Etuaptmumk (Two-Eyed Seeing) and Ethical Space: Ways to Disrupt Health Researchers’ Colonial Attraction to a Singular Biomedical Worldview

Authors

  • Moneca Sinclaire University of Manitoba College of Nursing
  • Annette Schultz College of Nursing, University of Manitoba
  • Janice Linton University of Manitoba
  • Elizabeth McGibbon Rankin School of Nursing, St. Francis Xavier University

DOI:

https://doi.org/10.25071/2291-5796.94

Keywords:

Indigenous Peoples; Nursing and Health Research; Etuaptmumk (Two-Eyed Seeing); Ethical Space; Reconciliation

Abstract

Indigenous research on Turtle Island has existed for millennia, where knowledge(s) to work with the land and its inhabitants are available for next generations. These knowledge systems exist today but are rarely viewed as valid biomedical ‘facts’ and so are silenced. When Indigenous knowledge is solicited within health research, the knowledge system is predominantly an ‘add-on’ or is assimilated into Western understandings. We discuss disrupting this colonial state for nurse researchers. Two concepts rooted in Indigenous teachings and knowledges, Etuaptmumk (Two-Eyed Seeing) and Ethical Space, shed light on ways to disrupt health researchers’ attraction to a singular worldview which continue to privilege Western perspectives. Knowledge rooted in diverse knowledge systems is required to challenge colonial relations in health research and practice. A synergy between Etuaptmumk and Ethical Space can support working with both Indigenous and biomedical knowledge systems in health research and enhance reconciliation.

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Author Biographies

Moneca Sinclaire, University of Manitoba College of Nursing

 is a Research Associate, University of Manitoba College of Nursing. She is of Néhinan (Cree) descent and her thirty-year career in health has focused specifically on Indigenous health by and for Indigenous peoples. She is a passionate multi-visual artist who is a mother; and aunt to many children.

Annette Schultz, College of Nursing, University of Manitoba

Dr. Annette Schultz is a Canadian nurse researcher who explores health services and policy contexts in relation to health priorities. While individuals’ behaviours and their social and economic locations play a role in health status, health systems and policies also play a dynamic role in health status. Over the last 7 years, five of her funded research studies work with First Nation People; exploring heart health, diabetes and cancer experiences within Manitoba. In all of these studies, she integrates diverse methodological approaches, which are guided by principles of two-eyed seeing and decolonizing methodologies from conception to translation. The University of Manitoba Campuses are located on original lands of Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and on the homeland of the Metis Nation.

Janice Linton, University of Manitoba

Janice Linton is the Indigenous Health Liaison Librarian at the University of Manitoba. Since 1998, she has been responsible for developing and maintaining the libraries’ Indigenous Health Collection & Services. Located within the Neil John Maclean Health Sciences Library, in the dedicated space known as Kanee Ga Ni-What Kee-Kandamowin Anishinabeck (First Peoples Place of Learning), this collection of materials is the only special collection devoted solely to Indigenous health found in an academic medical library in Canada. The University of Manitoba Campuses are located on original lands of Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and on the homeland of the Metis Nation.

Ms. Linton is descended from Scottish and English 19th century settlers who settled on the lands of the Anishnaabeg, First Nations Peoples of the Mississauga Nation in the decades following the signing of Treaty 19 by Chief Adjutant (Ajetans), Chief of the Eagle Tribe of the Mississauga Nation, and a representative of the Crown.  She was raised in Nogojiwanong, on the traditional lands of the Michi Saagiig (Mississauga) Anishnaabeg.

Elizabeth McGibbon, Rankin School of Nursing, St. Francis Xavier University

Dr. Elizabeth McGibbon is a professor with the Rankin School of Nursing, St. Francis Xavier University. She is an applied critical health social scientist and a settler living in Mi'kmaqi, the ancestral and unceded territory of the Mi'kmaq people. Her focus is on how public policy created oppression “gets under the skin” to deepen disadvantage and create intergenerational health damage. She is particularly interested in synergies among the structural determinants of health (colonialism, capitalism...), the ecological determinants of health (climate crises, ecotoxicity, deforestation...), and the social determinants of health.  

