Welcome to Research Bank, our open research repository that includes research produced by students and staff while affiliated with Unitec, Eastern Institute of Technology (EIT), Otago Polytechnic, Toi Ohomai and Southern Institute of Technology (SIT). It is intended to facilitate scholarly communication and shared access to our research outputs
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Item Paediatric caregivers: The characteristics of inpatient and discharge advice(2017)This thesis evaluates paediatric caregiver experience and understanding of discharge advice as improved caregiver understanding may reduce representations to hospital, improve health literacy, and improve long term health outcomes. METHOD A qualitative inductive approach allowed caregiver experience to emerge from ten randomised caregiver interviews. Children were under 15 years of age and who had their first admission to hospital with a medical condition. FINDINGS Emergent themes were: 1) Health Literacy and Communication; 2) Day of discharge issues; 3) Anxiety; 4) Discharge planning and 5) Accessing health care in their community. Themes discussed are Health Literacy and Communication, Day of Discharge Issues and Discharge Planning. CONCLUSION Health Literacy and Communication is a major barrier to effective communication. Recommendations: to improve utilisation of the Maori Health Unit and Pacific Health Navigator service; review the discharge planning process; verbal explanation of the discharge summary to caregivers at the time of discharge; develop a patient-directed discharge letter for caregivers written in plain English.Item Working in the Pacific, working in Asia: the challenges of sustaining international partnerships in a pandemic.(ACEID, 2023)In early 2020, members of the international, nursing and research teams at Toi Ohomai Institute of Technology, New Zealand, met with a number of education and practice providers in China, to explore an education and research collaboration. These discussions facilitated the establishment of the Sino-New Zealand Aged Healthcare Association (SNZAH) which currently has 15 inaugural New Zealand members including academic staff, medical and healthcare practitioners, and aged care professionals. Membership is growing with the launch of a website, and interest from other Chinese universities and technical institutes. The advent and impact of COVID-19 has certainly stymied our progress. However, our early adoption of cultural lens theory as a way of understanding one another’s contexts and drivers has enabled us to ‘keep calm and carry on’, and even begin to thrive. We have conducted an initial iterative review into good practice in aged healthcare in New Zealand and achieved several co-authored research publications; we have held an online symposium with simultaneous translation options; and we have established a Learning Centre in Chengdu – all from our New Zealand base, and despite a raft of challenges. This paper outlines the roles of effective leadership and management in pursuing goals of internationalisation, when all the usual protocols of relationship-building have had to be revisited. We are also interested in connecting with readers who may be involved in similar collaborations in the aged healthcare and nursing sector.Item Strategies that could help parents better identify and respond to suicide risk(2023)RESEARCH QUESTIONS 1 What was the awareness of parents and guardians in relation to… prior to their gaining the knowledge of their children's suicidal thoughts or attempts at suicide? 2 What were the responses of parents and guardians and support services, immediately and over time, when they became aware that suicidal issues were present with their children? 3 To what extent were parents and guardians prepared for the possibility of a suicidal event and what was the value of support services post event? 4 How could parents and guardians be better resourced around suicide awareness and prevention, and around post-event recovery? 5 What are the demographics of the participant group? ABSTRACT This research explores youth suicide prevention strategy and the role that parents have in youth suicide prevention. Through participants’ interviews on their experience of their child’s suicide, we hope to discover strategies that could help parents better identify and respond to suicide risk, and for community agencies to use information from this research to develop better suicide prevention strategies for parents to use with their adolescences. This research was based on lived experiences from six parents and one whangai carer (three Māori, two Pasifika and two Pākehā) collected in 2021. Six who had lost a child to suicide and one who had survived but has had multiple serious suicide attempts. These all happened in the period of 2014 and 2018. The process was undertaken with a narrative interview approach guided by a small number of pre-set questions