A pūrākau analysis of institutional barriers facing Māori occupational therapy students

Davis, Glyn; Came, Heather

doi:10.1111/1440-1630.12800

Cited by 8 publications

(9 citation statements)

References 14 publications

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“…His future desires are that the workforce's cultural makeup is reflective of the community profile that they service (Durie, 2001). This aligns with the research completed by Davis and Came (2022).…”

Section: Accident Compensation Corporationsupporting

confidence: 88%

“…The company needs to consider the recruitment and retention of Māori kaiwhakaora ngangahau occupational therapists, to better reflect the population that they serve. A similar perspective to that of Māori occupational therapist Georgina Davis in her masters thesis (Davis & Came, 2022).…”

Section: For Private Health and Rehabilitation Companiesmentioning

confidence: 87%

“…Ben Te Maro, a Māori occupational therapist, described his own lived experience of how colonisation impacted him and how the deeper he got into the education system the further from his culture he felt (Emery-Whittington & Te Maro, 2018). Henare (1993) explained that in order to change Māori health there needs to be a drive to recruit Māori into the profession and provision of support for them throughout the programme, a similar conclusion made by Māori occupational therapist Georgina Davis in her masters thesis (Davis & Came, 2022).…”

Section: Occupational Therapy Bicultural Practice In Aotearoamentioning

confidence: 94%

“…In reviewing the occupational therapy literature for use of te reo the researcher found the earlier articles in 1992 there were Māori words written and then in brackets the definition of what the Māori words meant, for example Manaakitanga (to show respect or kindness) (Henare, 1992). As time has progressed articles continue to use te reo and the English translations (Davis & Came, 2022).…”

Section: Occupational Therapy Bicultural Practice In Aotearoamentioning

confidence: 99%

“…Also, in the ACC guidelines for providers (Accident Compensation Corporation, 2018), Came and Davis (2022) and Durie (2001) desires for the future were expressed being that the workforce's cultural makeup is reflective of the community profile that they service. The participants in this research spoke of being identified as competent when working with Māori which would often mean that they are given repeat referrals or asked for guidance by other therapists which could lead to staff burnout.…”

Section: Links To Literaturementioning

confidence: 99%

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Treating with Te Tiriti in Mind

Whautere¹

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Background: Statistics have shown inequity in health outcomes for Māori. Māori are overrepresented with higher rates of hospitalisation and lower life expectancy than non-Māori (Brewer & Andrews, 2016), have higher rates of drug and alcohol abuse (Zambas & Wright, 2016) and psychological distress (Maclennan, Wyeth, Wilson, & Derrett 2014). Māori people are more likely to come from low socio-economic backgrounds leading to inequity in employment, total household income, education, and access to healthcare (Zambas & Wright, 2016). As a profession kaiwhakaora ngangahau occupational therapists are well placed to be catalysts for change, to better the health outcomes for Māori. Aim: This study aimed to investigate and understand how kaiwhakaora ngangahau occupational therapists are working with Māori post-injury within Aotearoa and share this understanding with others to encourage discussion within the profession to inform practice with Māori. Methods: A qualitative interpretive description approach (Thorne, 2016) was used, and ethical approval was gained from the Otago Polytechnic ethics committee. Through purposive sampling, a sample was selected from the population of kaiwhakaora ngangahau occupational therapists within a private health and rehabilitation company. Semi-structured interviews were completed with five therapists. Questions explored the thought processes of the participants when working with Māori and how the culture of the client informed the occupational therapy process. The interviews were then analysed using thematic analysis. Findings: Three main themes were identified with associated subthemes. These were rapport building, therapist experience and reducing barriers. There was evidence of Māori principles being utilised, these were Manaakitanga, Kaitiakitanga, Wairuatanga, Whanaungatanga, Kotahitanga and Rangatiratanga. Conclusion: This study identified that kaiwhakaora ngangahau occupational therapists are actively adapting their practice when working with Māori. Implications for the funder included needing to reconsider the service and funding model to allow a more culturally responsive practice for providers. Implications for the therapists included ideas for actions to implement in practice such as involving family/whānau.

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Section: Accident Compensation Corporationsupporting

confidence: 88%

Section: For Private Health and Rehabilitation Companiesmentioning

confidence: 87%

Section: Occupational Therapy Bicultural Practice In Aotearoamentioning

confidence: 94%

Section: Occupational Therapy Bicultural Practice In Aotearoamentioning

confidence: 99%

Section: Links To Literaturementioning

confidence: 99%

See 3 more Smart Citations