References

References

Ballantyne, S. [Sonia Ballantyne], Sinclaire, M, Schultz, A. (January, 2020). Pac-Ow-Tay (Our Beating Hearts). [Documentary]. Accessible here: https://youtu.be/FpYWppuKp90

Bartlett, C., Marshall, M., & Marshall, A. (2012).Two-Eyed Seeing and other lessons learned with co-learning journey of bringing together indigenous and mainstream knowledges and ways of knowing. Journal of Environmental Studiec in Science, 2,10. DOI: https://doi.org/10.1007/s13412-012-0086-8

Bourque Bearskin, R. L. (2016). Through the lens of truth and reconciliation: Next steps. The Canadian Nurse, 112(2), 36.

Browne, A., Smye, V. & Varcoe, C. (2016). Critical Shifting Gears: Engaging in Critically Oriented Praxis in Neoliberal and Neocolonial Context. Manuscript in progress. https://www.sydney.edu.au/nursing/pdfs/critical-perspectives/browne-varcoe-smye.pdf

Council of Canadians. (2020). Safe water for First Nations. https://canadians.org/fn-water

Cornell, S. (2009). Indigenous Peoples, Poverty and Self-Determination in Australia, New Zealand, Canada and the United States (Contract No.: JOPNA No. 2006-02). Native Nations Institute for Leadership, Management, and Policy-The Harvard Project on American Indian Economic Development. DOI: https://doi.org/10.5040/9781350220751.ch-011

Dashchuk, J. (2013). Clearing the Plains: Disease, Politics of Starvation, and the Loss of Aboriginal Life. University of Regina Press.

de Leeuw, S., Lindsay, N.M., & Greenwood, M. (2015). Introduction: Rethinking Determinants of Indigenous Peoples’ Health in Canada. In S. de Leeuw, N.M. Lindsay, & M. Greenwood (Eds.), Determinants of Indigenous Peoples’ Health in Canada (pp. xi-xxix). Canadian Scholars’ Press.

Denzin, N.K., & Lincoln, Y.S. (2008). Introduction: Critical methodologies and Indigenous inquiry. In N.K. Denzin, Y.S. Lincoln, & L.T. Smith (Eds.), Handbook of critical and Indigenous methodologies (pp.2-20). Sage Publications Inc. DOI: https://doi.org/10.4135/9781483385686

Dickason, O. & McNab D. (2009). Canada's First Nations: A History of Founding Peoples from the Earliest Times. Oxford University Press.

Durie, M. (2004). Understanding health and illness: research at the interface between science and indigenous knowledge. International Journal of Epidemiology, 33, 1138-43. DOI: https://doi.org/10.1093/ije/dyh250

Ermine, W. (2007). The ethical space of engagement. Indigenous Law Journal, 6, 193-203.

Ermine, W., Sinclair, R., & Jeffrey, B. (2004). The Ethics of Research Involving Indigenous peoples. Indigenous Peoples’ Health Research Centre.

First Nations Health. (2020). First Nations Researchers use ‘two-eyed seeing’ to improve Indigenous children’s health. First Nations Newsletter. https://www.fnha.ca/about/news-and-events/news/researchers-use-two-eyed-seeing-to-improve-indigenous-childrens-health

Fontaine, L.S., Woods, S., Forbes, L., Schultz, A. (2019) Listening to First Nations Women’ Expressions of Heart Health: mite achimowin Digital Storytelling Study. International Journal of Circumpolar Health,78:1, 1630233, DOI: 10.1080/22423982.2019.1630233 DOI: https://doi.org/10.1080/22423982.2019.1630233

Gathering Strength: Canada’s Aboriginal Action Plan. (1997). Ottawa; Minister of Indian Affairs and Northern Development. Accessed February 13, 2021 http://publications.gc.ca/collections/collection_2012/aadnc-aandc/R32-189-1997-eng.pdf

Goodman, A., Fleming, K., Markwick, N., Morrison, T., Lagimodiere, L., et al. (2017).“They treated me like crap and I know it was becasue I was Native": The healthcare experiences of Aboriginal peoples living in Vancouver's inner city. Social Science & Medicine, 178, 87-94. DOI: https://doi.org/10.1016/j.socscimed.2017.01.053

Hopper, T. (2018). Here is what Sir John A. Macdonald did to Indigenous people. The National Post, August 28, 2018.

