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Author Manson, Leanne Marama
Title Te Ao Maori: Maori nurses' perspectives on assisted dying and the Te Ao Maori cultural considerations required to guide nursing practice Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 100 p.
Keywords (up) Assisted dying; Death; Te Ao Maori; Cultural considerations; Kaupapa Maori research methodology; Maori nursing
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.
Call Number NZNO @ research @ Serial 1702
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Author Jones, Bernadette Doris
Title Achieving equitable asthma services for Maori Type Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 1v
Keywords (up) Asthma; Maori children; Primary healthcare; Kaupapa Maori; Maori health; Pou Ora; Maori-centred research
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.
Call Number NZNO @ research @ Serial 1585
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Author Low, Tracy; Scott-Chapman, Sue; Forrest, Rachel
Title Patient experiences of pictogram use during nurse-led rapid-access chest pain clinic consultations in regional Aotearoa New Zealand Type Journal Article
Year 2020 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 36 Issue 2 Pages
Keywords (up) Chest pain; Heart disease; Pictogram; Maori health
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.
Call Number NZNO @ research @ Serial 1678
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Author Francis, Helen; Carryer, Jenny; Cram, Fiona
Title Consulting with Maori experts to ensure mainstream health research is inclusive of Maori Type Journal Article
Year 2019 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 35 Issue 3 Pages 7-14
Keywords (up) Chronic conditions; Health research; Maori health; Health management; Whanaungatanga
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.
Call Number NZNO @ research @ Serial 1669
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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 Journal of Advanced Nursing Abbreviated Journal
Volume 46 Issue 1 Pages 95-109
Keywords (up) 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 Levien, J.
Title Maori health: One area of risk Type Journal Article
Year 2007 Publication Nursing Journal Northland Polytechnic Abbreviated Journal Available online at coda, An Institutional Repository for the New Zealand ITP Sector
Volume 11 Issue Pages 17-21
Keywords (up) Colonisation; Maori; Health status; Nursing
Abstract This essay explores the social and historical context of the continued incidence of rheumatic fever amongst Maori. This communicable disease is associated with poverty, inadequate housing and overcrowding. These risk factors are all higher for indigenous populations. The article traces the effects of colonisation on Maori health, and presents the Te Whare Tapa Wha health model, which is grounded in a Maori world view, and provides a framework to examine this issue. The implications for nursing practice are explored.
Call Number NRSNZNO @ research @ 1316 Serial 1300
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Author Te Huia, Maria; Mercer, Christine
Title Relationships and implications for complementary and alternative medicine in Aotearoa New Zealand: a discussion paper Type Journal Article
Year 2019 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 35 Issue 3 Pages 25-32
Keywords (up) Complementary and alternative medicine; Rongoa Maori
Abstract Considers the relationship between nursing and complementary and alternative medicine(CAM), and how this could be incorporated into health care, citing its use internationally. Highlights areas of development and future research for CAM in nursing in NZ.
Call Number NZNO @ research @ Serial 1671
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Author Davis, J.; Wiapo, C.; Rehana-Tait, H.; Clark, T.C.; Adams, S.
Title Steadfast is the rock: Primary health care Maori nurse leaders discuss tensions, resistance, and their contributions to prioritise communities and whanau during COVID-19 Type Journal Article
Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 37 Issue 3 Pages 84-93
Keywords (up) COVID-19; Primary health care; Maori nursing leadership; Maori communities
Abstract Recounts the experiences of 3 Maori nurses in a primary health entity in Northland, NZ as they negotiated with health providers and organisations to protect the health of Maori communities during the first lockdown, in 2020. Emphasises the role of matauranga Maori (Maori knowledge and tradition) in ensuring local Maori were prioritised in the pandemic response in the region.
Call Number NZNO @ research @ Serial 1737
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Author Ferguson, Katelyn Maye
Title The appropriation of cultural safety: A mixed methods analysis Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 250 p.
Keywords (up) Cultural safety; Nursing practice; Cross-cultural communication; Maori health care; Internationally Qualified Nurses (IQN)
Abstract Argues that the concept of cultural safety (CS) has been appropriated from an indigenous-led bicutural context to an inclusive cross-cultural framework for working with diverse patient populations. Investigates nurses' understanding of the 'Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice' published in 2011 by the Nursing Council of NZ. Conducts a mixed-methods survey using both closed and open-ended questions to gauge nurses' confidence in applying the guidelines and their view of their relevance. Describes differences between NZ Registered Nurses (RN) and Internationally Qualified Nurses (IQN) in their understanding of CS. Argues that the CS model should be by Maori, for Maori.
