1. The question you asked after the panel discussion (10 marks) 

Many Indigenous women in the Kamloops region already face barriers to culturally safe, trusting care. How would your hybrid telehealth model prevent a more impersonal experience and instead foster relationships that build trust and cultural safety?

2. How did you feel it was answered by (10 marks) 

Brianna responded well. She explained that the model would include a nurse based directly within the community to enhance continuity and trust. She noted that for some patients who currently receive little or no prenatal care, this approach could actually strengthen relationships by offering consistent guidance and by collaborating with communities to understand their specific needs. Her answer acknowledged the importance of localized care and community engagement, showing good awareness of cultural safety principles.

3. What went well? (5 marks) 

The presentation style was creative and engaging. The podcast format and visuals held my attention and made complex material feel relatable. Brianna spoke clearly and confidently, linking the research evidence from the OB Teleflex study to the Kamloops context. She addressed my question respectfully and thoughtfully, emphasizing how a community-based nurse could strengthen trust and continuity for families who often lack consistent care.

4. What can be done better? Identify 2 or more areas of improvements (10 marks)

  1. Although the community-nurse idea was strong, Brianna’s answer could have gone deeper into how cultural safety would be operationalized. Such as staff training, collaboration with Indigenous leaders, or the incorporation of local protocols.
  2. Brianna could clarify how communication would be maintained between the community nurse and remote GPs/NPs/OBs. This could further address concerns about fragmented care.

5. What can be done to improve? (Provide 3 or more suggestions for improvement). (15 marks) 

  1. Include Indigenous leadership and Elders in planning and evaluating the telehealth program to ensure community-defined notions of cultural safety
  2. Clearly define qualification criteria for hybrid care (ex: low to moderate risk pregnancies with access to reliable technology) and outline protocols for when patients need to transition back to in-person obstetrical oversight.
  3. Evaluate the telehealth model not only by how it improves access, but also by how it fosters meaningful connections, trust, and positive patient experiences.
  4. Develop a structured handoff process between the community nurse and hospital-based delivery teams to maintain trust and connection at birth.