Horrill, T., McMillan, D.E., Schultz, A.S.H., & Thompson, G. (2018). Understanding access to healthcare among Indigenous peoples: A comparative analysis of biomedical and postcolonial perspectives. Nursing Inquiry, 25,3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055798/ 18 DOI: https://doi.org/10.1111/nin.12237

Interview: Lynette Lucas -- Hishukish Tsawalk (Everything is One, Everything is Connected). (2020, March 3). Keeping In Touch. https://www.keepingintouchbc.com/blog/2020/3/2/interview-lynette-lucas-hishukish-tsawalk-everything-is-one-everything-is-connectednbsp-using-two-eyed-seeing-to-optimize-healthy-early-life-trajectories-for-indigenous-peoples

Iwama, M., Marshall, M., Marshall, A., & Bartlett, C. (2009). Two-Eyed Seeing and the Language of Healing in Community-Based Research. Canadian Journal of Native Education, 32, 21.

Kovach, M. (2009). Indigenous methodologies: Characteristics, Conversations, Contexts. University of Toronto Press.

Latimer, M., D. Simand, A. Findley, S. Rudderham, et al. S. (2014). Understanding the impact of the pain experience on Aboriginal children’s wellbeing: Viewing through a Two-Eyed seeing lens. First Peoples Child and Family Review, 9, 1, 22-37.

Linton, J., & Ducas, A. (2017). A New Tool for Collection Assessment: One Library’s Response to the Calls to Action Issued by Canada’s Truth and Reconciliation Commission. Collection Management, 42(3-4), 256–279. https://doi.org/10.1080/01462679.2017.1344596 DOI: https://doi.org/10.1080/01462679.2017.1344596

McGibbon, E. & Mbugua, J.W. (2018). Race and racialization in health, health care, and nursing education. In M. McIntyre & C. McDonald (Eds.). Realities of Canadian Nursing,5th ed, (pp. 16-31). Wolters Kluwer Health.

McGibbon, E., Malaudzi, M., Didham, P., Barton, A., & Sochan, A. (2013). Towards decolonizing nursing: The colonization of nursing and strategies to increase the counter-narrative. Nursing Inquiry, 21, 3, 179-191. DOI: https://doi.org/10.1111/nin.12042

Miller, J. (Host). (2020, October 28). Dialogue 4: Two-Eyed Seeing & Beyond [Audio podcast]. Reconciling Ways of Knowing. https://www.waysofknowingforum.ca /dialogue-4

Martin, D. (2012), Two-Eyed Seeing: A Framework for Understanding Indigenous and Non-Indigenous Approaches to Health Research. Canadian Journal of Nursing Research, 44, 20-41.

Martin, D. E., Thompson, S., Ballard, M., & Linton, J. (2017). Two-Eyed seeing in research and its absence in policy: Little Saskatchewan First Nation Elders' experiences of the 2011 flood and forced displacement. International Indigenous Policy Journal, 8, 4. https://ir.lib.uwo.ca/iipj/vol8/iss4/6/ DOI: https://doi.org/10.18584/iipj.2017.8.4.6

National Collaborating Centre for Indigenous Health (2018). Challenges for Health Equity for: Indigenous Peoples Social Determinants Health Policy. Government of Canada and Public Health Agency of Canada. https://www.nccih.ca/495/ Challenges in_health_equity_for_Indigenous_peoples_in_Canada.nccih?id=233

Peltier, C. (2018). An Application of Two-Eyed Seeing: Indigenous Research Methods with Participatory Action Research. International Journal of Qualitative Methods, 17, 1-12. DOI: https://doi.org/10.1177/1609406918812346

Poole, R. (1972). Towards Deep Subjectivity. Penguin Press.

Ratcliffee, S. (Ed.). (2017). Oxford Essential Quotes-Desmond TuTu 1931-South African Anglican clergyman. Oxford University Press.

