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Transcultural Knowledge Sharing TKS

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Title: Transcultural Knowledge Sharing TKS


1
Transcultural Knowledge Sharing(TKS)
  • Bringing Together
  • Circles of Knowledge
  • The MJOS
  • Knowledge Brokering
  • Approach

2
Tansi
3
MJOS Approachto Knowledge Sharing
  • Learn
  • By Who is
  • Beside You

4
Learn by Who is Beside You
  • First Nation ways of learning
  • Learn by watching, by listening, by working
    together, by sharing, by example.. Learn by Who
    is Beside You.
  • Learning takes place within an active
    relationship, and can be an ongoing process as
    relationships build toward the future, rather
    than just one learning opportunity.
  • Learn by sharing stories about how we live our
    values personally and professionally and how we
    see the world, care for others and share in the
    human experience.

5
Learn by Who is Beside You
  • Beside You
  • Speaks about the coming together of two or more
    people that are focused on a common purpose or
    task at hand. The work requires active engagement
    from all, and the diversity of life experience
    that each person brings.
  • Based on equality in supportive relationships
    where others are there with you, not in front of
    or behind you, but beside you, sharing in the
    learning experience.

6
Learn by Who is Beside You
  • an acceptance of our way of lifefor the
    doctors to have more acceptance of how we see
    thingsthe way we eat, certain foods, herbs, wild
    berries, moose meat.. we want to hear the doctors
    ask about our medicine for ourselves and for our
    family..
  • NPTC Elder

7
Learn by Who is Beside You
  • Western medicine does not deal with the whole
    person. When they see a patient, they see the
    wound, the kidney failure.
  • - First Nation Elder
  • Whereas, we as First Nations people, see the
    whole person, we deal with the physical, the
    emotional, the mental and the spiritual
    well-being of the person.
  • - First Nation Elder

8
Learn by Who is Beside You
  • One of the biggest challenges for realizing the
    goal of harmonizing traditional knowledge and
    western knowledge within the MJOS activities is
    to acknowledge and work with the wide differences
    in the values and worldview of the First Nations
    people, especially between traditional Elders and
    mainstream western culture, including the health
    care system.
  • Lorraine Boucher, NPTC Health Director

9
Learn by Who is Beside You
  • The biggest challenge between mainstream
    health care and First Nations ways of healing is
    respect for the place of the sacred.. God.. the
    spirit world.
  • Because the health system is based on western
    empiricism.. what is real is what can be
    measured and experienced through the 5
    senses..that is very different in the First
    Nations world.
  • In the world of empiricism there is no space
    for mystery and the sacred. The whole endeavour
    is to dispel mystery, whereas in the First
    Nations world, mystery is something you embrace,
    and you worship, you ask for help from. That is
    where I see the biggest clash.
  • Discovery Session Participant

10
Project Partners
  • North Peace Tribal Council
  • Northern Lights Health Region
  • Capital Health Region
  • First Nations Inuit Health Branch Health Canada

11
Project Status
  • Project Approval and Funds Flowing Nov. 2004
    Dec. 2004 and Mar. 2005
  • Project Start-up Jan. 2005
  • Preparation, community discussions and Elder
    engagement, networking, partnership meetings and
    CHSRF events and site visit Jan. to Jul. 2005
  • Review of evaluation findings of the MJOS Health
    Integration Initiative (HII) to inform project
    philosophy, approach and planning Jun. Jul.
    2005
  • Discovery Session participant identification and
    planning Jun. Jul. 2005

12
Project Status (continued)
  • Discovery Session Aug. 2005
  • Evaluation instrument review Aug. 2005
  • Discovery Session transcript preparation and
    review Sept.- October 2005
  • Project staff and partners clarification of roles
    and responsibilities Aug. Sept. 2005
  • Articulation of Emerging Working Principles and
    Challenges as guideposts for future action
  • Planning second workshop for Nov. 2005 and
    planning for Year 2 and 3

13
Identified Challenges
  • Creating the relational context individuals
    engaged in developing new relationships need to
    feel safe and respected.
  • Surfacing Assumptions based on History
    individuals may interpret an opportunity for
    sharing knowledge as unsafe based on personal or
    family historical experience.
  • Communication - transcultural communication
    requires awareness, knowledge, commitment and
    skills in cultural competence to move from
    knowing to doing effectively.

14
Identified Challenges (continued)
  • Using Pictures and Stories we need ways to
    share what we see in our minds and hearts and use
    our stories to create context for learning.
  • Language and Lexicon English is a second
    language for some of the participants and we use
    language as we have learned it. In order to
    develop relationships for the purposes of sharing
    knowledge, we need shared language and
    terminology.
  • Common Purpose - Developing a common
    understanding of the purpose of sharing
    knowledge.

15
Emerging Working Principles
  • First Nation Values, Principles the Wisdom of
    the Elders are the foundation and starting point
    of the process. Relationships come first. Sacred
    space for sharing and honoring the spiritual
    aspects of the people and the process is
    essential for respectful sharing.
  • MJOS has a series of project streams, the results
    of which inform each other, influence each other
    and work together to create positive change in
    delivery of health care services to First Nation
    people.

16
Emerging Working Principles (continued)
  • Honor and respect for each participant from the
    four quadrants and what it takes to respond to
    the diversity within the quadrant and span the
    realities across groups, i.e. (Indigenous /
    First Nation Knowledge Keepers Health Care
    Researchers and Academics Interdisciplinary
    Practice Health Care Providers Policy
    Makers/Managers).

17
Emerging Working Principles (continued)
  • Emergent Process is our method and designing of
    the next step must be based on the experience
    so far and a vision of the purpose of the project
    and the future of the relationships.
  • Comfort with Breaking Trail in recognizing that
    we are taking on new challenges and working our
    way through by investing in relationships, using
    our best ideas and focusing our good intentions.

18
Emerging Working Principles (continued)
  • Give and Take in teaching and learning is a
    complex process that involves back and forth
    within relationships. The reciprocity is based on
    mutual respect and seeking to understand before
    being understood.

19
Emerging Working Principles (continued)
  • Multiple definitions and understandings of
    knowledge, ways of knowing and evidence need to
    be bridged in order to find appropriate and
    shared solid ground for decisions that improve
    the quality of health for First Nation people.
  • Knowledge must be understood within the context
    from which it arises and appropriately translated
    if it is to be applied in a different context.

20
Emerging Working Principles (continued)
  • Welcoming each other to experience and understand
    our world begins with the First Nation world
    and moves around the circle through a series of
    invitations.

21
The Many Jurisdictions, One System (MJOS)
Knowledge Brokering Demonstration Site is
funded by the Canadian Health Services Research
Foundation and Alberta Heritage Foundation for
Medical Research
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