The whitewashing of contracts: Unpacking the discourse within Māori health provider contracts in Aotearoa/New Zealand

2021 ◽  
Author(s):  
Kyle Eggleton ◽  
Anneka Anderson ◽  
Matire Harwood
Keyword(s):  
New Zealand ◽  
Health Provider ◽  
Aotearoa New Zealand ◽  
Maori Health

scholarly journals Architecture Without Expectation: Designing a third place for mental wellbeing in the community

2021 ◽  
Author(s):  
◽  
Kezia Fairbrother
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Wellbeing ◽  
Evidence Based ◽  
Third Place ◽  
Therapeutic Landscapes ◽  
Spatial Design ◽  
Aotearoa New Zealand ◽  
The Government ◽  
Maori Health

<p>In 2018, the government published the report of its inquiry into mental health and addiction in Aotearoa New Zealand, which called for a ‘paradigm shift’ in the country’s approach to mental wellbeing. This research portfolio explores the role architecture has to play in this shift, acknowledging the problematic historical associations of architecture and mental health. In doing so, the work aims to establish principles for a new architectural typology of mental health care, outside of conventional institutions. It explores contemporary approaches to wellness, and integrates research from several bodies of theoretical and evidence-based research into a new creative practice within architecture. Specifically, the research draws on theory around nonrepresentational therapeutic landscapes, third place and evidence based design. These inform creative explorations of the therapeutically affective qualities of naturally-sourced materials. The findings of this explorations are transferred to spatial design using a ‘multiplicity’ approach based on nonrepresentational theory and Māori health models, which is then applied to a specific site in Wellington, New Zealand. Finally, architectural applications for this research are proposed in the form of a community-based third place to support mental health and wellbeing.</p>

scholarly journals Architecture Without Expectation: Designing a third place for mental wellbeing in the community

2021 ◽  
Author(s):  
◽  
Kezia Fairbrother
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Wellbeing ◽  
Evidence Based ◽  
Third Place ◽  
Therapeutic Landscapes ◽  
Spatial Design ◽  
Aotearoa New Zealand ◽  
The Government ◽  
Maori Health

<p>In 2018, the government published the report of its inquiry into mental health and addiction in Aotearoa New Zealand, which called for a ‘paradigm shift’ in the country’s approach to mental wellbeing. This research portfolio explores the role architecture has to play in this shift, acknowledging the problematic historical associations of architecture and mental health. In doing so, the work aims to establish principles for a new architectural typology of mental health care, outside of conventional institutions. It explores contemporary approaches to wellness, and integrates research from several bodies of theoretical and evidence-based research into a new creative practice within architecture. Specifically, the research draws on theory around nonrepresentational therapeutic landscapes, third place and evidence based design. These inform creative explorations of the therapeutically affective qualities of naturally-sourced materials. The findings of this explorations are transferred to spatial design using a ‘multiplicity’ approach based on nonrepresentational theory and Māori health models, which is then applied to a specific site in Wellington, New Zealand. Finally, architectural applications for this research are proposed in the form of a community-based third place to support mental health and wellbeing.</p>

scholarly journals Therapeutic Landscapes and Indigenous Culture: Māori Health Models in Aotearoa/New Zealand

2021 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Rosemary Mwipiko
Keyword(s):  
New Zealand ◽  
Indigenous Culture ◽  
Therapeutic Landscapes ◽  
Aotearoa New Zealand ◽  
Maori Health

No description supplied

scholarly journals Cultural health literacy: the experiences of Māori in palliative care

2018 ◽  
Vol 25 (4) ◽  
pp. 15-23 ◽  
Author(s):  
Jacquie Kidd ◽  
Stella Black ◽  
Rawiri Blundell ◽  
Tamati Peni
Keyword(s):  
Palliative Care ◽  
New Zealand ◽  
Health Literacy ◽  
Health Information ◽  
Health Professionals ◽  
Health Resources ◽  
Structured Interviews ◽  
Aotearoa New Zealand ◽  
Palliative Care Setting ◽  
Maori Health

Abstract: Health literacy is a concept that is frequently applied to the patient’s ability to find and comprehend health information. However, recent literature has included the skill of the health professional and the accessibility of health resources as important factors in the level of health literacy achieved by individuals and populations. In 2014 a qualitative study undertaken in Aotearoa New Zealand, investigated the context of health literacy for Māori in a palliative care setting (Māori are the indigenous people of Aotearoa New Zealand). The study included the experiences of patients, whānau (families), and health professionals. Method: Individual semi-structured interviews were held with 21 patients, whānau and six key informants: a medical specialist, a service leader involved in developing culturally specific responses to patients, two Māori service managers, and two Māori health team leaders. Focus groups were held with a total of 54 health professionals providing palliative care services. Data analysis: A thematic analysis was undertaken using a general inductive approach. The trustworthiness and reliability of the analysis was supported by sharing analysis of the transcripts among the research team. Member checking or respondent validation was used in seeking confirmation of the interim findings at five hui (meetings) with the research communities involved. Findings: This study found that the shock and grief that attends a life-limiting illness made hearing and processing health information very difficult for patients and whānau. Further, ‘hard conversations’ about moving from active treatment to palliative care were often avoided by health professionals, leaving patients and whānau distressed and confused about their choices and prognosis. Finally, poor cultural health literacy on the part of organisations has likely impacted on late access to or avoidance of palliative care for Māori.