Call Number NZNO @ research @ Serial 1763
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Author Spence, D.
Title The evolving meaning of 'culture' in New Zealand nursing Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages 51-61
Keywords (up) Cultural safety; Biculturalism; History of nursing; Maori
Abstract The author traces the nursing definition of biculturalism as it has evolved from the colonial period to the present. An examination of nursing literature demonstrates that local understandings of culture have matured beyond anthropological interpretations to a sociopolitical definition of Maori culture. The author suggests that, in nursing, culture has come to mean cultural safety.
Call Number NRSNZNO @ research @ Serial 625
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Author Hunter, Kiri; Roberts, Jennifer; Foster, Mandie; Jones, Shelley
Title Dr Irihapeti Ramsden's powerful petition for cultural safety Type Journal Article
Year 2021 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 37 Issue 1 Pages 25-28
Keywords (up) Cultural safety; Kawa whakaruruhau; Health equity; Maori health
Abstract Revisits the concepts addressed in Ramsden's speech to nursing graduands in 1990, 'Moving On'. Places the speech in the context of her later articles on cultural safety, in 1993 and 2000. Maintains that the concept is critically relevant in 2021 due to health disparities for Maori.
Call Number NZNO @ research @ Serial 1688
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Author Hunter, Kiri; Cook, Catherine
Title Cultural and clinical practice realities of Maori nurses in Aotearoa New Zealand: The emotional labour of Indigenous nurses Type Journal Article
Year 2020 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 36 Issue 3 Pages 7-23
Keywords (up) Cultural safety; Maori nurses; Registered nurses, Tikanga Maori
Abstract Examines the tensions for Maori nurses that are involved in the integration of cultural priorities into clinical practice. Conducts semi-structured interviews with 12 Maori RNs and nurse practitioners to determine their professional practice experiences of delivering culturally-responsive care to iwi, hapu and whanau across health-care settings.
Call Number NZNO @ research @ Serial 1679
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Author Ramsden, I.
Title Cultural safety and nursing education in Aotearoa and Te Waipounamu Type
Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (up) Cultural safety; Maori; Nursing; Education
Abstract The research on which this thesis is based involves both a private narrative and a public narrative, with the story of cultural safety, and the history, theory and the future direction gathered into one qualitative work. The work is divided into three sections. The first is entitled, Ko Wai Matou? The Private Narrative. This section seeks to explore the historical, social, educational, physical, emotional, political and moral influences and ephiphanies which brought about the personality which introduced cultural safety ideas into nursing and midwifery. Early nursing practice is investigated and examples from practice are used to illustrate learning and consolidation of the ideas which led to Cultural Safety Theory. The second section is entitled He Huarahi Hou: A New Pathway. This section explains the progress of the theory and its relationship to education pedagogy and to nursing practice. Comparison between the work of Madeline Leininger and the Transcultural Theory of Nursing and the New Zealand concept of cultural safety is undertaken. The role and application of the Treaty of Waitangi to the theory of cultural safety is explored in this section. The third section, entitled He Whakawhanuitanga: The Public Narrative, looks at the introduction of cultural safety into the nursing education system and its implementation. The public and media reaction to the inclusion of cultural safety in the national examination for nursing registration and the subsequent parliamentary response are noted. The interviews with nursing and midwifery leadership, Maori and pakeha key players in the process and consumer views of the ideas are documented and pertinent excerpts have been included. The work concludes with a discussion on the likely future of cultural safety as a theory and in practice and outlines several issues which represent a challenge to the viability of the concept in nursing and midwifery education. The author notes that the story of cultural safety is a personal story, but also a very public one. It is set in neo-colonial New Zealand, but has implications for indigenous people throughout the world. It is about human samenesses and human differences, but is also a story about all interactions between nurses and patients because all are power laden. Finally, she points out that, although it is about nursing, it is also relevant to all encounters, all exchanges between health care workers and patients.
Call Number NRSNZNO @ research @ Serial 486
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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 125-135
Keywords (up) 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 Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 5 Pages 201-208
Keywords (up) 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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