Abstract: Objective To synthesise and appraise the design and impact of peer-reviewed evaluations of Indigenous cultural safety training programmes and workshops for healthcare workers in Australia, Canada, New Zealand and/or the United States. Design Systematic review. Data sources Ovid Medline, Embase, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Bibliography of Indigenous Peoples in North America, Applied Social Sciences Index & Abstracts, ERIC (Education Resources Information Center), International Bibliography of the Social Sciences, ProQuest Dissertations & Theses Global, Sociological Abstracts, and Web of Science’s Social Sciences Citation Index and Science Citation Index from 1 January 2006 to 12 May 2022. Eligibility criteria Studies that evaluated the outcomes of educational interventions for selecting studies: designed to improve cultural safety, cultural competency and/or cultural awareness for non-Indigenous adult healthcare professionals in Canada, Australia, New Zealand or the United States. Data extraction and synthesis Our team of Indigenous and allied scientists tailored existing data extraction and quality appraisal tools with input from Indigenous health service partners. We synthesised the results using an iterative narrative approach. Results 2442 unique titles and abstracts met screening criteria. 13 full texts met full inclusion and quality appraisal criteria. Study designs, intervention characteristics and outcome measures were heterogeneous. Nine studies used mixed methods, two used qualitative methods and two used quantitative methods. Training participants included nurses, family practice residents, specialised practitioners and providers serving specific subpopulations. Theoretical frameworks and pedagogical approaches varied across programmes, which contained overlapping course content. Study outcomes were primarily learner oriented and focused on self-reported changes in knowledge, awareness, beliefs, attitudes and/or the confidence and skills to provide care for Indigenous peoples. The involvement of local Indigenous communities in the development, implementation and evaluation of the interventions was limited. Conclusion There is limited evidence regarding the effectiveness of specific content and approaches to cultural safety training on improving non-Indigenous health professionals’ knowledge of and skills to deliver quality, non-discriminatory care to Indigenous patients. Future research is needed that advances the methodological rigour of training evaluations, is focused on observed clinical outcomes, and is better aligned to local, regional,and/or national Indigenous priorities and needs.





Abstract: This dissertation is a study of settler-colonialism. Based on fieldwork among Jewish settlers in the West Bank, it analyzes from an anthropological perspective how a settler-colonial process takes place. Officially, since the signing of the Oslo Accords, with few exceptions, Israel ceased to build new settlements in the West Bank. But, on the ground, from the 1990s onwards, the West Bank hinterland was scattered with over 150 illegal outposts, strategically constructed to appropriate as much land as possible. Often established on remote hilltops, the illegal outposts are the central tool today in appropriating Palestinian land, and the “outpost people” who reside in them, are considered the most radical settlers of all. For this research, I moved to one of these frontier outposts which I pseudonymously refer to as Ma’ale Eliya. Located at the edge of the Judean Desert, I stayed in the community for an overall period of almost two years. On one level, at the center of this research is an investigation of how a settler-colonial project expands: I explicate the settler-colonial know-how by which settlers appropriate land against indigenous resistance, the different challenges they face, and the internal conflicts and desires that shape their colonial endeavor. I make the case that these days, at the heart of the advancement of the West Bank settlement project is a sense of crisis and a set of contradictions that paradoxically propel the colonial process forward. On a second level, by focusing on a particular strand of what I discovered to be “post-messianic” settlers, this dissertation investigates the conditions of political action in the aftermath of ideological and religious rupture. My main argument is that rather than wholehearted beliefs, the generation of outpost settlers is animated to colonial action precisely from a sense of ideological retreat. In analyzing this dynamic of post-ideological radicalism, in addition to being about settler-colonialism, this research is also about political action in an age when master narratives lose their mastery.






Editors: Magdalena Naum, Aarhus University/Lund University: magdalena.naum@cas.au.dk; Karl Jacoby, Columbia University: kj2305@columbia.edu

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