Whakawhanaungatanga - Building Trust and Connections: A Qualitative Study Indigenous Māori Patients and Whānau (Extended Family Network) Hospital Experiences

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aut.relation.endpage1558
aut.relation.issue4
aut.relation.journalJournal of Advanced Nursing
aut.relation.startpage1545
aut.relation.volume80
dc.contributor.authorKomene, Ebony
dc.contributor.authorPene, Bobbie
dc.contributor.authorGerard, Debra
dc.contributor.authorParr, Jenny
dc.contributor.authorAspinall, Cath
dc.contributor.authorWilson, Denise
dc.date.accessioned2024-06-20T04:48:47Z
dc.date.available2024-06-20T04:48:47Z
dc.date.issued2023-10-27
dc.description.abstractAIMS: Investigated the experiences of Māori (the Indigenous peoples of Aotearoa, New Zealand) patients and whānau (extended family network) engaging with acute hospital inpatient services and their priorities for a Māori-centred model of relational care. DESIGN: A qualitative Māori-centred research design using a Thought Space Wānanga (learning through in-depth group discussion, deliberation and consideration) approach. METHODS: Two wānanga were conducted between May 2022 and June 2022, with 13 Māori patients who had been acutely hospitalized within the past 12 months and their whānau members. The first wānanga utilized storytelling and journey mapping to collect data. The second wānanga refined the initial themes. Wānanga were audio-recorded and then inductively coded and developed into themes. RESULTS: Thirteen patients and whānau attended the first wānanga, while 10 patients and whānau participated in the second wānanga). Four themes were developed: (1) Whakawhanaungatanga (establishing connections and relationships), (2) Whakamana (uplifting the status and esteem of Māori), (3) Whakawhitiwhiti kōrero (the importance of communicating, discussing and deliberating) and (4) Kotahitanga (working together with purpose) all provide insights into the importance of effectively engaging and connecting with Māori patients and whānau when acutely hospitalized. CONCLUSIONS: The experiences and priorities of Māori patients and whānau affirm the international literature, suggesting that Indigenous relational concepts are critical to building relationships, connections and trust. Despite existing healthcare models for working with Indigenous peoples, their poor application contributes to sub-optimal healthcare experiences at all points of their healthcare journey. A relational mode of practice focused on engagement and forming connections better meets the needs of Indigenous peoples engaging with inpatient health services. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Despite the existence of Indigenous models of care, Indigenous peoples consistently report a lack of engagement and connection when accessing inpatient health services. Without establishing relationships, applying models of care is challenging. IMPACT (ADDRESSING): What problem did the study address? Internationally, healthcare systems are consistently ill-equipped to deliver culturally safe care for Indigenous and marginalized peoples, evident in ongoing health inequities. Like other reports of Indigenous experiences of health services, Māori express dissatisfaction with care delivery in an acute inpatient setting. This study investigated Māori patients and whānau experiences engaging with acute hospital inpatient services and their priorities for a Māori-centred model of relational care. What were the main findings? Māori patients and whānau recounted negative experiences with healthcare professionals lacking effective relationships and trust. Satisfaction occurred when engagement with health care professionals resembled Indigenous cultural rituals of encounter that considered their holistic, collective and dynamic worldviews. Previous models of relational care, while helpful, are not Indigenous and so do not address their needs, such as engagement as a mode of practice (how) to achieve this. Where and on whom will the research have an impact? This research impacts Indigenous peoples' health outcomes, particularly Māori, and nurses and clinicians working and interacting within acute inpatient and other hospital settings. Indigenous research methods support co-constructing knowledge for translation into practical outcomes through transformational practices, policies and theory development. REPORTING METHOD: We used the Consolidated Criteria for Strengthening the Reporting of Health Research Involving Indigenous Peoples (CONSIDER) statement (see File S2-CONSIDER Checklist) and the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines (see File S3-COREQ Checklist). PATIENT OR PUBLIC CONTRIBUTION: Māori patients and their whānau interviewed about their experiences were involved in data interpretation.
dc.identifier.citationJournal of Advanced Nursing, ISSN: 0309-2402 (Print); 0309-2402 (Online), Wiley, 80(4), 1545-1558. doi: 10.1111/jan.15912
dc.identifier.doi10.1111/jan.15912
dc.identifier.issn0309-2402
dc.identifier.issn0309-2402
dc.identifier.urihttp://hdl.handle.net/10292/17678
dc.languageeng
dc.publisherWiley
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1111/jan.15912
dc.rights© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectindigenous research
dc.subjectinequity
dc.subjectjourney mapping
dc.subjectMāori health
dc.subjectMāori-centred research
dc.subjectmodes of care
dc.subjectpatient experience
dc.subjectqualitative research
dc.subjectstorytelling
dc.subjectMāori health
dc.subjectMāori-centred research
dc.subjectindigenous research
dc.subjectinequity
dc.subjectjourney mapping
dc.subjectmodes of care
dc.subjectpatient experience
dc.subjectqualitative research
dc.subjectstorytelling
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subjectClinical Research
dc.subjectHealth Services
dc.subject8 Health and social care services research
dc.subject8.1 Organisation and delivery of services
dc.subjectGeneric health relevance
dc.subject3 Good Health and Well Being
dc.subject1110 Nursing
dc.subjectNursing
dc.subject4204 Midwifery
dc.subject4205 Nursing
dc.subject.meshHumans
dc.subject.meshMaori People
dc.subject.meshTrust
dc.subject.meshExtended Family
dc.subject.meshQualitative Research
dc.subject.meshHospitals
dc.subject.meshNew Zealand
dc.subject.meshHumans
dc.subject.meshTrust
dc.subject.meshQualitative Research
dc.subject.meshHospitals
dc.subject.meshNew Zealand
dc.subject.meshExtended Family
dc.subject.meshMaori People
dc.subject.meshHumans
dc.subject.meshMaori People
dc.subject.meshTrust
dc.subject.meshExtended Family
dc.subject.meshQualitative Research
dc.subject.meshHospitals
dc.subject.meshNew Zealand
dc.titleWhakawhanaungatanga - Building Trust and Connections: A Qualitative Study Indigenous Māori Patients and Whānau (Extended Family Network) Hospital Experiences
dc.typeJournal Article
pubs.elements-id527841
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