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Falleni, P. M. (2007). The implications of stress and the effect it has on Maori who have type 2 diabetes in Aotearoa/New Zealand. Ph.D. thesis, , .
Abstract: In this review, the author illustrates the connection between diabetes, stress and barriers to care, and the impact these have on Maori who have type 2 diabetes. A literature review, which focused mainly on indigenous peoples, and more specifically on Maori was undertaken. The connections between all the factors involved are explored, and combined with reflections from the author's own clinical practice experience. She argues that stress, diet, exercise and barriers to care place a heavy burden on the lives of Maori who live in Aotearoa/New Zealand, suffering from the disease of diabetes. By empowering them to face their situation and see this from a wellness rather than an illness perspective, they can take control of their diabetes and so will live a healthy, longer life, ensuring quality time with their mokopuna/grandchildren.
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Pearson, J. R. (2002). Health promotion in one New Zealand primary school: A case study. Ph.D. thesis, , .
Abstract: The objectives of this study were to explore the concept of the 'health-promoting school' in a specific New Zealand context; to develop and use appropriate research methods to assess a single low decile school in relation to World Health Organization health-promoting school components and checkpoints; to work with the school community to identify health issues; and, to record external and internal changes that could impact on school health over a finite time period. Case study was selected as the most appropriate method to collect both quantitative and qualitative evidence with the aim of providing a clear understanding of the particular case. Results confirmed that the school was working appropriately within the scope of their educational practice to provide a health-promoting school environment for the school community. Gaps and issues identified included an element of talking past each other between the cultures of the education organisation and the nominated health service provider respectively that contributed to a lack of appropriate and accessible health service delivery for the school population. Teaching staff considered that they had insufficient access to health knowledge, and input from health service staff did not meet health education requirements for the school. Staff preference for increased school nurse involvement was not realised. The consequence was that two outside agencies (KiwiCan and Life Education Trust) delivered the bulk of the Health and Physical Education curriculum which resulted in a degree of fragmentation of health education for students. The issues that were identified demonstrated that health services in the area were not satisfactorily meeting the needs of the community and were not addressing the health inequities for the predominantly Pacific Island and Maori students and of their families that formed the school community. The researcher concluded that a full-service school approach should be considered by the school and the local district health board as one way to overcome the current lack of access to health services for the school community. Assertions included the potential integration of locally available services by a school-based nurse coordinator supported by health professionals (nurse practitioner and Pacific Island Community Health Worker) and social workers. The vision included professionals working within their professional scopes of practice as part of a Primary Health Organisation with the aim of appropriately addressing the health inequities experienced by the school population.
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Adams-Smith, P. H. (2002). An exploration of issues of primary health services for Taranaki Te Atiawa children based on the expectations and perceptions of their female caregivers. Ph.D. thesis, , .
Abstract: The intention of this research is, through collaborative discussion and selective conversations, to explore female caregivers' expectations and perceptions of primary health services for some Te Atiawa Maori children. The research process was developed in a partnership between the Maori women participants and the researcher. In addition, two local kuia actively participated in and supported the process. Emancipatory critical social theory underpinned and informed the project. Power relationships between the researcher and the participants can be overtly explored within this theoretical framework. In terms of this particular exploratory study, participatory research appeared to be applicable. The participants are female caregivers of Te Atiawa children. Data collection was done using group interactions and semi-structured interviews in the winter of the year 2000. A thematic analysis of the data was used, in which common themes were identified, compared and discussed. From the analysis of the data of the participants' conversations, key ideas were identified. The major findings have been identified within two main themes. These are: a concept of health is not the same for Pakeha as for Maori, and access issues are still problematic for the participants in this study. Many quotes from the interview participants are included in order to keep the focus of the project on the voices of the women interviewed. In terms of the significant contribution of this research, this study aims to allow voices of female caregivers of Te Atiawa Maori children to be heard. Individual and collaborative interactions offer insights into what is important to them in terms of Maori child health. Clearly, the primary health initiatives promoted by the New Zealand government are not reaching at least some of the people for whom they are intended. The research participants offered their ideas as to how these deficits could be remedied in their community.
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Hughes, H. M. (2007). Whakaohonga na Kahungatanga: Awakening from addiction. Ph.D. thesis, , .
Abstract: This thesis explores the shared experiential journeys of four Pukorero (participants) who successfully completed detoxification and recovery programmes from AOD addiction. Three questions were used to guide the research process to enable the Pukorero to identify positive aspects of their individual detoxification and recovery programmes, surface any barriers and issues they experienced, and clarify the support they received throughout the process. Kaupapa Maori and narrative inquiry was adapted to undertake this study to capture the essence of Maori thinking and reality regarding AOD. Through the use of thematic analysis the data findings of the study reflect the views from each Pukorero of Wairua, Whakapapa and Whanau as key to their successful recovery. This supports the notion that a pathway of detoxification, recovery and hope exists to enable Maori and others to take the journey to reclaim their own health and well-being, and the health and well-being of whanau, hapu, iwi, and Maori community. In honour of these Pukorero, kaumatua, tipuna, whanau, hapu, iwi, Maori katoa, and to celebrate kaupapa Maori and narrative inquiry [as the preferred methodological approach], the use of our tino ataahua reo integrated with English throughout the thesis demonstrates the interwoven connections between the two cultures enshrined in Te Tiriti o Waitangi that comprise the nation of Aotearoa me Te Waipounamu of New Zealand.