and a larger number of interview prompts used to deepen the conversation if needed. The verbatim was then analysed by thematic analysis which demonstrated and supported themes in the literature such as current, relatively recent and life-time indicators of suicide risk. The analysis showed consistent predicted and emerging themes in the narratives. The main areas of risk were mental health and drug use concerns; and prior self-harm or suicide attempt; cultural disconnection; the presence of abuse and trauma; and relationship issues particularly parental separation; and frequently very early in life. Key issues were the failure of many of the parents to recognise and /or respond to risk factors, particularly their own trauma issues and the failure of mainstream mental health services to respond to suicide attempts appropriately. Cultural practices and services were often absent or unhelpful and, in some circumstances, cultural services needed to work more closely with mainstream services to prevent further suicide attempts. Important post-suicide themes included powerful post-suicide depression in the male participants; the ineffectiveness of victim support; the value of whānau, marae and community support; as well as the power of love and commitment from whānau. Within these themes the issues of ideation, connection and capability and contagion play out. The research confirmed the clear gaps found in the literature review around education and support for parents on youth suicide prevention. Participants confirmed there was little to no resources currently available specifically for parents with adolescents around this topic. Parents stated they had to search for support and even then, it was not guaranteedItem Poipoia te mauri ki a puāwai te mauri o te whānau: The Poutama - is it working in Hauraki?(2023)RESEARCH QUESTIONS The following overarching inquiries will guide this research: • What is the relationship between colonisation, intergenerational historical trauma and whānau violence in Hauraki that emerges from the narratives of the participants in the study? • What processes, ideas, activities in the Poutama Mauri Ora, Mauri Tū wānanga contribute to healing whānau violence in Hauraki? • To what extent have graduates of the wānanga utilised their knowledge and experience of the Poutama Mauri Ora, Mauri Tū wānanga to assist their whakapapa whānau in taking responsibility for and being accountable to their whānau for the extent of violence in their whānau? ABSTRACT This study explores the effectiveness of the Poutama Mauri Ora, Mauri Tū wānanga, a mātauranga Māori approach for healing whānau violence in Hauraki. The study is essential as it highlights that a tangata whenua approach to healing whānau violence has been potent, memorable, and life-changing for nine wānanga participants. Moreover, this research contends there is a connection between whānau violence, intergenerational historical trauma, and colonisation for Hauraki whānau Māori. Therefore, Hauraki mātauranga approaches to healing emotional and spiritual wounds inflicted by colonisation and whānau violence are required. This research delves deep into the lived experience of nine kai pūrākau (participants) who attended a Poutama Mauri Ora, Mauri Tu wānanga to explore the effectiveness of transferring mātauranga Māori in practice and how that transfer has contributed to healing whānau violence. Moreover, this study's research design and thinking are grounded in kaupapa Māori research principles. It covers how I engaged with the nine kai pūrākau and the research methods I used to analyse their pūrākau (narratives). There are four ancestral archetypes central to the Poutama: the Tohunga (healer), Toa (leader), Matakite (seer), and Kai Ako (educator). My kaumatua, who supported me in developing the wānanga, chose these because they are gender-neutral. This study indicates that the fluidity of gender-neutral archetypes enables wāhine and tāne participating in a Poutama wānanga to traverse Te Ao Māori healing practices free from imposed Western male-dominated gender hierarchies. One of the biggest surprises in this study is that kai pūrākau did not mention hapū and iwi as having a role in healing whānau violence. The conclusions drawn from this study are: a) the Poutama Mauri Ora, Mauri Tu wānanga is an effective tangata whenua healing modality for supporting whānau Māori to heal their lived experiences of whānau violence. b) the four Poutama archetypes are sites for transformation. c) that research regarding Hauraki gender-neutral exemplars and the role of hapū and iwi; in healing whānau violence need further examination by Hauraki researchers.Item Developing a collaborative and cooperative delivery network(2023-02)What? Cooperation vs collaboration Why? Our vision for the future How? Communities of practice What? Content delivery Questions/Comments/Disagreements
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