The Lived Experience of Chronic Pain for Māori: How Can This Inform Service Delivery and Clinical Practice? A Systematic Review and Qualitative Synthesis
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Journal Article
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Pasifika Medical Association Group
Abstract
AIM: To synthesise the literature describing experiences of chronic pain and pain management for Māori, and to understand how this experience could inform service delivery and clinical practice. METHOD: We systematically searched for qualitative research on Māori chronic pain experiences (Scopus, Medline, APA PsycINFO, NZ Research, Research Square). Data extracted were coded and synthesised using thematic analysis. RESULTS: Seven studies were included. Three themes encapsulated the data: 1) a multidimensional view of pain and pain management: Māori expressed a holistic and integrated understanding of the multiple factors that influence pain and its management, 2) a responsibility: respectful tikanga-informed care: the experiences of Māori participants with healthcare highlight a need for antiracist approaches, and a clinical responsibility to practice manaakitanga and tikanga, and 3) tino rangatiratanga: a desire for knowledge, choice and autonomy in pain management: Māori valued the empowering nature of knowledge about pain, and information and support to make decisions about treatment, including considerations regarding Western and traditional Māori medicine. CONCLUSION: Health services need to understand and respect the multidimensional aspects of pain, minimise racism and discrimination, use whakawhanaungatanga, manaakitanga, and tikanga-informed practices, and provide appropriate information to support tino rangatiratanga for pain management.Description
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32 Biomedical and Clinical Sciences, 4201 Allied Health and Rehabilitation Science, 4203 Health Services and Systems, 3202 Clinical Sciences, 42 Health Sciences, Clinical Research, Neurosciences, Complementary and Integrative Health, Chronic Pain, Pain Research, 8 Health and social care services research, 7.1 Individual care needs, 7 Management of diseases and conditions, 8.1 Organisation and delivery of services, Generic health relevance, Musculoskeletal, 3 Good Health and Well Being, 11 Medical and Health Sciences, General & Internal Medicine, 32 Biomedical and clinical sciences, 42 Health sciences
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The New Zealand medical journal, ISSN: 0028-8446 (Print); 1175-8716 (Online), Pasifika Medical Association Group, 137(1591), 62-73. doi: 10.26635/6965.6271
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