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Hardy, D. J., O'Brien, A. P., Gaskin, C. J., O'Brien, A. J., Morrison-Ngatai, E., Skews, G., et al. (2004). Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand. Journal of Advanced Nursing, 46(1), 95–109.
Abstract: The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements.
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Francis, H., Carryer, J., & Cram, F. (2019). Consulting with Maori experts to ensure mainstream health research is inclusive of Maori. Nursing Praxis in Aotearoa New Zealand, 35(3). Retrieved July 2, 2024, from http://dx.doi.org/10.36951/NgPxNZ.2019.010
Abstract: Advocates for the inclusion of Maori participants in research on long-term conditions (LTC). Presents research with 16 participants, including 6 Maori, into how they managed their conditions, and describes the role of consultation with Maori experts to support the cultural responsiveness of such research.
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Low, T., Scott-Chapman, S., & Forrest, R. (2020). Patient experiences of pictogram use during nurse-led rapid-access chest pain clinic consultations in regional Aotearoa New Zealand. Nursing Praxis in New Zealand, 36(2). Retrieved July 2, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.009
Abstract: Performs a qualitative study exploring the use of a pictogram developed by nurses during a rapid-access chest pain clinic consultation, to assist patient communication about their chest pain. Interviews 10 patients, 5 Maori and 5 non-Maori, for their feedback on the pictogram's usefulness. Considers the utility of the pictogram for both patients and nurses leading the chest pain clinic.
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Jones, B. D. (2017). Achieving equitable asthma services for Maori. Master's thesis, University of Otago, .
Abstract: Undertakes a qualitative, phenomenological study to explore the experiences of practitioners delivering asthma services to tamariki Maori and their whanau in primary healthcare. Employs a kaupapa Maori methodology in order to provide a Maori perspective to the research. Uses an equity framework in the analysis and interpretation of the results, to ensure alignment with Maori values and aspirations. Interviews 15 doctors and nurses from Maori, mainstream and Very-Low-Cost-Access providers of asthma services. Presents the results using the Pou Ora framework with four main themes: Hauora, Toi Ora, Whanau Ora, and Mauri Ora.
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Manson, L. M. (2021). Te Ao Maori: Maori nurses' perspectives on assisted dying and the Te Ao Maori cultural considerations required to guide nursing practice. Master's thesis, Auckland University of Technology, Auckland. Retrieved July 2, 2024, from https://www.nzno.org.nz/resources/library/theses
Abstract: Explores, through kaupapa Māori (Māori ideology) research principles, the fundamental concepts guiding ten Māori nurses working in end-of-life care settings. Identifies the concepts of whanaungatanga (establishing connections), manaakitanga (generosity and care for others), and kaitiakitanga (guardianship) as central to the practice of these Māori nurses along with the ethical principles of tika (the right way), pono (honesty) and aroha (generosity of spirit). Describes how these concepts and principles shape how these Māori nurses cared for their Māori patients and whānau, and for themselves. Stresses the need for the health system to better understand the Maori world view on death and dying.
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