Indigenous students learning experiences using their mother tongue when studying
A focus group study with Northern-Sámi Nursing Students
DOI:
https://doi.org/10.7577/njcie.6399Keywords:
Sámi, Indigenous, Mother tongue, Decolonisation, Nursing EducationAbstract
This study explores the significance of using the Sámi mother tongue in the learning process for Sámi-speaking nursing students in Finnmark, Norway. Established in the context of a unique nursing education program that incorporates Sámi culture and language. The research employs a hermeneutic-phenomenological approach, utilizing focus group interviews with seven students. Findings indicate that students experience enhanced learning outcomes when instruction occurs in Northern Sámi, leading to increased participation, confidence, and engagement in academic discussions. Participants reported that using their mother tongue facilitated effortless communication, reduced anxiety, and allowed for a deeper understanding of the subject matter. Conversely, when instruction was conducted in Norwegian, students felt silenced and less inclined to participate, highlighting the challenges posed by linguistic barriers in a predominantly Norwegian-speaking healthcare system. The study underscores the need for the development of Sámi nursing terminology to empower students and enhance professional communication. Ultimately, the research advocates for the recognition of Sámi as a legitimate language in nursing education, positing that such recognition not only enriches the educational experience but also serves as a form of decolonization, affirming the cultural identity and rights of the Sámi people. This study contributes to the discourse on indigenous education and the importance of mother tongue instruction in professional training, suggesting that linguistic capital is vital for the empowerment and self-determination of indigenous communities.
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Angelo, D., Disbray, S., Singer, R., O'Shannessy, C., Simpson, J., Tuhiwai Smith, H., Meek, B., & Wigglesworth, G. (2022). Learning (in) indigenous languages: Common ground, diverse pathways. OECD Education Working Papers, No. 278, OECD Publishing. https://doi.org/10.1787/e80ad1d4-en
Arieli, D., Friedman, V. J., & Hirschfeld, M. J. (2012). Challenges on the path to cultural safety in nursing education. International Nursing Review, 59(2), 187-193. https://doi.org/10.1111/j.1466-7657.2012.00982.x
Austgard, K. (2007). Language and the experience of patients' values in nursing care: a theoretical exploration. Nurse education today, 27(2), 139–144. https://doi.org/10.1016/j.nedt.2006.04.005
Balto, A. (2019). Kulturveileder-for arbeid med Sámiske pasienter og deres pårørende/Kulturofelaš-sámi dearvvašvuođasuorgái [Cultural guide for working with Sámi patients and their relatives]. Utviklingssenter for sykehjem og hjemmetjenester (USHT).
Blix, S., & Eriksen, L. (2015). ”ET GODT LOKALT LÆRINGSMILJØ?” Erfaringer med desentralisert bachelor i sykepleie, i tre kommunale studentgrupper 2001 -2004 ["A GOOD LOCAL LEARNING ENVIRONMENT?" Experiences with a decentralized bachelor's degree in nursing, in three municipal student groups 2001 - 2004]. Septentrio Reports, (1). https://doi.org/10.7557/7.3339
Boge, J. (2020). The inferior position of the Sámi language in a bilingual nursing home in Norway. Journal of Multilingual and Multicultural Development, 41(3), 195-205. https://doi.org/10.1080/01434632.2019.1597875
Bourdieu, P. (1977). The economics of linguistic exchanges. Social Science Information, 16(6), 648-668. https://doi.org/10.1177/053901847701600601
Bratland, R. (2013). Sámiske tilbud innenfor sykepleierutdanningen i Finnmark [Sámi nursing education in Finnmark]. In E. Boine, S. B. Johansen, S. Lund, & S. Rasmussen (Eds.), Sámisk skolehistorie (Vol. 6). Davvi Girji. http://skuvla.info/skolehist/bratland-n.htm
Brock-Utne, B. (2012). Language and inequality: global challenges to education. Compare: A Journal of Comparative and International Education, 42(5), 773-793. https://doi.org/10.1080/03057925.2012.706453
Brock-Utne, B., & Alidou, H. (2011). Active students – learning through a language they master. In A. Ouane & C. Glanz (Eds.), Optimising Learning, Education and Publishing in Africa: The Language Factor A Review and Analysis of Theory and Practice in Mother-Tongue and Bilingual Education in sub–Saharan Africa (pp. 187-216). UIL/ADEA.
