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Author Pitama, S.; Robertson, P.; Cram, F.; Gillies, M.; Huria, T.; Dalla-Katoa, W.
Title Meihana model: A clinical assessment framework Type Journal Article
Year 2007 Publication New Zealand Journal of Psychology Abbreviated Journal
Volume 36 Issue 3 Pages (up) 118-125
Keywords Nursing models; Clinical assessment; Maori; Mental health
Abstract In 1984 Mason Durie documented a framework for understanding Maori health, Te Whare Tapa Wha, which has subsequently become embedded in Maori health policy. This article presents a specific assessment framework, the Meihana Model, which encompasses the four original cornerstones of Te Whare Tapa Wha, and inserts two additional elements. These form a practice model (alongside Maori beliefs, values and experiences) to guide clinical assessment and intervention with Maori clients and whanau accessing mental health services. This paper outlines the rationale for and background of the Meihana Model and then describes each dimension: whanau, wairua, tinana, hinengaro, taiao and iwi katoa. The model provides a basis for a more comprehensive assessment of clients/whanau to underpin appropriate treatment decisions.
Call Number NRSNZNO @ research @ Serial 459
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Author DeSouza, R.
Title Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand Type Journal Article
Year 2008 Publication Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages (up) 125-135
Keywords Cultural safety; Nursing models; Cross-cultural comparison; Maori
Abstract The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process.
Call Number NRSNZNO @ research @ 943 Serial 927
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Author Deo, Lalesh
Title Parental needs and nursing response following SUFE Surgery; An interpretive descriptive study Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages (up) 141 p.
Keywords Slipped Upper Femoral Epiphysis (SUFE); Parents and Caregivers; Child health; Maori children; Pacific children; Paediatric nurses
Abstract Examines the experiences of parents and nurses in caring for a child following invasive Slipped Upper Femoral Epiphysis (SUFE) repair. Conducts semi-structured interviews with parents of five children, predominantly Māori or Pacific, who underwent SUFE repair, and five paediatric nurses caring for the children and their families in the hospital ward. Offers two perspectives of the journey for these parents following such an injury, from the child's hospitalisation to caring for these children once they are home. Presents and contrasts these perspectives, revealing insights into the parents' ongoing need for support, information and planning for care, and nurses' efforts to meet these needs. Presents implications for nursing practice.
Call Number NZNO @ research @ Serial 1741
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Author Tipa, Zoe Kristen
Title Family Partnership as a model for cultural responsiveness in a well child context Type Book Whole
Year 2013 Publication Abbreviated Journal
Volume Issue Pages (up) 149 p.
Keywords Family partnership model; Communication; Cultural competence; Plunket nurses; Community nursing; Maori children
Abstract Examines whether the Family Partnership model could be considered a model for cultural responsiveness while simultaneously providing a platform for more accurate assessment of the cultural competence of Plunket nurse practice. Determines the relationship between Family Partnership training for Plunket nurses and Maori child health outcomes. Distributes an online survey to Plunket nurses who had completed the training and to a group who had not. Conducts 10 observations and interviews with Plunket nurses and Maori clients. Presents the findings in three areas: Plunket nurse practice, client experience, and the impact of Family Partnership training on Plunket as an organisation.
Call Number NZNO @ research @ Serial 1782
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Author Wilson, D.; Neville, S.J.
Title Nursing their way not our way: Working with vulnerable and marginalised populations Type Journal Article
Year 2008 Publication Contemporary Nurse Abbreviated Journal
Volume 27 Issue 2 Pages (up) 165-176
Keywords Maori; Geriatric nursing; Nurse-patient relations
Abstract This paper uses the findings of two studies to explore the nature of nurses' practice when working with vulnerable and marginalised populations, particularly with regard to the attributes of holism and individualised care. The first study was with the elderly with delirium and used a critical gerontological methodology informed by postmodernism and Foucault's understanding of discourse. The other study with indigenous Maori women utilised Glaserian grounded theory informed by a Maori-centred methodology. The findings show that a problem focussed approach to health care is offered to patients that does not incorporate individual health experiences. In addition, the social context integral to people's lives outside of the health care environment is ignored. Consequently, the foundations of nursing practice, that of holism, is found to be merely a rhetorical construct.
Call Number NRSNZNO @ research @ 799 Serial 783
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Author Kool, B.; Thomas, D.; Moore, D.; Anderson, A.; Bennetts, P.; Earp, K.
Title Innovation and effectiveness: Changing the scope of school nurses in New Zealand secondary schools Type Journal Article
Year 2008 Publication Australian & New Zealand Journal of Public Health Abbreviated Journal
Volume 32 Issue 2 Pages (up) 177-180
Keywords School nursing; Maori; Pacific peoples; Socioeconomic factors; Evaluation; Scope of practice
Abstract The aim of this research was to describe the changing role of school nurses in eight New Zealand secondary schools from low socio-economic areas with high Pacific Island and Maori rolls. An evaluation of a pilot addressing under-achievement in low-decile schools in Auckland(2002-05) was made. Annual semi-structured school nurse interviews and analysis of routinely collected school health service data were undertaken. Two patterns of school nurse operation were identified: an embracing pattern, where nurses embraced the concept of providing school-based health services; and a Band-Aid pattern, where only the basics for student health care were provided by school nurses. The researchers conclude that school nurses with an embracing pattern of practice provided more effective school-based health services. School health services are better served by nurses with structured postgraduate education that fosters the development of a nurse-practitioner role. The researchers go on to say that co-ordination of school nurses either at a regional or national level is required.
Call Number NRSNZNO @ research @ Serial 963
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Author Tipa, Zoe
Title Mahi Ngatahi: Culturally-responsive ways of working with whanau accessing Well Child/Tamariki Ora services Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages (up) 178 p.
