702453613},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5692999958992004},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5478000044822693},{"id":"https://openalex.org/C139838865","wikidata":"https://www.wikidata.org/wiki/Q8461","display_name":"Racism","level":2,"score":0.503600001335144},{"id":"https://openalex.org/C169536714","wikidata":"https://www.wikidata.org/wiki/Q1666159","display_name":"Cultural competence","level":2,"score":0.4966999888420105},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4325999915599823},{"id":"https://openalex.org/C125209646","wikidata":"https://www.wikidata.org/wiki/Q1338878","display_name":"Cultural diversity","level":2,"score":0.4140999913215637},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.3741999864578247},{"id":"https://openalex.org/C3020486378","wikidata":"https://www.wikidata.org/wiki/Q5188450","display_name":"Culturally appropriate","level":2,"score":0.34779998660087585},{"id":"https://openalex.org/C3018149544","wikidata":"https://www.wikidata.org/wiki/Q5188450","display_name":"Culturally sensitive","level":2,"score":0.3384999930858612},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.3188000023365021},{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.3131999969482422},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.30649998784065247},{"id":"https://openalex.org/C187155963","wikidata":"https://www.wikidata.org/wiki/Q629029","display_name":"Occupational safety and health","level":2,"score":0.29919999837875366},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.29019999504089355},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2784000039100647},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2777000069618225},{"id":"https://openalex.org/C2992397558","wikidata":"https://www.wikidata.org/wiki/Q5188450","display_name":"Cultural sensitivity","level":2,"score":0.2662999927997589},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.26159998774528503},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.2615000009536743},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.2612999975681305},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.25609999895095825},{"id":"https://openalex.org/C60671577","wikidata":"https://www.wikidata.org/wiki/Q210272","display_name":"Cultural heritage","level":2,"score":0.2556000053882599}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1093/pch/pxaf108","doi":"https://doi.org/10.1093/pch/pxaf108","is_oa":false,"landing_page_url":"https://doi.org/10.1093/pch/pxaf108","pdf_url":null,"source":{"id":"https://openalex.org/S87934238","display_name":"Paediatrics & Child Health","issn_l":"1205-7088","issn":["1205-7088","1918-1485"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatrics & Child Health","raw_type":"journal-article"},{"id":"pmid:41994037","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41994037","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatrics & child health","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13079081","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13079081/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatr Child Health","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13079081","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13079081/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Paediatr Child Health","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.7578999996185303,"display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2637500070","https://openalex.org/W3120347146","https://openalex.org/W4296242482","https://openalex.org/W4310038313"],"related_works":["https://openalex.org/W7128613855","https://openalex.org/W7154775930","https://openalex.org/W7138838250","https://openalex.org/W4318339907","https://openalex.org/W4412848487","https://openalex.org/W4283790425","https://openalex.org/W4313580030","https://openalex.org/W2808532179","https://openalex.org/W7205628831","https://openalex.org/W3038310423"],"abstract_inverted_index":{"In":[0],"Canada,":[1],"cultural":[2,27,33,52,94],"safety":[3,34,53],"in":[4,9,26,63,103,120,148],"health":[5,67,125],"care":[6,68,126,135,147],"has":[7],"emerged":[8],"response":[10],"to":[11,36,108],"the":[12,49,79,89,106],"racism":[13],"and":[14,30,41,82,93,100,109,117,129,138],"systemic":[15],"discrimination":[16],"that":[17,38,114],"Indigenous":[18,39,115],"peoples":[19],"often":[20],"face":[21],"when":[22],"accessing":[23],"care.":[24,46],"Grounded":[25],"humility,":[28],"antiracism,":[29],"trauma-informed":[31],"care,":[32],"aims":[35],"ensure":[37],"children":[40,116],"youth":[42,118],"receive":[43],"equitable,":[44],"quality":[45],"While":[47],"understanding":[48],"principles":[50],"of":[51,96,111,124],"is":[54],"important,":[55],"this":[56],"statement":[57],"focuses":[58],"on":[59],"applying":[60,78],"these":[61],"concepts":[62],"daily":[64],"practice.":[65],"Paediatric":[66],"providers":[69],"can":[70],"pursue":[71],"building":[72],"a":[73],"culturally":[74,145],"safe":[75,146],"practice":[76,150],"by":[77],"'learn,":[80],"self-reflect,":[81],"act'":[83],"framework.":[84],"They":[85],"should":[86],"also":[87],"consider":[88],"home":[90],"environment,":[91],"language,":[92],"heritage":[95],"each":[97],"child,":[98],"youth,":[99],"family":[101],"seen":[102],"practice,":[104],"alongside":[105],"barriers":[107],"facilitators":[110],"healthy":[112],"living":[113],"experience":[119],"Canada.":[121],"Being":[122],"mindful":[123],"system":[127],"policies":[128],"practices-and":[130],"how":[131],"they":[132],"affect":[133],"patient":[134],"both":[136],"locally":[137],"historically-is":[139],"an":[140],"important":[141],"step":[142],"toward":[143],"offering":[144],"any":[149],"setting.":[151]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-02-12T00:00:00"}