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Author Ryan, Timothy
Title Exploring the experiences of Maori men in a culturally-enriched well-being programme Type Journal Article
Year 2019 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal
Volume 10 Issue 1 Pages 22-27
Keywords Maori men; Kaupapa Maori; Health education; Primary health care
Abstract Explores the experiences of participants in a health education programme designed specifically for Maori males, called Tane Takitu Ake, delivered by community health workers and a nurse. Employs a qualitative descriptive methodology with thematic analysis of data from a focus group cohort of Maori males aged 38 to 55 years referred to the programme via social and/or health services. Gathers data from during a 10-week kaupapa Maori programme.
Call Number NZNO @ research @ Serial 1621
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Author Ryan, Timothy
Title Comparing health outcomes of rural and urban diabetes patients: an audit of a Maori health provider Type Journal Article
Year 2021 Publication (down) Kai Tiaki Nursing Research Abbreviated Journal
Volume 12 Issue 1 Pages 60-62
Keywords Maori health care; Primary health care; Diabetes; Rural health services; Kaupapa Maori
Abstract Examines whether diabetes management is influenced by proximity to health-care providers for rural and urban patients with type 1 or type 2 diabetes. Includes patients living beyond a 5km radius from their health-care provider. Compares a Maori health provider, with a contract to support diabetes patients, and which employs a practice nurse who organises support under a kaupapa Maori framework, with an urban Maori health practice.
Call Number NZNO @ research @ Serial 1719
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Author Wepa, D.
Title An exploration of the experiences of cultural safety educators in New Zealand: An action research approach Type Journal Article
Year 2003 Publication (down) Journal of Transcultural Nursing Abbreviated Journal
Volume 14 Issue 4 Pages 339-348
Keywords Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori
Abstract This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout.
Call Number NRSNZNO @ research @ Serial 887
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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 (down) Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages 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 Richardson, F.I.; Carryer, J.B.
Title Teaching cultural safety in a New Zealand nursing education program Type Journal Article
Year 2005 Publication (down) Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 5 Pages 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 Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J.
Title Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative Type Journal Article
Year 2006 Publication (down) Journal of Interprofessional Care Abbreviated Journal
Volume 20 Issue 5 Pages 555-557
Keywords Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety
Abstract This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness.
Call Number NRSNZNO @ research @ Serial 1042
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Author Brockie, Teresa; Clark, Terryann C; Best, Odette; Power, Tamara; Bourque Bearskin, Lisa; Kurtz, Donna LM; Lowe, John; Wilson, Denise
Title Indigenous social exclusion to inclusion: Case studies on Indigenous nursing leadership in four high income countries. Type Journal Article
Year 2021 Publication (down) Journal of Clinical Nursing Abbreviated Journal
Volume Issue Pages 1-15
Keywords Nursing leadership; Indigenous nurses; Nursing workforce; Indigenous health; Kaupapa Maori research methodology
Abstract Maintains that achieving health equity for indigenous populations requires indigenous nursing leadership to develop and implement new systems of care delivery. Develops a consensus among indigenous nurse academics from Australia, Canada, NZ and the US on the three themes of nursing leadership, to redress colonial injustices, to contribute to models of care and to enhance the indigenous workforce. Highlights five indigenous strategies for influencing outcomes: nationhood and reconcilation as levers for change; nursing leadership; workforce strategies; culturally-safe practices and models of care; nurse activism.
Call Number NZNO @ research @ Serial 1773
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Author Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N.
Title Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand Type Journal Article
Year 2004 Publication (down) Journal of Advanced Nursing Abbreviated Journal
Volume 46 Issue 1 Pages 95-109
Keywords Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori
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.
Call Number NRSNZNO @ research @ Serial 1060
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Author Ferguson, A.
Title Diabetes prevention: What is the nutritional environment for Maori in the Southern Lakes District (North Island)? Type Book Chapter
Year 2008 Publication (down) Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 153-164) Abbreviated Journal
Volume Issue Pages
Keywords Maori; Diabetes Type 2; Colonisation; Obesity
Abstract This chapter focuses type 2 diabetes as it relates to one rural Maori community within New Zealand. It provides an in-depth discussion relating to diabetes including the burden of diabetes in New Zealand and evidence for prevention which is played out in an increasing obesogenic environment. The process and findings of a research project to 'map out' the food environment within the Southern Lakes District are reported. Purposive sampling was used to survey 124 food outlets in the area, and findings confirmed the existence of an obesogenic environment for Maori. Such an environment is characterised by an abundance of cheap, energy dense foods, and pricing gradients that favour consumption of such foods.
Call Number NRSNZNO @ research @ 775 Serial 759
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Author Framp, A.
Title Diffuse gastric cancer Type Journal Article
Year 2006 Publication (down) Gastroenterology Nursing Abbreviated Journal
Volume 29 Issue 3 Pages 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 Minton, Claire; Burrow, Marla; Manning, Camille; Van der Krogt, Shelley
Title Cultural safety and patient trust: the Hui Process to initiate the nurse-patient relationship Type Journal Article
Year 2022 Publication (down) Contgemporary Nurse Abbreviated Journal
Volume Issue Pages 9 p.
Keywords Hui Process; Fundamentals of Care; Nursing education; Cultural safety; Maori patients
Abstract Argues that the Hui Process, being a model informed by Maori values on connection, serves the aim of the Fundamentals of Care framework for nursing students, to learn relationship-based nursing through culturally-safe practice and communication. Explains the Hui Process which comprises four steps: mihi, whakawhanaungatanga, kaupapa and poroporoaki. Examines how the process leads to culturally-safe patient-centred care.
Call Number NZNO @ research @ Serial 1798
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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 (down) Contemporary Nurse Abbreviated Journal
Volume 15 Issue 3 Pages 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 Wilson, D.; Neville, S.J.
Title Nursing their way not our way: Working with vulnerable and marginalised populations Type Journal Article
Year 2008 Publication (down) Contemporary Nurse Abbreviated Journal
Volume 27 Issue 2 Pages 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 Simon, V.N.
Title Characterising Maori nursing practice Type Journal Article
Year 2006 Publication (down) Contemporary Nurse Abbreviated Journal
Volume 22 Issue 2 Pages 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 Wilson, D.
Title The nurse's role in improving indigenous health Type Journal Article
Year 2003 Publication (down) Contemporary Nurse Abbreviated Journal
Volume 15 Issue 3 Pages 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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