scholarly journals "We Need a System that's not Designed to Fail Māori": Experiences of Racism Related to Kideny Transplantation in Aotearoa New Zealand

2021 ◽  
Author(s):  
Rachael Claire Walker ◽  
Sally Abel ◽  
Suetonia Palmer ◽  
Curtis Walker ◽  
Nayda Heays ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
New Zealand ◽  
Kidney Disease ◽  
Health System ◽  
Racial Profiling ◽  
Family Members ◽  
Structured Interviews ◽  
Quality Healthcare ◽  
Aotearoa New Zealand ◽  
Perceptions Of Racism

Abstract BackgroundReported experiences of racism in Aotearoa New Zealand are consistently associated with negative measures of health, self-rated health, life satisfaction, and reduced access to high quality healthcare with subsequent poor health outcomes. In this paper we report on perceptions and experiences of prejudice and racism by Indigenous Māori with kidney disease, their family members and donors who took part in a wider study about experiences of kidney transplantation.MethodsWe conducted semi-structured interviews with 40 Māori. Participants included those with kidney disease who had considered, were being worked up for, or who had already received a kidney transplant as well as family members and potential or previous donors. We examined the data for experiences of racism using a theoretical framework for racism on three levels: institutionalised racism, personally mediated racism, and internalised racism.ResultsWe identified subthemes at each level of racism: institutional (excluded and devalued by health system; disease stigmatisation; discriminatory body weight criteria, lack of power), personally-mediated (experiencing racial profiling; explicit racism) and internalized racism (shame and unworthiness to receive a transplant).ConclusionsThe wide-reaching experiences and perceptions of racism described by participants with kidney disease and their families in this research point to an unfair health system and suggests that racism may be contributing to kidney transplantation inequity in Aotearoa New Zealand. Addressing racism at all levels is imperative if we are to address inequitable outcomes for Māori requiring kidney transplantation.

scholarly journals Zero Carbon Building Practices in Aotearoa New Zealand

Energies ◽  
2021 ◽  
Vol 14 (15) ◽  
pp. 4455
Author(s):  
Thao Thi Phuong Bui ◽  
Suzanne Wilkinson ◽  
Niluka Domingo ◽  
Casimir MacGregor
Keyword(s):  
Climate Change ◽  
New Zealand ◽  
Construction Industry ◽  
Local Governments ◽  
Early Stage ◽  
Policy Implications ◽  
Structured Interviews ◽  
Building Projects ◽  
Aotearoa New Zealand ◽  
Zero Carbon

In the light of climate change, the drive for zero carbon buildings is known as one response to reduce greenhouse gas emissions. Within New Zealand, research on climate change mitigation and environmental impacts of buildings has received renewed attention. However, there has been no detailed investigation of zero carbon building practices. This paper undertakes an exploratory study through the use of semi-structured interviews with government representatives and construction industry experts to examine how the New Zealand construction industry plans and implements zero carbon buildings. The results show that New Zealand’s construction industry is in the early stage of transiting to a net-zero carbon built environment. Key actions to date are focused on devising a way for the industry to develop and deliver zero carbon building projects. Central and local governments play a leading role in driving zero carbon initiatives. Leading construction firms intend to maximise the carbon reduction in building projects by developing a roadmap to achieve the carbon target by 2050 and rethinking the way of designing and constructing buildings. The research results provide an insight into the initial practices and policy implications for the uptake of zero carbon buildings in Aotearoa New Zealand.

scholarly journals Culturally competent, safe and equitable clinical care for Ma¯ori with bipolar disorder in New Zealand: The expert critique of Ma¯ori patients and Wha¯nau

2021 ◽  
pp. 000486742110314
Author(s):  
Tracy Haitana ◽  
Suzanne Pitama ◽  
Donna Cormack ◽  
Mau Te Rangimarie Clark ◽  
Cameron Lacey
Keyword(s):  
Bipolar Disorder ◽  
New Zealand ◽  
Cultural Competence ◽  
Health System ◽  
Clinical Care ◽  
Clinical Work ◽  
Culturally Competent ◽  
Structured Interviews ◽  
Clinical Culture ◽  
Competence Framework

