Abstract
Introduction/Importance: Given the promise of integrating traditional healing practices into primary care, we sought to examine the influence of primary care providers’ racial concordance and Indigenous patients’ ethnic salience on traditional healing treatment decisions. Method: Using a descriptive comparative design with an online clinical case vignette, we measured provider decision making via a 5-point Provider Acceptance of Traditional Healing–Referral and Consult questionnaire. Aggregated results of the main effects and interactional effects were analyzed using a 2 × 2 analysis of variance between-subjects design. Results: The main effect for patient racial concordance on the dependent variable was significant, F(1, 89) = 5.71, p =.02. Conclusions: Provider–patient racial concordance does increase the providers’ likelihood of consulting with and referring patients to traditional healing practices, regardless of the patient’s ethnic salience. Implications for Practice: All health care providers require training in traditional healing practices for Indigenous persons as guided by the cultural safety framework.
Original language | English (US) |
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Pages (from-to) | 354-362 |
Number of pages | 9 |
Journal | Journal of Transcultural Nursing |
Volume | 29 |
Issue number | 4 |
DOIs | |
State | Published - Jul 1 2018 |
Bibliographical note
Funding Information:The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the following: NIH Grants 5 R01 DA034466 03, L16 Career Award NOT-OD-10-105, and 5R25MH084565.
Publisher Copyright:
© 2017, The Author(s) 2017.
Keywords
- ANOVA
- alternative health care
- experimental designs
- factorial designs
- health disparities
- holistic health
- instrument development
- pain