Background New Zealand recently introduced law permitting terminally ill people to request and receive assisted dying (AD) in specified circumstances. Given the nature and complexity of this new health service, research is vital to determine how AD is operating in practice. Objective To identify research priorities regarding the implementation and delivery of AD in New Zealand. Methods Using an adapted research prioritisation methodology, the researchers identified 15 potential AD research topics. A mixed-methods survey of health professionals was undertaken where respondents were asked to rate the 15 topics according to the relative importance for research to be conducted on each issue. Respondents could also suggest additional research areas, and were invited to participate in a follow-up interview. Results One hundred and nineteen respondents completed the survey. 31% had some experience with AD. The highest rated research topic was the ‘effectiveness of safeguards in the Act to protect people’; the lowest rated topic was research into the ‘experiences of non-provider (e.g., administrative, cleaning) staff where assisted dying is being provided’. Respondents suggested 49 other research topics. Twenty-six interviews were conducted. Thematic analysis of interview data and open-ended survey questions was undertaken. Six research themes were identified: general factors related to the wider health system; the experiences of health care providers at the bedside; medico-legal issues; the impact of AD; experiences on the day of dying; and the overall effectiveness of the AD system. Key issues for stakeholders included safety of the AD service; ensuring access to AD; achieving equity for ‘structurally disadvantaged’ groups; and ensuring the well-being of patients, families/whānau, providers and non-providers. Conclusions Based on early experiences of the implementation of the AD service, health professionals provide important insights into what research should be prioritised post-legalisation of AD. These findings can be used to shape the research agenda so that research may inform law, policy and best practice.
The Ministry of Education’s recent changes to NCEA to incorporate mana ōrite mō te mātauranga Māori has become the source of consternation for many kaiako in secondary schools in Aotearoa New Zealand. Kaiako are struggling to understand what integrating mana ōrite and mātauranga Māori into their programmes looks like. This article is intended as a lay person’s guide to understanding two things. First, what the terms mana ōrite and mātauranga Māori are, and secondly, what mana ōrite mō te mātauranga Māori may look like in their programmes of study.
Leave No Trace (LNT) is globally the most widely accepted minimum impact program and has been linked to behavior change and the maintenance of a range of ecological measures. Critiques of LNT have emerged, including that LNT ignores wider impacts that contribute to climate change and diverse world views. Many outdoor education students carefully follow LNT practices. When students encounter these critiques, they often conclude either that LNT is effective and the detractors are misplaced or that LNT should be abandoned, thereby avoiding deep engagement. Education must prepare students for the contested project of creating a sustainable future. We argue that LNT shows considerable promise as a context for learning through dialectical approaches where students must engage with divergent articles and examples. LNT can be used to help students understand that taking informed action is important. LNT can also be used to show that there are no innocent actions.
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