1,720,977 research outputs found
Making the most of supervision: A supervisee’s guide
Full text linkSupervision is “the worker’s most important relationship” ( Morrison, 2001). For many practitioners however this assertion does not reflect the reality of their professional experience. Lack of knowledge about what supervision entails, lack of experience of ‘good’ supervision and lack of confidence within existing supervision relationships can mean that practitioners feel uninvolved, trapped, powerless or bored in supervision.
This chapter is addressed to practitioners who wish to make supervision a central professional relationship where they can share and learn from the delights, the dilemmas and discoveries of their practice. The chapter identifies seven steps which a practitioner can take which will assist him or her to negotiate a supervision relationship where they are active and central participants in a process where they will meet their own particular learning needs
Sex, gender and sexual orientation
No full textThis chapter is concerned with sex and gender and the distinctions between them, and what is assumed about how a person expresses their sexuality. The intention of this chapter is to bring some of the unconscious assumptions about sex and gender, and sexual orientation into focus and to challenge some of the ideological beliefs that underpin them. Why these terms are important and what they have to do with cultural safety will be explored
Māori Patient Experiences of Hand Therapy in Tāmaki Makaurau
No full textIn Aotearoa, Māori are more likely to sustain a life changing injury and are less likely than non-Māori to access physical rehabilitation. Hand therapy, a subdiscipline of physical rehabilitation, offers advice and treatment for conditions affecting the upper limb. Little is known about Māori service user experiences of physical rehabilitation, including hand therapy. This research aimed to investigate Māori patient experiences of hand therapy and to explore solutions proposed by Māori to enhance culturally safe delivery of hand therapy services. The research was underpinned by a Tiriti o Waitangi informed approach and was completed in two phases.
Phase one was a scoping review of the literature that aimed to synthesise what is currently known about Māori experiences of physical rehabilitation in Aotearoa. Four themes were created from data found in published and grey literature. The themes provide a narrative that describes Māori expectations for negative health encounters. Negative experiences during rehabilitation can be mitigated by including whānau, recognising Te Ao Māori, and providing mana-enhancing care. The findings from the scoping review informed the interview guide for phase two of the research.
Phase two was a qualitative study that aimed to explore Māori experiences of hand therapy in Tāmaki Makaurau and solutions for enhancing hand therapy services for Māori. Semi-structured, exploratory interviews were carried out with 15 Māori hand therapy patients. Five themes were generated using reflexive thematic analysis. The qualitative study findings demonstrated that the initial connection with a therapist and first impressions of a clinic impacted on the hand therapy rehabilitation journey. Hand therapy was described as a different type of health service that was easier and more enjoyable to engage with compared to acute and primary care services. The key feature that stood out for participants was the taonga of the relationship formed with their hand therapist. Solutions for improving the cultural safety of hand therapy services included genuine incorporation of Te Ao Māori to facilitate cultural connections and expanding services for the provision of holistic and wraparound care for Māori patients, whānau, and communities.
This research found that there are pockets of individual clinicians demonstrating culturally safe practice. Hand therapists, and other rehabilitation professionals, hold a privileged position with Māori when a meaningful connection is formed leading to a therapeutic relationship that is held as a taonga. This treasured relationship opens opportunities for hand therapists to normalise positive health experiences for Māori, offer options to engage with Te Ao Māori during appointments, and provide care that shelters hauora Māori
Give People Hope: A Grounded Theory Analysis of Perspectives of Health Professionals and Cannabis Users on Cannabidiol-based Therapy for Chronic Pain in New Zealand
No full textMedical cannabis is a controversial drug that has caused debate globally. New Zealand positioned itself to legalise medical cannabis in 2018, and the Medical Cannabis Scheme came into effect in April 2020 to provide access to quality medical cannabis products for treatment. However, while medical cannabis is legal, many challenges are associated with medical cannabis treatment in New Zealand for chronic pain. This study, therefore, aimed to understand the opinions and perspectives of health professionals and legal cannabis users in New Zealand about treating chronic pain with cannabidiol.