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Mockford, A. (2008). An exploratory descriptive study of the needs of parents after their young child is discharged from hospital following an admission with an acute illness. Ph.D. thesis, , .
Abstract: This study investigated issues surrounding the high numbers of preventable admissions of young children with acute illnesses, particularly amongst Maori and Pacific children. It focuses on what happens once these children are discharged. Its aims were to find out what the expressed needs of parents were, as they cared for their child, once home. Whilst there has been a small amount of international research undertaken in this area, there is little known about expressed parent need in the New Zealand context. This exploratory descriptive study involved parents of under five year old children, who had been admitted to a hospital, with one of five acute illnesses. Eighteen parents were surveyed over the telephone. This study found the parents expressed a need for reassurance and advice once home, and that they worried about their child getting sick again. It highlighted gaps in discharge planning and support. None of the parents had received a written discharge plan for their child. Only five parents had received either a contact number for advice or a referral back to their primary care provider. This study found that whilst some parents considered their discharge needs had been met, others considered that they had not. Four local discharge practice opportunities to support these families were recommended, these included, providing parents and caregivers with an individualised written discharge plan, giving a contact number for advice after discharge, offering a follow-up phone call in the first 48 hours, and ensuring that all children have a referral back to their primary health care provider. Areas for further research were highlighted, including the need for a larger study to explore and compare the needs of rural and urban parents, and Maori and Pacific parents.
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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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Parton, B. M. (2015). Maori women, health care, and contemporary realities : a critical reflection. Ph.D. thesis, Massey University, Wellington.
Abstract: Aims to explore the influences on health and health care engagement from the experiences of urban Maori women using Kokiri Marae Health and Social Services (KMHSS), Lower Hutt, NZ. Conducts unstructured interviews which are analysed thematically. Employs the nursing theory of cultural safety, Kawa Whakaruruhau, to inform a qualitative approach to the examination of the historical, social, cultural, economic, political, racial and gendered factors contributing to Maori women's health and health-care engagement. Makes recommendations for nursing practice, research site and research.
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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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Meek, G. (2009). Second-level nurses: a critical examination of their evolving role in New Zealand healthcare. Master's thesis, Waikato Institute of Technology, Hamilton.
Abstract: Examines the evolution of the enrolled nurse in NZ from the perspective of a registered nurse who has worked with enrolled nurses in both Britain and NZ. Analyses key documents from a critical perspective to consider the positioning of enrolled nurses in NZ, particularly from the point of view of the large number of Maori enrolled nurses. Makes recommendations for a more equitable future for those who undertake enrolled nursing.
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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 June 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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Deo, L. (2021). Parental needs and nursing response following SUFE Surgery; An interpretive descriptive study. Master's thesis, Victoria University, Wellington. Retrieved June 2, 2024, from https://figshare.com/articles/thesis/Parental_needs_and_nursing_response_following_SUFE_Surgery_An_interpretive_descriptive_study/18094160
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.
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Gray, N. (2020). Privileging Matauranga Maori in nursing education: Experiences of Maori student nurses learning within an indigenous university. Master's thesis, University of Auckland, Auckland. Retrieved June 2, 2024, from https://auckland.figshare.com/articles/thesis/Dissertation2020NadineGray_pdf/15121350
Abstract: Investigates factors supporting Maori student engagement, retention and success in nursing education. Explores the experiences, perceptions and insights of Maori nursing students enrolled in Te Ohanga Mataora: Bachelor of Health Sciences Maori Nursing at Te Whare Wananga O Awanuiarangi. Conducts semi-structured face-to-face interviews with 12 full-time Maori undergraduate nursing students, highlighting both positive and negative factors in academic engagement.
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McGregor, J. (2021). Historical Trauma Theory: The implications for nursing in Aotearoa New Zealand. Master's thesis, Auckland University of Technology, Auckland. Retrieved June 2, 2024, from http://hdl.handle.net/10292/13937
Abstract: Presents the findings of an integrative literature review exploring the possibility of applying Historical Trauma Theory to nursing practice. Uses Kaupapa Maori research methodology to apply Historical Trauma Theory to health care practice, in a Maori context. Considers how trauma theory can be used to support Wilson and Barton's Te Kapunga Putohe nursing model.
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Tipa, Z. (2021). Mahi Ngatahi: Culturally-responsive ways of working with whanau accessing Well Child/Tamariki Ora services. Ph.D. thesis, Auckland University of Technology, Auckland. Retrieved June 2, 2024, from http://hdl.handle.net/10292/14007
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.
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Roberts, J. (2020). An investigation into the preparedness for and experiences in working with Maori nursing students among New Zealand tertiary institutes, schools and nurse educators. Doctoral thesis, Massey University, Palmerston North. Retrieved June 2, 2024, from https://hdl.handle.net/10179/16056
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.
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