Ngā whakāro hauora Māori o te karu: Māori thoughts and considerations surrounding eye health

Samuels, Isaac; Pirere, Julie; Müntz, Alex; Craig, Jennifer P.

doi:10.1080/08164622.2022.2136513

Cited by 8 publications

(3 citation statements)

References 15 publications

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“…21 A Kaupapa Māori study investigating Māori community perspectives on eye health more generally identified that the quality of clinician-patient communication, impact of historical health experiences, consideration of the holistic view of health and the cultural safety of providers may influence access and engagement in eye healthcare. 22 While our team created a patient information leaflet, any future refinement to the pathway would benefit from co-design, particularly with Māori and Pacific patients, to ensure information, psychosocial and cultural needs are met. This is critical for equity of access and our ability to generate further capacity in the pathway.…”

Section: Discussionmentioning

confidence: 99%

Increasing access to cataract surgery in Counties Manukau by optimising the clinical pathway: a quality improvement report

Chiesa,

Reeves,

Harper

et al. 2024

NZMJ

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aim: To streamline the cataract surgery pathway to improve the time from first specialist assessment (FSA) to surgery, while reducing the clinical priority assessment criteria (CPAC) score from 55 to 50. method: A quality improvement project using Lean Six Sigma tools and the Model for Improvement. Most data were collected from the i.Patient Manager (iPM) system and analysed using statistical process control charts. Change interventions included combining FSA and pre-admission clinics (PAC); post-operative telephone review by non senior medical officers (SMO); and using our own surgeons in private theatres. results: The standard cataract pathway was reduced from 5 to 3 appointments. This removed 1,514 hours of appointments, released 113 SMO hours and saved patients NZ$156,000 in indirect costs over a year. The average waiting time from FSA to surgery decreased from 90 to 77 days (-13.5%). The number of overdue patients reduced from 127 to 44 (-35%). The average number of patients on the FSA waiting list dropped from 322 to 205 (-40%). There was no change to the proportions of surgeries or appointment attendance rates by ethnicity. Average monthly cataract surgeries increased from 192 to 215 (+12%), and the CPAC score threshold was decreased to 50 in February 2021. conclusion: Despite significant demand pressures, and the disruptions of COVID-19, we were able to reduce the CPAC score for accessing cataract surgery by optimising the clinical pathway to better utilise staff capacity and maximise value for patients.

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Section: Discussionmentioning

confidence: 99%

Increasing access to cataract surgery in Counties Manukau by optimising the clinical pathway: a quality improvement report

Chiesa,

Reeves,

Harper

et al. 2024

NZMJ

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“…Previous work has shown that, within health care encounters, therapeutic touch should be used respectfully when working with Māori and, in particular, permission must be granted before touching the head (Gleeson & Higgins, 2009). Similarly, there are nuances around how eye contact can have particular meanings for some Māori (Samuels et al, 2023). These are examples of important considerations in the context of New Zealand and demonstrate how body communication can have different meanings in different cultures.…”

Section: Consent Through Body Communicationmentioning

confidence: 99%

The role and function of body communication in physiotherapy practice: A qualitative thematic synthesis

Good,

Bright,

Mooney

2024

NZJP

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Communication is essential to physiotherapy practice. While verbal communication has been a primary focus in research, less is known about body communication. Body communication refers to communication achieved by means other than words, such as touch, eye contact, prosody, and proxemics. This review aims to provide detailed knowledge of the roles and functions of body communication in physiotherapy practice and identify areas for future research. We undertook a systematic search and thematic synthesis of published qualitative literature in October 2022. Four databases were searched with results screened to identify articles providing insight into the roles and functions of body communication. Quality appraisal of included studies was completed. Thematic synthesis was used to generate findings. Thirty-three studies met the inclusion criteria. Four themes were constructed to reflect the roles and functions of body communication in physiotherapy practice: conveying the physiotherapist’s attention and interest; enabling patients to contribute to care; guiding physiotherapy intervention through bodily dialogue; and building the therapeutic relationship. The findings demonstrate how body communication shapes the therapeutic process and how sensitive and responsive body communication supports a more reciprocal and person-centred approach to care. Research is needed to obtain more in-depth and nuanced accounts of body communication to support the clinical application of findings.

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“…For example, one Kaupapa Maaori research project conducted in the summer of 2021-2022, written by this author and others at the Waipapa Taumata Rau (The University of Auckland), highlighted the whakaaro (thoughts/perspectives) of Maaori patients and community members surrounding cultural considerations within ocular health care in Aotearoa. 23 This project identified five key themes which are important to the provision of effective Maaori ocular health care. The first theme is the importance of high-quality clinician-patient communication to ensure a genuine relationship is built prior to the initiation of a clinical consultation.…”

Section: Maaori Ocular Health Workforce and The Emergence Of Kaupapa ...mentioning

confidence: 99%

Hauora Maaori o ngaa karu: Maaori ocular health review

Samuels

Watene

2023

New Zealand Medical Student Journal

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Vision is a complex sense which has a significant impact on healthy brain development, education, and immersive interaction with the world. Ensuring vision is protected, respected, and enhanced if required, is essential in achieving Maaori health goals. Taa (Sir) Mason Durie claimed that the key priority within Maaori health is to be able to achieve full and active participation within society. Vision loss is associated with negative social and physical health consequences beyond visual impairment, including exacerbation of chronic illnesses and increased risk of depression. Thus, addressing vision loss for Maaori is a matter of striving for equity to ensure full and active participation within society is attainable.

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Ngā whakāro hauora Māori o te karu: Māori thoughts and considerations surrounding eye health

Cited by 8 publications

References 15 publications

Increasing access to cataract surgery in Counties Manukau by optimising the clinical pathway: a quality improvement report

Increasing access to cataract surgery in Counties Manukau by optimising the clinical pathway: a quality improvement report

The role and function of body communication in physiotherapy practice: A qualitative thematic synthesis

Hauora Maaori o ngaa karu: Maaori ocular health review

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