American Indian Health and Nursing

"[A]n extraordinary textbook that addresses the historical and national impact of healthcare and nursing on the American Indian... Although written for nurses, the usefulness of this healthcare textbook extends far beyond this professional practice. Anyone who wants to understand how healthcare is delivered to the American Indian population will be become well informed while immersed in this text. In this day of indigenizing the academy, including nursing, this textbook would be an excellent resource in Native Studies, Sociology, Psychology, Medicine, or Education."

--Karen Doty-Sweetnam, Department of Psychiatric Nursing, Faculty of Health Studies, Brandon University, The Canadian Journal of Native Studies

The first book to examine the profound disparities in American Indian health, and how they can be remedied, through a nursing lens

The average life expectancy of a male born on the Pine Ridge reservation in South Dakota today is somewhere in the mid-40s‚the lowest life expectancy of all peoples not only in the United States but the entire Western Hemisphere. Written by and for nurses, this is the first text to focus exclusively on American Indian health and nursing. In fact, it is likely the only nursing book to even mention American Indian health as a distinct entity. The text addresses the profound disparities in policy, health care law, and health outcomes that affect American Indians, and describes how these disparities, woven into the cultural, environmental, historical, and geopolitical fabric of American Indian society, are responsible for the marked lack of well-being among American Indians.

American Indian nurse authors, natives of nine unique American Indian cultures, address the four domains of health‚ physical, mental, spiritual, and emotional‚ within each region to underscore the many stunning inequalities of opportunity for health and well-being within the American Indian culture compared with Anglo culture. In an era of cultural competency, these expert nurse authors bring awareness of what is perhaps the least understood minority population in the United States. The text covers the history of American Indians with a focus on the drastic changes that occurred following European contact. Included are excerpts from relevant journal articles, historical reports, interviews with tribal health officials, and case studies. The book addresses the roots of American Indian nursing, including coverage of indigenous knowledge and traditional approaches to health and healing. It examines current issues surrounding American Indian nursing, nursing education, and health care within 10 distinct American Indian cultural populations,including a crucial discussion of the health care needs of American Indians living in urban areas.

KEY FEATURES:

• Focuses exclusively on American Indian health and nursing‚ the first book to do so
• Written by American Indian nurses
• Covers four domains of health: physical, mental, spiritual, and emotional
• Highlights nine specific cultural areas spanning Indian Country, each with its own unique history and context, with urban spaces as a final area

is an associate professor and assistant dean of Diversity and Inclusion at the University at Buffalo School of Nursing (State University of New York). Previously, she was associate professor, coordinator of the Nursing Management, Policy, and Leadership master’s specialty, and the first director of the DNP program at the Yale University School of Nursing. She recently held a Fulbright Visiting Research Chair in Aboriginal/Indigenous Life and Culture in the North American Context at McGill University (2014). Dr. Moss earned her PhD in nursing from the University of Texas—Health Science Center at Houston, and her JD from Hamline University School of Law (St. Paul, Minnesota). She did a 2-year postdoctoral fellowship in aging at the University of Colorado Native Elder Research Center. Dr. Moss also spent 16 months as a health policy fellow staffing the U.S. Senate Special Committee on Aging—Robert Wood Johnson Foundation, Institute of Medicine, in Washington, DC (completed in 2009). From 2005 to 2008, Dr. Moss was the director of the Native Nurse Career Opportunity Program at the University of Minnesota School of Nursing. After being promoted to tenured associate professor there, she served as director of Inclusivity and Diversity (2006–2008), and she later became an associate director of the Minnesota Hartford Center and was appointed interim chair of the Leadership, Systems, and Informatics Policy Cooperative. Her clinical experience prior to teaching included serving as a staff nurse and then as house supervisor and patient education specialist at the U.S. Public Health Service, Indian Health Service/Santa Fe Indian Hospital (1991–1996). Dr. Moss has published 16 research papers, focusing primarily on American Indian elders; Zuni elders; and aging, migration, and remigration of American Indians and the impact on elders. She has written three book chapters, including one for

(Springer Publishing Company). Dr. Moss has taught graduate courses in health policy leadership and cultural aspects of health care. She is a popular speaker and has delivered 35 invited papers since 2010, and has delivered a total of more than 60 invited papers internationally and nationally on health disparities, Indians and research, health policy, and healthy aging in American Indians. She is an enrolled member of the Mandan, Hidatsa, and Arikara Nation.

Contents

Contributors

Preface

Acknowledgments

PART I: INDIGENOUS AMERICA

1 Overview
Margaret P. Moss

2 Precontact Indigenous North America
Theodore C. Van Alst, Jr.

3 Postcontact, Sovereignty, and Health
Margaret P. Moss

4 The Roots of American Indian “Nursing”
Margaret P. Moss

5 The Indian Health System and Nursing
Ruth E. Meilstrup and Margaret P. Moss

6 Beyond the IHS: Indigenous Knowledge and Traditional Approaches to Health and Healing
S. Neyooxet Greymorning

PART II: NURSING IN THE 10 CULTURAL AREAS: REGIONAL AND TRIBAL ISSUES FOR NURSES

7 AI/AN Elders: Mapping Cultural Areas and Regional Variances in Health
Margaret P. Moss

8 Northeastern Woodlands
Marilynn Malerba

9 Southeastern Woodlands
Lee Anne Nichols

10 American Indian Tribes of the Southwest
Nicolle L. Gonzales

11 Great Basin
Lillian Tom-Orme

12 California Indians
Bette Jacobs

13 Pacific Northwest/Plateau
C. June Strickland

14 Alaska
Christopher M. Nelson

15 Northern Great Plains
Margaret P. Moss and Donna M. Grandbois

16 Urban American Indians
Lisa Martin and Margaret P. Moss

PART III: POLICY, THE FUTURE OF NURSING, AND INDIAN COUNTRY

17 Indian Health Funding: Time for Change
Marilynn Malerba and Margaret P. Moss

18 The Future of Nursing Report and American Indian Nursing Education
Margaret P. Moss

Appendix A: List of Federally Recognized Tribes

Appendix B: 66 State-Recognized Tribes

Appendix C: About the Authors

Index