Horizon Health Network creates Indigenous patient navigator role to offer culturally safe care

In an effort to provide better care, the Horizon Health Network has created a new role of Indigenous patient navigator.

The role was conceived through years of consultation with First Nation stakeholders.

ShyanneTatton is one of two navigators hired in April to work atDr. Everett Chalmers Regional Hospital in Fredericton.

She said its a role she and her family would have appreciatedwhen her grandmother fell ill and had to be admitted to hospital.

"There were some barriers that we faced ... Something that an Indigenous patient navigator would have really been able to help our family with. Things like coordinating services, from the health centreon the reserve, getting her traditional medicinesin facility and even just having a talking ear to be there for her."

That's an experience Tattonholds with her as she carries out her work.

An average day consists of anything from receivingreferrals for inpatients, informing patients on care options and community engagement.

That engagement is important in building trust andTatton recalls a time when herpresence persuaded an Indigenous woman to seek further care.

"She was a little bit closed off to me at first andI was a little bit worried about that coming into this position, because you don't know what kind of situations you'll face. But then to know that she did open upand she was very receptive of what I could do and how I could help ... that was a real big honour."

Creation of the role

Aaron Hattyis a nurse and became Indigenous relations coordinator with Horizon last September.

She said the navigator role has been created in multiple provinces, like British Columbia, Alberta, Manitoba and Ontario andcame into existence in New Brunswick afteryears of consultation.

"Our program itself is largely informed by our Indigenous liaison committee.So that's made up of health leaders in each First Nations communities that fall under Horizon."

Hatty added that while Horizon hired navigators, this initiative was directed by what First Nations and Elders saidneeded to be addressed in health care.

Withtwo navigatorsin place, there are now plans to expand the program.

Hatty said, "We're really collecting a lot of data in terms of activity ...as well as keeping track of some of the ways that we have helped people to hopefully expand this program in the future to other facilities, for instance, the emergency room."

She added different types of navigators are being sought based on need.

"Maybe somebody who's worked at a health centrefor years and years and years, they may not be a social worker, but they're very familiar with the programming and very familiar with the people and the priority for the navigator is the patients themselves."

Hatty said there is work underway to also bring the role into hospitals under theVitalit Health Network.

During her time as a nurse,Hattysaid it was often difficult to ensure cultural and spiritual needs were being met when thehealth-care system was already being pushed.

But with the creation of this role, Hattysaid it's astep toward tackling systemic racism and making sure Indigenous patients receive lifesaving care in a respectful way.