Arts to change hearts: lessons learned from six years of arts-based cultural humility workshops with healthcare professionals in northern British Columbia

Sarah de Leeuw; Kelsey Chamberlin; Marion Erickson; Lisa Striegler; Kung Jaadee Kennedy; Janet Ocloo; Will Georgelin; Viviane Josewski; X'staam Hana’ax Nicole Halbauer; Laura McNab-Coombs; Darian Goldin-Stahl

doi:10.36834/b30w5332

Auteurs-es

Sarah de Leeuw University of Northern British Columbia https://orcid.org/0000-0003-3837-9784
Kelsey Chamberlin University of Northern British Columbia https://orcid.org/0000-0001-7833-8819
Marion Erickson University of Northern British Columbia
Lisa Striegler University of Northern British Columbia
Kung Jaadee Kennedy
Janet Ocloo University of Northern British Columbia
Will Georgelin University of Northern British Columbia https://orcid.org/0009-0009-0191-115X
Viviane Josewski University of Northern British Columbia
X'staam Hana’ax Nicole Halbauer University of Northern British Columbia
Laura McNab-Coombs BC Cancer Agency
Darian Goldin-Shahl National Collaborating Centre for Indigenous Health

DOI :

https://doi.org/10.36834/b30w5332

Résumé

Introduction : Bien que les initiatives en matière de lutte contre le racisme et de sécurité et d’humilité culturelles autochtones se multiplient dans les milieux de soins de santé canadiens, rares sont les formations qui abordent la manière dont les professionnels de la santé perçoivent ces concepts ou s’y rapportent sur le plan émotionnel. Nous avons examiné une formation à l’humilité culturelle anticoloniale fondée sur les arts, ancrée dans les modes de savoir et d’être autochtones, afin de favoriser une harmonisation socioculturelle empathique, une prise de conscience du racisme anti-autochtone et l’acquisition de compétences pratiques pour créer des environnements de soins de santé culturellement plus sûrs.

Méthodes : Nous avons animé des ateliers sur l’humilité culturelle, fondés sur des méthodologies anticoloniales et issues des sciences humaines de la santé, auprès de professionnels de la santé en exercice dans le nord de la Colombie-Britannique. Les ateliers ont utilisé l’art, la narration et des pratiques de réflexion créatives pour aider les professionnels de santé à mieux comprendre le racisme anti-autochtone et à développer un engagement plus profond envers la sécurité culturelle et l’humilité. Nous avons utilisé la description interprétative pour analyser les évaluations des participants et les réflexions autoethnographiques des animateurs.

Résultats : Depuis 2019, 661 professionnels de santé ont participé à 29 ateliers animés par 24 animateurs autochtones et non autochtones. 82 participants aux ateliers ont rempli des évaluations. Les résultats mettent en évidence trois enseignements : 1) comment l’apprentissage anticolonial fondé sur les arts offre des moyens émotionnellement parlants de favoriser l’empathie, l’autoréflexion et la mise en pratique de nouvelles façons de penser et d’agir ; 2) comment notre travail s’inscrit dans des possibilités plus larges de changement systémique ; et 3) comment les approches fondées sur le lieu et relationnelles influencent ces résultats.

Conclusion : Les outils et pratiques artistiques, centrés sur le cœur et ancrés dans les modes de savoir et d’être autochtones, peuvent prendre en compte l’émotivité des personnes et soutenir quiconque s’efforce de cultiver des environnements de soins de santé culturellement plus sûrs, en particulier dans le domaine de l’enseignement médical. Les stratégies développées dans le cadre de notre travail pourraient éclairer les approches relationnelles et fondées sur le lieu influencent en phase avec les émotions, créatives, adaptative et flexibles pour lutter contre le racisme anti-autochtone dans le secteur de la santé.

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