Keywords Mahi Ngatahi; Well Child/Tamariki Ora; Cultural safety; Cultural competence; Kaupapa Maori research methodology
Abstract Highlights the perspectives of Maori families using health services provided by Well Child/Tamariki Ora (WCTO), citing institutional racism and unconscious bias. Interviews 18 families with children under five years, about their experiences of WCTO services. Employs a Kaupapa Maori research methodology to develop Mahi Ngatahi, a theory for culturally-responsive WCTO services.
Call Number NZNO @ research @ Serial 1752
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Author Holdaway, Maureen Ann
Title A Maori model of primary health care nursing Type Book Whole
Year 2002 Publication Abbreviated Journal
Volume Issue Pages (up) 192 p.
Keywords Primary health care nursing; Maori women's health; Maori model of health; Kaupapa Maori research; Health reforms; Health policy; Surveys
Abstract Identifies how traditional nursing practice in Maori communities may be enhanced. Highlights the need for nursing to broaden concepts of health, community, and public health nursing, to focus on issues of capacity-building, community needs, and a broader understanding of the social, political, cultural, and economic contexts of the communities primary health-care nurses serve. Explores how health is experienced by Maori women during in-depth interviews using critical ethnographic method, underpinned by a Maori-centred approach. Articulates a model of health that is a dynamic process based on the restoration and maintenance of cultural integrity, derived from the principle of self-determination.
Call Number NZNO @ research @ Serial 1809
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Author Richardson, F.I.; Carryer, J.B.
Title Teaching cultural safety in a New Zealand nursing education program Type Journal Article
Year 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 5 Pages (up) 201-208
Keywords Cultural safety; Nursing; Education; Teaching methods; Feminist critique; Treaty of Waitangi; Maori
Abstract This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori and 9 were Pakeha. Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions were experienced differently by Maori and Pakeha teachers.
Call Number NRSNZNO @ research @ Serial 885
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Author Simon, V.N.
Title Characterising Maori nursing practice Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 22 Issue 2 Pages (up) 203-213
Keywords Registered nurses; Maori; Nursing models; Culture
Abstract This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes.
Call Number NRSNZNO @ research @ Serial 936
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Author Spence, D.
Title Nursing people from cultures other than one's own: A perspective from New Zealand Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 15 Issue 3 Pages (up) 222-231
Keywords Transcultural nursing; Maori; Psychiatric Nursing
Abstract This paper provides an overview of the evolving meaning of 'culture' in New Zealand nursing. Then, drawing upon the findings of research that used hermeneutic phenomenology to explore the experience of nursing people from cultures other than one's own, a description of the constituent parts is of this phenomenon is briefly outlined and followed by an exemplar that describes the coalescent and contradictory nature of the phenomenon as a whole. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, interplay of the notions of prejudice, paradox and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses.
Call Number NRSNZNO @ research @ 798 Serial 782
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Author Roberts, Jennifer
Title An investigation into the preparedness for and experiences in working with Maori nursing students among New Zealand tertiary institutes, schools and nurse educators Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages (up) 222 p.
Keywords Maori students; Nursing students; Nursing education; Nurse educators; Te Ao Maori; Cultural safety
Abstract Performs an explanatory sequential mixed-methods study comprising a questionnaire followed by interviews, to understand the experiences and preparedness of nurse educators in working with Maori nursing students. Demonstrates that throughout NZ, nursing schools and the educational institutes in which they are situated are informed by a range of strategies aimed at supporting Maori learners. Finds from interviews that environments encompassing te ao Maori (the Maori world) and staff practises that aligned with this were enabling for Maori nursing students.
Call Number NZNO @ research @ Serial 1758
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Author Framp, A.
Title Diffuse gastric cancer Type Journal Article
Year 2006 Publication Gastroenterology Nursing Abbreviated Journal
Volume 29 Issue 3 Pages (up) 232-238
Keywords Maori; Nursing; Diseases; Case studies; Cancer; Oncology
Abstract This article provides an overview of gastric cancer using a unique case study involving a Maori family genetically predisposed to diffuse gastric cancer. The pathophysiology of diffuse gastric cancer, including prognosis, diagnosis, and treatment, along with important patient considerations is highlighted.
Call Number NRSNZNO @ research @ Serial 691
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Author Wilson, D.
Title The nurse's role in improving indigenous health Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 15 Issue 3 Pages (up) 232-240
Keywords Transcultural nursing; Maori; Health status
Abstract The health status of indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. The preliminary findings of grounded theory research project undertaken with a group of 23 New Zealand Maori women about their health priorities and 'mainstream' health service needs provide the foundation for an exploration of issues impacting on the health status of indigenous people. The role that nursing and nurses have in improving access and use of health services by indigenous people is discussed. Strategies are suggested that nurses can utilise within their practice when working with local indigenous groups.
Call Number NRSNZNO @ research @ Serial 1065
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Author Te Whata, Tracy Deborah
Title Determining the value of Maori nurses in Aotearoa Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages (up) 236 p.
Keywords Maori nurses; Kaupapa Maori; Tikanga; Nursing discourse; Discrimination; Cultural safety
Abstract Offers an understanding of how nursing discourse is embedded within legislation, regulatory bodies, and nursing practice and its direct impact on the health and well-being of Maori nurses. Argues that nursing discourse marginalises and undervalues tikanga. Explores the experiences of Maori registered nurses (RN) using a kaupapa Maori, mixed-method approach. Surveys over 300 Maori RNs about career and professional development, use of tikanga, cultural identity, and racism/discrimination at work.
Call Number NZNO @ research @ Serial 1799
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