A rapid systematized review of evaluated health care programmes for Indigenous peoples in Canada with First Nations authentication of cultural safety domains

A rapid systematized review of health care programmes for Indigenous peoples in Canada from January 1 2019 to March 9 2022 resulted in two programmes that were evaluated as safe by the Indigenous recipients of care. Thematic analysis identified four cultural safety domains that created a safe, high-quality, patient-centred approach to health programming for Indigenous peoples from the evaluated programmes, a scoping review and the grey literature: patient empowerment; patients are supported to draw strength from their Indigenous identity, culture and community; provide trauma-informed care; and Indigenous leadership, decision-making and health governance. We describe the cultural safety domains and how they were applied in the evaluated programmes. First Nations members of the Wâhkohtowin Research Group and Elders Mentoring Programme in Maskwacîs in the Treaty 6 region of Canada agreed in facilitated discussions that the domains were authentic from their perspective and applicable to perinatal programmes in their community.