Introducing critical Tiriti policy analysis through a retrospective review of the New Zealand Primary Health Care Strategy

Ethnicities ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 434-456 ◽  
Author(s):  
Heather Came ◽  
D O’Sullivan ◽  
T McCreanor
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Primary Health Care ◽  
New Zealand ◽  
Policy Analysis ◽  
Policy Development ◽  
Policy Makers ◽  
Aotearoa New Zealand ◽  
Primary Health ◽  
Maori Health

Background Te Tiriti o Waitangi was negotiated between the British Crown and Indigenous Māori leaders of Aotearoa New Zealand in 1840. Māori understood the agreement as an affirmation of political authority and a guarantee of British protection of their lands and resources. The Crown understood it as a cession of sovereignty. The tension remains, though legal and political developments in the last 35 years, have established that the agreement places a mandatory obligation on the Crown to protect and promote Māori health. It also requires that Māori may exercise rangatiratanga, or responsibility and authority, in relation to health policy development and implementation. Methods Te Tiriti is, then, an instrument against which health policy is justly and efficaciously evaluated. This paper introduces critical Tiriti analysis as such an evaluative method. Critical Tiriti analysis involves reviewing policy documents against the Preamble and the Articles of te Tiriti o Waitangi. The review process has five defined phases: (i) orientation; (ii) close reading; (iii) determination; (iv) strengthening practice and (v) Māori final word. Results We present a working example of critical Tiriti analysis using the New Zealand Government’s Primary Health Care Strategy published in 2001. This policy analysis found poor alignment with te Tiriti overall and the indicators of its implementation that we propose. Conclusion This paper provides direction to policy makers wanting to improve Māori health outcomes and ensure Māori engagement, leadership and substantive authority in the policy process. It offers an approach to analysing policy that is simple to use and, inherently, a tool for advancing social justice.

scholarly journals Therapeutic Landscapes and Indigenous Culture: Māori Health Models in Aotearoa/New Zealand

2021 ◽  
Author(s):  
Jacqueline McIntosh ◽  
Bruno Marques ◽  
Rosemary Mwipiko
Keyword(s):  
New Zealand ◽  
Indigenous Culture ◽  
Therapeutic Landscapes ◽  
Aotearoa New Zealand ◽  
Maori Health

No description supplied

Decolonising Ethics: Considerations of Power, Politics and Privilege in Aotearoa/New Zealand

2018 ◽  
Vol 30 (1) ◽  
Author(s):  
Amohia Boulton
Keyword(s):  
New Zealand ◽  
Indigenous Peoples ◽  
Well Being ◽  
Research Centre ◽  
Power Politics ◽  
Aotearoa New Zealand ◽  
History Of ◽  
Maori Health ◽  
Health And Well Being

Indigenous peoples across the world have a shared experience of colonisation; a process that has resulted in war, disease and the decimation of their lands, homes and peoples. In New Zealand, the effects of colonisation are still evident with Māori (the indigenous people of New Zealand) experiencing poorer outcomes compared with non-Māori citizens across a range of social, health and well-being indicators. This paper is a case study of work being done in New Zealand, which may have resonance with work in South Africa, and other countries with a history of colonisation. It begins with a brief history of the impacts of colonisation on Māori before considering the concept of decolonisation. The author outlines the work her organisation does as an independent, tribally owned, Māori health research centre to advance a decolonisation agenda. Reflecting on their emancipatory and democratising ambitions as researchers provides the opening for a discussion about indigenous ethics. The paper presents a number of Māori ethical principles that guide their work, arguing that were such principles applied in the development and implementation of social policy and legislation, the effect would be a fairer, more equitable policy that better meets the needs of Māori as citizens. Recent legislation enacted to improve New Zealand’s care and protection system for children is discussed to illustrate the need for greater consideration of Māori values when developing legislation that directly impacts Māori. The paper concludes with a challenge to policymakers, practitioners, academics, and researchers alike to actively contribute to an agenda of liberation, emancipation and decolonisation for indigenous peoples.

A consultation journey: developing a Kaupapa Māori research methodology to explore Māori whānau experiences of harm and loss around birth

2017 ◽  
Vol 14 (1) ◽  
pp. 54-62 ◽  
Author(s):  
Kendall Stevenson
Keyword(s):  
New Zealand ◽  
Indigenous Peoples ◽  
Culturally Responsive ◽  
Safe Space ◽  
Similar Process ◽  
Structural Barriers ◽  
Health And Wellbeing ◽  
Aotearoa New Zealand ◽  
Kaupapa Māori ◽  
Maori Health

Kaupapa Māori (by Māori, for Māori, with Māori) researchers have provided a space to undertake research that is culturally responsive, ensures the voices of Māori (Indigenous peoples of Aotearoa New Zealand) are heard, and challenges structural barriers to Māori health and wellbeing. This article describes my journey to develop a Kaupapa Māori methodology appropriate for exploring whānau (families) experiences following the harm or loss of their infant around birth. Guidance from key informants was sought and a Kaupapa Māori methodology was then developed based on their wisdom, expertise, and experience. The five components of this methodology are designed to keep all involved in this research safe: whānau (family), wāhi haumaru (providing a safe space), whakaaro (engaging in Māori philosophies), kaitiaki (being empathetic), and hononga (building and maintaining relationships). Researchers undertaking Kaupapa Māori research are invited to use this methodology, or follow a similar process to develop their own expert-informed methodology.

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