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Cultural Safety in Paramedic Practice: Experiences of Māori and Whānau

Authors

Penney, S
Dicker, B
Harwood, M

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Elsevier BV

Abstract

Cardiovascular disease is a major contributor to the health inequities between Māori and non-Māori. Reasons are multifactorial and not all differences can be attributed to modifiable risk factors or social circumstances. Research shows that Māori with ACS: often delay calling the emergency number 111; present to their general practitioner or an accident and emergency department, delaying access to hospital; and are less likely to go to the hospital by ambulance. Thus, understanding access to and experiences when utilising pre-hospital care is important. Despite extensive literature demonstrating negative experiences and poor-quality healthcare for Māori, there is very little in the pre-hospital context. This study aimed to explore experiences of cultural (un)safety in acute pre-hospital care by paramedics for cardiac symptoms. A key objective was to enable ambulance services to better respond to Māori.

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Keywords

32 Biomedical and Clinical Sciences, 4203 Health Services and Systems, 3201 Cardiovascular Medicine and Haematology, 4206 Public Health, 42 Health Sciences, 1102 Cardiorespiratory Medicine and Haematology, 1117 Public Health and Health Services, Cardiovascular System & Hematology, 3201 Cardiovascular medicine and haematology, 4203 Health services and systems, 4206 Public health

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© 2023. This manuscript version (after the embargo period) is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/