Indigenous Māori experiences of fundamental care delivery in an acute inpatient setting: A qualitative analysis of feedback survey data.

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dc.contributor.author Pene, Bobbie-Jo
dc.contributor.author Aspinall, Cathleen
dc.contributor.author Wilson, Denise
dc.contributor.author Parr, Jenny
dc.contributor.author Slark, Julia
dc.coverage.spatial England
dc.date.accessioned 2022-06-23T04:50:43Z
dc.date.available 2022-06-23T04:50:43Z
dc.date.issued 2021-12-08
dc.identifier.citation (2021). Journal of Clinical Nursing.
dc.identifier.issn 0962-1067
dc.identifier.uri https://hdl.handle.net/2292/60130
dc.description.abstract <h4>Aim and objectives</h4>This study aimed to explore inpatient healthcare delivery experiences of Māori (New Zealand's Indigenous people) patients and their whānau (extended family network) at a large tertiary hospital in New Zealand to (a) determine why Māori are less satisfied with the relational and psychosocial aspects of fundamental care delivery compared to other ethnic groups; (b) identify what aspects of care delivery are most important to them; and (c) contribute to the refinement of the Fundamentals of Care framework to have a deeper application of Indigenous concepts that support health and well-being.<h4>Background</h4>Bi-annual Fundamentals of Care audits at the study site have shown that Māori are more dissatisfied with aspects of fundamental care delivery than other ethnic groups.<h4>Design</h4>Retrospective analysis of narrative feedback from survey data using an exploratory descriptive qualitative approach.<h4>Methods</h4>Three hundred and fifty-four questionnaires containing narrative patient experience feedback were collected from the study site's patient experience survey reporting system. Content analysis was used to analyse the data in relation to the Fundamentals of Care framework and Māori concepts of health and well-being. The research complies with the SRQR guidelines for reporting qualitative research.<h4>Results</h4>Four themes were identified: being treated with kindness and respect; communication and partnership; family is the fundamental support structure; and inclusion of culture in the delivery of care.<h4>Conclusion</h4>The current iteration of the Fundamentals of Care framework does not reflect in depth how indigenous groups view health and healthcare delivery. The inclusion of an Indigenous paradigm in the framework could improve healthcare delivery experiences of Indigenous peoples.<h4>Relevance to clinical practice</h4>Research around the application and relevance of the Fundamentals of Care framework to Indigenous groups provides an opportunity to refine the framework to improve health equity, and healthcare delivery for Indigenous people.
dc.format.medium Print-Electronic
dc.language eng
dc.publisher Wiley
dc.relation.ispartofseries Journal of clinical nursing
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.subject Indigenous health care
dc.subject Māori
dc.subject fundamentals of care
dc.subject nursing
dc.subject patient experience
dc.subject Clinical Research
dc.subject 8.1 Organisation and delivery of services
dc.subject Generic health relevance
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Maori
dc.subject 1110 Nursing
dc.subject 1117 Public Health and Health Services
dc.subject 1701 Psychology
dc.title Indigenous Māori experiences of fundamental care delivery in an acute inpatient setting: A qualitative analysis of feedback survey data.
dc.type Journal Article
dc.identifier.doi 10.1111/jocn.16158
dc.date.updated 2022-05-02T23:12:50Z
dc.rights.holder Copyright: The author en
dc.identifier.pmid 34881480 (pubmed)
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/34881480
pubs.publication-status Published
dc.rights.accessrights http://purl.org/eprint/accessRights/RetrictedAccess en
pubs.subtype Journal Article
pubs.elements-id 876990
pubs.org-id Medical and Health Sciences
pubs.org-id Nursing
dc.identifier.eissn 1365-2702
pubs.record-created-at-source-date 2022-05-03
pubs.online-publication-date 2021-12-08


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