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Journal of Nursing Research and Practice

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Dianne Wepa1* and Denise Wilson2
 
1 School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Australia, Email: [email protected]
2 Faculty of Health & Environmental Sciences, Auckland University of Technology, Private Bag 92 006, Auckland 1142, New Zealand
 
*Correspondence: Dianne Wepa, School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, C6-44, Centenary Building, City East Campus, Adelaide 5000, Internal Post Code CEA-17, Australia, Tel: +61 8 8302 2354, Fax: +61 8 8302 2118, Email: [email protected]

Received Date: Nov 19, 2019 / Accepted Date: Dec 16, 2019 / Published Date: Dec 23, 2019

Citation: Wepa D, Wilson D. Struggling to be involved: An interprofessional approach to examine Māori whānau engagement with healthcare services. J Nur Res Prac. 2019; 3(3):01-05.

This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact [email protected]

Abstract

Aim: Explain the processes that whānau Māori used when engaging with healthcare services from an interprofessional approach.

Methods: A qualitative design using kaupapa Māori methodology and constructivist grounded theory. The researchers were a registered social worker and registered nurse from New Zealand. We used semi-structured interviews with 20 Māori whānau (74 people aged 18-70 years) living in rural and urban areas in New Zealand about their engagement with healthcare services. The data analysis used constant comparative analysis to develop a substantive grounded theory to explain the processes Māori whānau use when engaging with healthcare services.

Results: Māori whānau faced discrimination and constant struggles whilst engaging in health services to improve the health of their whānau member. Despite the many negative experiences, the collective orientation and the obligations of whānau contributed to their imperative to achieve the best healthcare for their whānau member. Struggling to be involvedexplains how Māori whānau experience and navigate healthcare services amid surviving the experience and being Māori, which together with a range of strategies that paradoxically assisted them to manage and survive their healthcare experience.

Conclusion: Current healthcare interventions do not appear to work for Māori whānau in our study. Struggling to be involvedcontributes new knowledge about nature of Māori whānau engagement with healthcare services and signals areas where interprofessionals can assist with reducing health inequities for Māori.

 

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