This study interviewed ten participants that were directly related to medical cannabis. The participants involved in this study were either associated with medical cannabis via their work, e.g., health professionals or were patients living with chronic pain, using medical cannabis, i.e., medical cannabis users and were distributed around New Zealand. To guide this study, the methodology of grounded theory developed by Glaser et al. (1968) was used. The core concepts of Gives hope, Ongoing struggles, Something must change and Choosing a healthier way forward emerged from the findings of this study. The reasons for medical cannabis use and significant challenges were highlighted in the concepts of Gives hope and Ongoing struggles. Whereas the central concepts discussed in Something must change, and Choosing a healthier way forward highlight the suggestions and recommendations that could be implemented in NZ to drive change and address the present barriers and challenges to medical cannabis treatment for chronic pain.
This study concludes that there are significant barriers to accessing medical cannabis treatment for chronic pain. Implementing education strategies centred around medical cannabis and having a holistic approach to healthcare practices may reduce the obstacles and challenges currently associated with medical cannabis treatment in NZ
Evaluating Health Service Users’ Satisfaction with the Quality of Health Care Services in New Zealand: A Qualitative Study of Kurdish Immigrants
No full textBackground: The relationship between health care quality and service users’ satisfaction has gained considerable attention in many countries, including New Zealand. It is essential to comprehend the concept of quality across all sectors, including health as it plays a significant role in fulfilling the needs of services users. This research evaluated health care users’ satisfaction with the quality of health care services in New Zealand by utilising Donabedian’s model of Structure, Process and Outcomes. Donabedian's model facilitated a comprehensive analysis aiming to identify distinct aspects of health care quality in New Zealand.
Method: This study utilised a qualitative descriptive methodology to explore the quality of health care services in New Zealand for Kurdish immigrants. To generate new and exploratory data, face-to-face interviews were conducted with 20 Kurdish immigrants who used health care services in New Zealand within the past 10 years. Data collection occurred place between February and April of 2022 and participants were selected from various regions in New Zealand, with ages ranging from 21 to 67 years. Semi-structured interview questions, adapted to reflect Donabedian's model of quality of care, were used to collect data. The collected data were analysed using NVivo Software and Braun and Clarke (2006) thematic analysis.
Results: The results of this study produced four key themes and eight sub-themes that shed light on Kurdish health care users’ satisfaction with the quality of health care services in New Zealand. Among the themes, participants emphasised the barriers to accessing health care services, which included both external and internal barriers. External barriers such as COVID-19 protocols, discrimination, the shortage of doctors, and the lack of follow-up health care users’ health issues and access were identified as major challenges to accessing health care services in New Zealand. Participants also identified other barriers, including language issues, lack of health education and cultural aspects, that hindered their full access to health care services.
Additionally, participants described the health care settings’ structures and procedures as key dimensions that impacted their satisfaction with the quality of health care services. Participants acknowledged that the physical and psychological aspects of health care provider's environment had an impact on their health and well-being. Furthermore, participants expressed satisfaction with the quality of confidentiality services delivered. Kurdish health care users indicated that health care providers were serious about keeping the health issues of health care users confidential. Participants also highlighted the polite and respectful behaviour of the health care settings staff.
Conclusion: This research represented a novel contribution to the understanding of Kurdish immigrants’ perspectives on the New Zealand health care system. The results of the study showed that participants viewed some aspects of health care delivery positively, such as the politeness of staff, ongoing renovation, punctuality of emergency response teams, documentation, confidentiality of health records and attractiveness of children's rooms. However, the study also highlighted areas in need of improvement, particularly the waiting halls, which should focus on the provision of a clean environment, discrimination-free and interpretation services. The findings of this study provided valuable insights that can inform efforts to improve the quality of health care services for other immigrant populations in New Zealand, contributing to the successful integration of immigrants into New Zealand society
Struggling to be Involved: A Grounded Theory of Māori Whānau Engagement With Healthcare
No full textAspirational whānau enable future generations to succeed in an Indigenous world and a Western world. Relationships that are positive within the whānau become mutually beneficial when access is being sought for a range of services. The world that Māori whānau exist in today is vastly different from that of past generations. What has endured over this time is the whānau unit and the processes that contribute to its longevity.
