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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aut.relation.endpage73
aut.relation.issue1591
aut.relation.journalThe New Zealand medical journal
aut.relation.startpage62
aut.relation.volume137
dc.contributor.authorAntunovich, D
dc.contributor.authorRomana, J
dc.contributor.authorLewis, GN
dc.contributor.authorMorunga, E
dc.contributor.authorBean, DJ
dc.date.accessioned2024-03-20T01:50:01Z
dc.date.available2024-03-20T01:50:01Z
dc.date.issued2024-03-08
dc.description.abstractAIM: 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.
dc.identifier.citationThe New Zealand medical journal, ISSN: 0028-8446 (Print); 1175-8716 (Online), Pasifika Medical Association Group, 137(1591), 62-73. doi: 10.26635/6965.6271
dc.identifier.doi10.26635/6965.6271
dc.identifier.issn0028-8446
dc.identifier.issn1175-8716
dc.identifier.urihttp://hdl.handle.net/10292/17348
dc.languageeng
dc.publisherPasifika Medical Association Group
dc.relation.urihttp://dx.doi.org/10.26635/6965.6271
dc.relation.urihttps://www.nzmj.org.nz/journal/vol-137-no-1591/the-lived-experience-of-chronic-pain-for-maori-how-can-this-inform-service-delivery-and-clinical-practice-a-systematic-review-an
dc.rightsThe New Zealand Medical Journal now offers free open access to all individuals that subscribe (free) to the journal.
dc.rights.accessrightsOpenAccess
dc.subject32 Biomedical and Clinical Sciences
dc.subject4201 Allied Health and Rehabilitation Science
dc.subject4203 Health Services and Systems
dc.subject3202 Clinical Sciences
dc.subject42 Health Sciences
dc.subjectClinical Research
dc.subjectNeurosciences
dc.subjectComplementary and Integrative Health
dc.subjectChronic Pain
dc.subjectPain Research
dc.subject8 Health and social care services research
dc.subject7.1 Individual care needs
dc.subject7 Management of diseases and conditions
dc.subject8.1 Organisation and delivery of services
dc.subjectGeneric health relevance
dc.subjectMusculoskeletal
dc.subject3 Good Health and Well Being
dc.subject11 Medical and Health Sciences
dc.subjectGeneral & Internal Medicine
dc.subject32 Biomedical and clinical sciences
dc.subject42 Health sciences
dc.subject.meshHumans
dc.subject.meshMaori People
dc.subject.meshChronic Pain
dc.subject.meshNew Zealand
dc.subject.meshDelivery of Health Care
dc.subject.meshHealth Services
dc.subject.meshQualitative Research
dc.subject.meshHumans
dc.subject.meshQualitative Research
dc.subject.meshHealth Services
dc.subject.meshDelivery of Health Care
dc.subject.meshNew Zealand
dc.subject.meshChronic Pain
dc.subject.meshMaori People
dc.titleThe Lived Experience of Chronic Pain for Māori: How Can This Inform Service Delivery and Clinical Practice? A Systematic Review and Qualitative Synthesis
dc.typeJournal Article
pubs.elements-id541439
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