Constitution. (1814). The Constitution of the Kingdom of Norway (LOV-1814-05-17). Lovdata. https://lovdata.no/NLE/lov/1814-05-17
Convention No. 169. (1989). Concerning Indigenous and tribal peoples in independent countries/ILO-konvensjon nr. 169 om urfolk og stammefolk i selvstendige stater (27-06-1989 nr. 2 Mulitlateral). Lovdata. https://lovdata.no/dokument/TRAKTAT/traktat/1989-06-27-2
Creswell, J. W. (2013). Qualitative Inquiry and Research Design: Choosing Among Five Approaches (3rd ed.). SAGE
Dagsvold, I., Mollersen, S., & Stordahl, V. (2015). What can we talk about, in which language, in what way and with whom? Sámi patients' experiences of language choice and cultural norms in mental health treatment. International Journal of Circumpolar Health, 74, 26952. https://doi.org/10.3402/ijch.v74.26952
Denzin, N. K., Lincoln, Y. S., & Tuhiwai Smith, L. T. (2008). Handbook of Critical and Indigenous Methodologies. SAGE Publications Inc.
Engelbrecht, C., Shangase, N. C., Majeke, S. J., Mthembu, S. Z., & Zond, Z. M. (2010). IsiZulu Terminology Development in Nursing and Midwifery. Alternation, 17(1), 249-272.
Engelbrecht, C., & Wildsmith, R. (2010). Exploring Multilingualism in a Problem-based Learning Setting: Implications for Classroom and Clinical Practice in the Nursing Discipline. Alternation, 17(1), 108-137.
Engnes, J. I., Sivertsen, N., Bongo, B. A., & Mehus, G. (2022). Sámi language in Norwegian health care: 'He speaks good enough Norwegian, I don't see why he needs an interpreter'. Scandinavian Journal of Caring Science, 36(1), 275-284. https://doi.org/10.1111/scs.12986
Eriksen, L., & Okstad, L. (2008). Rapport om deltid BA Sykepleie 2008. [Report on part-time nursing education 2008]. Høgskolen i Finnmark, Hammerfest. Unpublished work
Eriksen, L. T., & Huemer, J. E. (2019). The contribution of decentralised nursing education to social responsibility in rural Arctic Norway. International Journal of Circumpolar Health, 78(1). https://doi.org/10.1080/22423982.2019.1691706
Ford, J. S., & Reutter, L. I. (1990). Ethical dilemmas associated with small samples. Journal of advanced Nursing, 15(2). https://doi.org/10.1111/j.1365-2648.1990.tb01800.x
Grønmo, K., & Grønmo, L. P. (2019). Mátkkeloahpa ovddasmoraš-vuoiŋŋalaš veahkki [Care at the end of life - spiritual care] (2. utg.). Utviklingssenter for sykehjem og hjemmetjenester i Finnmark.
Hiim, H. (1998). Undervisningsplanlegging for yrkeslærere [Teaching planning for vocational lecturers] (2. utg.). Universitetsforlaget.
Kunnskapsdepartementet. (2024). Nasjonale retningslinjer for helse- og sosialfagutdanningene (RETHOS) [Information about National Curricula for Norwegian Health and Welfare Educations (RETHOS)]. https://www.regjeringen.no/no/tema/utdanning/hoyere-utdanning/innsikt/nasjonale-retningslinjer-for-helse-ogsosialfagutdanningene-rethos/id3054017/
Lane, P. (2023). From Silence to Silencing? Contradictions and Tensions in Language Revitalization. Applied Linguistics, 44(5), 833-847. https://doi.org/10.1093/applin/amac075
Lerdal, A., & Karlsson, B. (2009). Bruk av fokusgruppeintervju [Employing focus group interviews]. Sykepleien Forskning, 3(3), 172-175. https://doi.org/10.4220/sykepleienf.2008.0036
Magga, O. H., & Skutnabb-Kangas, T. (2002). Life or death for languages and human beings – experiences from Saamiland. In A. Camilleri, L. Huss, & K. King (Eds.), Transcending Monolingualism: Linguistic Revitalization in Education (pp. 35-53). CRC Press LLC.
Mehus, G., Bongo, B. A., Engnes, J. I., & Moffitt, P. M. (2019). Exploring why and how encounters with the Norwegian health-care system can be considered culturally unsafe by North Sami-speaking patients and relatives: A qualitative study based on 11 interviews. International Journal of Circumpolar Health, 78(1). https://doi.org/10.1080/22423982.2019.1612703
Mehus, G., Bongo, B. A., & Moffitt, P. (2018). Important factors when communicating with Sami patients about health, illness and care issues. Nordisk sygeplejeforskning, 8(4), 288-301. https://doi.org/10.18261/issn1892-2686-2018-04-04
Mehus, G., Hætta, A. B. K., Emaus, N., & Okstad, L. (2023). The history of Sámi nursing education and the path towards regulations on a national guideline for Sámi nursing education in Norway. AlterNative: An International Journal of Indigenous Peoples, 19(2). https://doi.org/https://doi.org/10.1177/11771801231168762
Mehus, G., & Okstad, L. (2020). Akkreditering Samisk sykepleierutdanning [Accreditation of Sámi Nursing Education]. Universitetsstyret, UiT Norges arktiske universitet.
