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A Bi‐Cultural Multidisciplinary Approach to Achieving Excellence in Care for Indigenous Māori: Report From the Wānanga, Auckland, 2023
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-12-13 , DOI: 10.1111/jan.16622
Bobbie‐Jo Pene, Cathleen Aspinall, Sharon S. Deo, Denise Wilson, Jenny M. Parr

AimsTo explore the alignment of nursing and healthcare practice illustrated in the Fundamentals of Care framework with Māori (Indigenous person of Aotearoa, New Zealand) worldviews using Indigenous methods.DesignDiscursive report.MethodsIn October 2023, around 50 healthcare professionals and Māori leaders from across Aotearoa, New Zealand, attended a wānanga, an Indigenous Māori approach for sharing knowledge and engaging in in‐depth discussion and deliberation.ResultsAttendees understood the origins of the Fundamentals of Care framework and how it translates to practice. The depth and breadth of meaning when referring to Māori values and practices adds a layer of complexity when attempting to align Māori worldviews with the Fundamentals of Care framework. A key outcome of the day was a call for tāngata Tiriti (people of the Treaty—non‐Māori) to continue to work in partnership with tāngata whenua (people of the land—Māori) to explore how the Fundamentals of Care framework could be used with a mode of practice that emphasises Māori values and practices such as whakawhanaungatanga (establishing relationships) and manaakitanga (showing respect, generosity and care for others).ConclusionApplying Indigenous methods to explore problems and co‐create solutions offers the potential to advance health equity agendas. Wānanga, as a forum for engaging in the process of sharing, reflecting, discussing and learning, provides a mana‐enhancing (strengths‐based) space for tāngata whenua (people of the land—Māori) and tāngata Tiriti (people of the Treaty—non‐Māori), to relate and collaborate. Additional wānanga are required to co‐create a mode of practice that can be applied by all health professionals and that meets the needs of Māori.ImpactThis report addresses how the Fundamentals of Care framework can be scrutinised for its usefulness or adaptability to encompass Indigenous populations' culture and care needs. Critical points of difference between the Fundamentals of Care framework and Indigenous Māori worldviews exist and need further exploration. This report impacts the delivery of healthcare for Indigenous Māori and the provision of healthcare by all nurses.Patient or Public ContributionNo patient or public contribution.

中文翻译:


实现对土著毛利人卓越护理的双文化多学科方法:来自奥克兰 Wallanga 的报告,2023 年



目的使用土著方法探索护理基础框架中说明的护理和医疗保健实践与毛利人(新西兰 Aotearoa 的土著人)世界观的一致性。DesignDiscursive 报告。方法2023 年 10 月,来自新西兰 Aotearoa 的约 50 名医疗保健专业人员和毛利领袖参加了 wānanga,这是一种土著毛利人分享知识并参与深入讨论和审议的方法。结果与会者了解了 Fundamentals of Care 框架的起源以及它如何转化为实践。在试图将毛利人世界观与护理基础框架保持一致时,提及毛利价值观和习俗的含义的深度和广度增加了一层复杂性。当天的一个关键成果是呼吁 tāngata Tiriti(条约的人民——非毛利人)继续与 tāngata whenua(土地上的人民——毛利人)合作,探索如何将护理基础框架与强调毛利价值观和实践的实践模式一起使用,例如 whakawhanaungatanga(建立关系)和 manaakitanga(表示尊重, 慷慨和关心他人)。结论应用土著方法探索问题并共同创造解决方案为推进健康公平议程提供了潜力。Wānanga 作为一个参与分享、反思、讨论和学习过程的论坛,为 tāngata whenua(这片土地的人民——毛利人)和 tāngata Tiriti(条约的人民——非毛利人)提供了一个增强法力(基于优势的)空间,以建立联系和合作。需要额外的 wānanga 来共同创建一种可供所有卫生专业人员应用并满足毛利人的需求的实践模式。影响本报告讨论了如何审查护理基础框架的有用性或适应性,以涵盖土著人口的文化和护理需求。Fundamentals of Care 框架和土著毛利人世界观之间存在关键差异,需要进一步探索。本报告影响了为土著毛利人提供医疗保健以及所有护士提供医疗保健的情况。患者或公众捐款没有患者或公众捐款。
更新日期:2024-12-13
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