The aims of this study were to explain the processes that Māori and their whānau used to have their spiritual and cultural needs met when engaging with health care services, and generate a substantive theory of what happens for Māori and their whānau when they engage with health care services. The research question was, “What is happening with Māori and their whānau when they engage with health care services?”
Twenty Māori whānau were interviewed about their engagement with healthcare services in Hawke’s Bay. Constructivist grounded theory developed by Kathy Charmaz (2006, 2014a), was utilised as the methodology for this study and Kaupapa Māori processes ensured that both whānau and the researcher were kept culturally safe. Struggling to be Involved emerged as a core process and substantive theory that explained how Māori whānau experienced healthcare services. Being Māori and surviving the experience provided positive mediating factors as whānau management strategies and a natural resource to assist with obtaining a healthcare service.
The discrimination faced by Māori whānau while they were seeking to improve their health was a constant struggle. Despite the many negative experiences, collective ownership or we-dentity contributed to their resolution to receive the best healthcare, as they deserved no less. Current healthcare interventions in New Zealand are not working for Māori whānau. Struggling to be Involved contributes new knowledge about Māori whānau engagement with healthcare services by providing an original contribution to reduce continuing inequities between Māori and other New Zealanders
Struggling to be involved: a grounded theory of Māori whānau engagement with healthcare
No full textAspirational whānau enable future generations to succeed in an Indigenous world and a Western world. Relationships that are positive within the whānau become mutually beneficial when access is being sought for a range of services. The world that Māori whānau exist in today is vastly different from that of past generations. What has endured over this time is the whānau unit and the processes that contribute to its longevity.
The aims of this study were to explain the processes that Māori and their whānau used to have their spiritual and cultural needs met when engaging with health care services, and generate a substantive theory of what happens for Māori and their whānau when they engage with health care services. The research question was, “What is happening with Māori and their whānau when they engage with health care services?”
Twenty Māori whānau were interviewed about their engagement with healthcare services in Hawke’s Bay. Constructivist grounded theory developed by Kathy Charmaz (2006, 2014a), was utilised as the methodology for this study and Kaupapa Māori processes ensured that both whānau and the researcher were kept culturally safe. Struggling to be Involved emerged as a core process and substantive theory that explained how Māori whānau experienced healthcare services. Being Māori and surviving the experience provided positive mediating factors as whānau management strategies and a natural resource to assist with obtaining a healthcare service.
The discrimination faced by Māori whānau while they were seeking to improve their health was a constant struggle. Despite the many negative experiences, collective ownership or we-dentity contributed to their resolution to receive the best healthcare, as they deserved no less. Current healthcare interventions in New Zealand are not working for Māori whānau. Struggling to be Involved contributes new knowledge about Māori whānau engagement with healthcare services by providing an original contribution to reduce continuing inequities between Māori and other New Zealanders
An exploration of the experiences of cultural safety educators : a thesis presented in partial fulfillment of the requirements for the degree of Master of Philosophy, Massey University
Full text linkThis thesis is a study of the experiences of four cultural safety lecturers in nursing education in Aotearoa / New Zealand. A review of literature reveals the recent and turbulent evolution of cultural safety. The media which documented this journey in a negative light in the 1990s prompted ministerial inquiries and the publication of the Nursing Council of New Zealand's Guidelines for cultural safety in nursing and midwifery education (1996). Action research methods enabled the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action and reflecting. The findings of the research revealed that the participants not only coped with every day stressors of teaching but they were also required to formulate knowledge of cultural safety. For the Maori participants their stress was confounded with recruiting and retaining Maori students and macro issues such as commitments to iwi. Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that it was organisational in nature and out of their immediate control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations have been made which focus on supporting cultural safety educators to dialogue on a regular basis through attendance at related hui; the introduction of nurse educator programmes; paid leave provisions for cultural safety educators to conduct and publish research so that a body of knowledge can be developed; and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burn out
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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