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Abstract
Abstract The overall aim of this qualitative study was to inform recommendations towards Indigenous strength-based approaches for kidney health, prevention of disease and failure. Between 2020 and 2022, during the COVID-19 pandemic, we conducted online interviews and teleconferences with 16 participants from North Simcoe in Ontario, Canada. Participants shared their experiences revolving around kidney disease and care within Indigenous contexts. An advisory committee consisting of members from a First Nation community with personal and familial experiences with kidney disease provided direction to the research in conjunction with the research team. Analysis occurred through the collective consensual data analytic procedure (CCDAP) consistent with a strength-based methodology that involved the coming together of community members with the research team. Themes were identified into groupings that led to the recommendations related to (1) health care continuity of traditional and cultural ways of knowing and being; (2) accessible hemodialysis and support for home dialysis; (3) increased kidney transplantation and kidney organ donation, (4) increased telehealth and virtual medicine; and (5) government support and funding. Accessible culturally safe care within home communities that also serves to limit the spread of COVID-19 infection was prioritized.
Published Version
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