Rieger, K.L., Gazan, S., Bennett, M., Buss, M., Chudyk, A.M., Cook, L., Copenace, S., et al. (2020). Elevating the uses of storytelling approaches within Indigenous health research: a critical and participatory scoping review protocol involving Indigenous people and settlers. Systematic reviews, 9, 1, 1-9. DOI: https://doi.org/10.1186/s13643-020-01503-6

Schultz, A.S.H., Dahl, L., McGibbon, E., Brownlie, R.J., Cook, C., Elbarouni, B., Katz, A., Nguyen, T., Sawatzky, J., et al., (2020). Coronary artery complexity and its influence on mortality and hospitalizations: a retrospective matched-cohort study comparing First Nations and non-First Nations angiography patients. CMAJ Open, 8(4), E685-E694; DOI:10.9778/cmajo.20190171 DOI: https://doi.org/10.9778/cmajo.20190171

Schultz, A.S.H., Sinclaire, M., Linton, J., McGibbon, E., & Fisher, R.M. (2016). Negotiating pathways between the health evidence we have and the knowledge we need to address the TRC’s call for action [Conference session]. 4th Annual Indigenous health Research Symposium: Think Differently, Act Differently: Research to Action, Winnipeg. MB, Canada. November 23; Winnipeg, MB, Canada.

Smith, L. (2012). Decolonizing Methodologies: Research and Indigenous Peoples. Otago University Press.

Smylie, Janet. “Approaching Reconciliation: Tips from the Field.” Canadian Journal of Public

Health, vol. 106, no. 5, Springer International Publishing, July 2015, pp. e261–e264, doi:10.17269/cjph.106.5262. DOI: https://doi.org/10.17269/cjph.106.5262

Symenuk, M.P., Tisdale, D., Bourque Bearskin, D.H., & Munro, T. (2020). In Search of the Truth: Uncovering Nursing’s Involvement in Colonial Harms and Assimilative Policies Five Years Post Truth and Reconciliation Commission. Witness: The Canadian Journal of Critical Nursing Discourse, 2, 1. https://witness.journals.yorku.ca/index.php/default/article /view/51 DOI: https://doi.org/10.25071/2291-5796.51

Tait, C. (2008). Ethical programming: Towards a community-centred approach to mental health and addiction programming in Aboriginal communities. Pimatisiwin: Journal of Aboriginal and Indigenous Community Health, 6, 30.

Tilburt, J. (2010). The role of worldviews in health disparities eduation. Journal of General Internal Medicine, 25 Suppl 2(S2), S178-81. https://www.researchgate.net/publication/ 51442821_The_Role_of_Worldviews_in_Health_Disparities_Education DOI: https://doi.org/10.1007/s11606-009-1229-9

Truth and Reconciliation Commission of Canada. (2015a). Truth and Reconciliation Commission of Canada. http://www.trc.ca/about-us.html

Truth and Reconciliation Commission of Canada. (2015b). Calls to Action. http://nctr.ca/assets/reports/Calls_to_Action_English2.pdf

Turnbull, D. (1997). Reframing science and other local knowledge traditions. Futures, 29,11. DOI: https://doi.org/10.1016/S0016-3287(97)00030-X

Vukic, A., Gregory, D., & Martin-Mesener, R. (2012). Indigenous Health Research: Theoreticaland Methodological Perspectives. Canadian Journal of Nursing Research, 44, 15.

Walker, L.M.B. (2015). Medicine is Relationship: Relationship is Medicine. In M. Greenwood, S. de Leeuw, N.M. Lindsay & C. Reading (Eds.), Determinants of Indigenous Peoples’ Health in Canada: Beyond the Social, 1st ed., (pp. 244-54). Canadian Scholars’ Press Inc.

Wright, A., Gabel, C., Ballantyne, M., Jack, S.M., & Wahoush, O. (2019). Using two-eyed seeing in research with indigenous people: An integrative review. International Journal of Qualitative Methods, 18. https://journals.sagepub.com/doi/ full/10.1177/ 16094069 19869695 DOI: https://doi.org/10.1177/1609406919869695

Published

2021-06-30

How to Cite

Sinclaire, M., Schultz, A., Linton, J., & McGibbon, E. (2021). Etuaptmumk (Two-Eyed Seeing) and Ethical Space: Ways to Disrupt Health Researchers’ Colonial Attraction to a Singular Biomedical Worldview. Witness: The Canadian Journal of Critical Nursing Discourse, 3(1), 57–72. https://doi.org/10.25071/2291-5796.94