Mehus, G., Somby, A., & Okstad, L. (2020). Studieplan bachelor i Samisk sykepleierutdanning [Study plan for a Bachelor's in Sámi Nursing Education]. UiT Norges arktiske universitet.
Nasjonal retningslinje for samisk sykepleierutdanning. (2021). Forskrift om nasjonal retningslinje for samisk sykepleierutdanning (FOR-2021-10-26-3096) [Regulation on the national guideline for Sámi nursing education]. Lovdata. https://lovdata.no/forskrift/2021-10-26-3096
Nishanthi, R. (2020). Understanding of the Importance of Mother Tongue Learning. International Journal of Trend in Scientific Research and Development (IJTSRD), 5(1), 77-80.
NOU 2016:18. (2016). Hjertespråket: Forslag til lovverk, tiltak og ordninger for Sámiske språk [The Heart’s Language, Proposal for legislation, measures, and arrangements for Sámi languages]. Kommunal- og distriktsdepartementet. https://www.regjeringen.no/no/dokumenter/nou-2016-18/id2515222/
Nowell, L. S., Norris, J. M., White, D. E., & Nancy, M. (2017). Thematic Analysis: Striving to Meet the Trustworthiness Criteria. International Journal of Qualitative Methods, 16(1). https://doi.org/10.1177/1609406917733847
Okstad, L., Emaus, N., Hætta, A. B. K., & Mehus, G. (2021). Samisk sykepleierutdanning: Målet er å utdanne kulturelt trygge sykepleiere [Sámi nursing education: The goal is to educate culturally safe nurses]. Sykepleien, 109. https://doi.org/10.4220/Sykepleiens.2021.82754
Olsen, T. A. (2017). Privilege, Decentring and the Challenge of Being (Non-) Indigenous in the Study of Indigenous Issues. The Australian Journal of Indigenous Education, 47(2), 206-215. https://doi.org/10.1017/jie.2017.16
Raatiniemi, J., & Mehus, G. (2012). Språkvansker skaper stress på jobb [Language difficulties create stress at work]. Sykepleien, 100(13), 68-70. https://doi.org/10.4220/sykepleiens.2012.0137
Sannhets- og forsoningskommisjonen. (2023). Sannhet og forsoning – grunnlag for et oppgjør med fornorskingspolitikk og urett mot samer, kvener/norskfinner og skogfinner [Truth and reconciliation – the foundation for addressing the Norwegianization policy and injustices against Sámi, Kven/Norwegian Finns, and Forest Finns]. https://www.stortinget.no/globalassets/pdf/sannhets--og-forsoningskommisjonen/rapport-til-stortinget-fra-sannhets--og-forsoningskommisjonen.pdf
Squires, A. (2008). Language barriers and qualitative nursing research: methodological considerations. International Nursing Review, 55(3), 265-273. https://doi.org/10.1111/j.1466-7657.2008.00652.x
Sultana, S. (2014). English as a medium of instruction in Bangladesh's higher education: Empowering or disadvantaging students? Asian EFL Journal, 16(1), 11-52.
Tuhiwai Smith, L. T. (2022). Decolonizing Methodologies: Research and Indigenous Peoples (3rd ed.). Bloomsbury Academic.
United Nations - General Assembly. (2007). United Nations Declaration on the Rights of Indigenous People. A/RES/61/295. https://documents.un.org/doc/undoc/gen/n06/512/07/pdf/n0651207.pdf
Utsi, E. (1986). Anatomiia [Anatomy]. Inari, Saamelaiskäräjät; Sámi Giellagáldu . https://www.samediggi.fi/wp-content/uploads/2022/03/Anatomia_sanasto_koltansaame_16.3.2022.pdf
Utsi, E., & Jenssen, H. (2006). Apotekordliste: reseptparlør på norsk, Sámisk og finsk = Apotehkasátnelistu : reseaptagihppagaš dáro-, sáme- ja suomagillii = Apteekkisanasto : reseptisanoja norjaksi, saameksi ja suomeksi [Pharmacy glossary: prescription phrasebook in Norwegian, Sámi, and Finnish]. Davvi girji
WINHEC accreditation authority. (2018). WINHEC accreditation handbook. World Indigenous Nations Higher Education Consortium. https://winhec.org/AccreditationInfo
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