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Wilson, D. (2003). The nurse's role in improving indigenous health. Contemporary Nurse, 15(3), 232–240.
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.
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Mackay, B. (2004). An analysis of innovative roles in primary health care nursing. Ph.D. thesis, , .
Abstract: An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process.
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Horrocks, T. (2001). Implementing change combining Maori and Western knowledge in health delivery. Vision: A Journal of Nursing, 7(13), 37–41.
Abstract: This article explores the incorporation of western knowledge with kaupapa Maori in the delivery of health care. It presents a fictional kaupapa Maori service, as a tool to explore the change process and influence that organisational culture and leadership styles have on a process of integrating a kaupapa Maori nursing service. The importance of continual evaluation through quality assurance measures was also conveyed.
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Shih, L. - C. (2010). How does dialysis treatment affect the lives of rural Maori patients? Kai Tiaki: Nursing New Zealand, 16(10), 12–14.
Abstract: Research into the effects of dialysis treatment on Maori patients living in rural Northland has already brought changes to practice just one year after the research was completed. Li-Chin Shih completed a thesis entitled “Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau” in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009. This article in Kai Tiaki is based on this research.
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Shih, L. - C. (2009). Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009
This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management
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Gifford, H., Walker, L., Clendon, J., Wilson, D., & Boulton, A. (2013). Maori nurses and smoking; Conflicted identities and motivations for smoking cessation. Available through NZNO library, 4(1), 33–38.
Abstract: This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
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Robertson, H. R., & Neville, S. (2008). Health promotion impact evaluation : 'healthy messages calendar (Te maramataka korero hauora)'. Nursing Praxis in New Zealand, 24(1 (Mar)), p.24–35.
Abstract: Evaluates the project to determine if it was an effective health promotion tool for the dissemination of health information. Obtains qualitative data from 5 focus groups and analyses data using a general inductive approach. Concludes that there are positive links between health promotion practices and the health needs of a local community.
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Fernandez, C., & Wilson, D. (2008). Maori women's views on smoking cessation initiatives. Nursing Praxis in New Zealand, 24(2 (Jul)), 27–40.
Abstract: Interviews a group of Maori women who have successfully ceased smoking and asks about influences and supportive interventions that helped them quit smoking. Analyses the data using Boyatzis' (1998) approach and identifies two primary themes providing insight for nurses working with Maori women smokers: transmission of whanau values; and factors crucial in influencing change.
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Barton, P., & Wilson, D. (2008). Te Kapunga Putohe (the restless hands) : a Maori centred nursing practice model. Nursing Praxis in New Zealand, 24(2 (Jul)), 6–15.
Abstract: Notes an absence of nursing practice models focussing on the traditional beliefs of Maori amongst nursing literature. Presents Te Kapunga Putohe (the restless hands) model of Maori centred nursing practice. Illustrates how Maori knowledge and nursing knowledge can be incorporated to deliver nursing care that is both culturally appropriate and can improve the nursing experience for Maori clients.
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Ripekapaia Gloria Ryan, & Wilson, D. (2010). Nga tukitanga mai koka ki tona ira : Maori mothers and child to mother violence. Nursing Praxis in New Zealand, 26(3), 25–35.
Abstract: Explores the experiences of Maori mothers who have been abused by a son or daughter using a qualitative descriptive research design based on kaupapa Maori methodology. Conducts semi-structured interviews with five Maori mothers, recording their experiences of abuse by a child, and its impact on the whanau/family. Analyses the interview transcripts for common themes. Highlights the importance of nurses in facilitating whanau ora (family wellbeing).
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Shih, L. - C., & Honey, M. (2011). The impact of dialysis on rurally based Maori and their whanau/families. Nursing Praxis in New Zealand, 27(2), 4–15.
Abstract: Explores the impact of dialysis on Maori and their whanau/families. Examines the experiences of 7 rural Maori dialysis outpatients, who are interviewed along with their whanau. Identifies and discusses four themes emerging from the findings.
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Foxall, D. (2013). Barriers in education of indigenous nursing students : a literature review. Nursing Praxis in New Zealand, 29(3), 18–30.
Abstract: Reports the findings of a review of the literature that sought to identify key barriers for indigenous tertiary nursing students in NZ. Reveals the barriers to recruitment and retention of nursing students, and strategies to overcome them. Stresses the need for partnerships between academic institutes and indigenous communities to ensure the provision of a culturally-safe environment for Maori nursing students.
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Janssen, J., & Nelson, K. (2014). Meeting the needs of Maori with diabetes : evaluation of a nurse-led service. Nursing Praxis in New Zealand, 30(3), 6–18.
Abstract: Explores the effectiveness and acceptability of a nurse-led Maori diabetes programme run by Te Hauora O Ngati Rarua for their clients. Uses embedded case study evaluation to assess the programme in relation to the Wagner Chronic Care Model. Confirms the importance of providing culturally-appropriate health services by Maori specialist nurses.
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Cook, C., Clark, T., & Brunton, M. (2014). Optimising cultural safety and comfort during gynaecological examinations : accounts of indigenous Maori women. Nursing Praxis in New Zealand, 30(3), 19–34.
Abstract: Undertakes a thematic analysis to highlight Maori women's perspectives on health and wellbeing. Identifies 6 key themes in the data: mihi (initial engagement), whakawhanaungatanga (belonging through relationships of shared experience), kaupapa (consultations' main purpose), tapu (sacred and set apart), embodied memories, manawahine (women's knowledge and authority). Asks women about those approaches used by non-indigenous clinicians, receptionists and service providers that enhanced their experiences of cultural safety during sexual health consultations and gynaecological examinations.
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Gifford, H., Wilson, D., & Boulton, A. (2014). Maori perspectives : a deep understanding of nursing and smoking. Nursing Praxis in New Zealand, 30(3), 35–44.
Abstract: Conducts in-depth qualitative interviews with 43 Maori nurses to explore their perceptions and experiences of smoking and quitting, and their views on the impact of smoking on their roles as nurses. Elicits five themes: social context of smoking, identity conflict, impact on practice, experience of smoking, and experience of quitting.
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