Objective: Research designed to increase knowledge about Māori with bipolar disorder is required to understand how health services support wellbeing and respond to identified levels of community need. This paper synthesises the expert critique of Māori patients with bipolar disorder and their whānau regarding the nuances of cultural competence and safety in clinical encounters with the health system. Methods: A qualitative Kaupapa Māori Research methodology was used. A total of 24 semi-structured interviews were completed with Māori patients with bipolar disorder and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Results: Three themes were evident from participants’ critique of clinical components of the health system. Theme 1 established that the efficacy of clinical care for bipolar disorder was dependent on Māori patients and whānau having clear pathways through care, and being able to access timely, consistent care from clinically and culturally competent staff. Theme 2 identified the influence of clinical culture in bipolar disorder services, embedded into care settings, expressed by staff, affecting the safety of clinical care for Māori. Theme 3 focused on the need for bipolar disorder services to prioritise clinical work with whānau, equip staff with skills to facilitate engagement and tailor care with resources to enhance whānau as well as patient wellbeing. Conclusion: The standard of clinical care for Māori with bipolar disorder in New Zealand does not align with practice guidelines, Māori models of health or clinical frameworks designed to inform treatment and address systemic barriers to equity. Research also needs to explore the role of structural and organisational features of the health system on Māori patient and whānau experiences of care.

scholarly journals The incorporation of Māori environmental values as part of the Ruamāhanga Whaitua Implementation Programme in the Wellington Region, Aotearoa New Zealand

2021 ◽  
Author(s):  
◽  
Bryn Cal Hickson Rowden
Keyword(s):  
Environmental Management ◽  
Decision Making ◽  
New Zealand ◽  
Theory Approach ◽  
Structured Interviews ◽  
Environmental Decision Making ◽  
Aotearoa New Zealand ◽  
Management Processes ◽  
Local Government Level ◽  
Implementation Programme

<p>In recent years, there has been significant efforts to create frameworks in which Māori values are incorporated as part of environmental management processes in Aotearoa New Zealand(Forster, 2014; Harmsworth et al., 2016). This research explores the factors that influence the incorporation of Māori values at the local government level, and what barriers Māori values face to being incorporated in environmental management. This research focused on a case study of the Ruamāhanga Whaitua Committe Implementation Programme process in the Wellington region. Semi-structured interviews were used to collect information on the opinions of members of the Ruamāhanga Whaitua Committee. The interviews were analysed using a critical theory approach. The research found that there was a clear discrepancy between the values and behaviours expressed by some non-Māori members of the Committee. The result of such a discrepancy was that Māori values were not sufficiently part of environmental decision making. Such a discrepancy was a result of the political structures of the Regional Council’s Whaitua Implementation Programme process. The majority of the decision-making power was found to be situated ‘higher’ up in the organisation, outside of the Committee. Overall this research found that there are important opportunities to make sure iwi values are not only included, but form the basis of decisions.</p>

scholarly journals Cultural health literacy: the experiences of Māori in palliative care

2018 ◽  
Vol 25 (4) ◽  
pp. 15-23 ◽  
Author(s):  
Jacquie Kidd ◽  
Stella Black ◽  
Rawiri Blundell ◽  
Tamati Peni
Keyword(s):  
Palliative Care ◽  
New Zealand ◽  
Health Literacy ◽  
Health Information ◽  
Health Professionals ◽  
Health Resources ◽  
Structured Interviews ◽  
Aotearoa New Zealand ◽  
Palliative Care Setting ◽  
Maori Health

Abstract: Health literacy is a concept that is frequently applied to the patient’s ability to find and comprehend health information. However, recent literature has included the skill of the health professional and the accessibility of health resources as important factors in the level of health literacy achieved by individuals and populations. In 2014 a qualitative study undertaken in Aotearoa New Zealand, investigated the context of health literacy for Māori in a palliative care setting (Māori are the indigenous people of Aotearoa New Zealand). The study included the experiences of patients, whānau (families), and health professionals. Method: Individual semi-structured interviews were held with 21 patients, whānau and six key informants: a medical specialist, a service leader involved in developing culturally specific responses to patients, two Māori service managers, and two Māori health team leaders. Focus groups were held with a total of 54 health professionals providing palliative care services. Data analysis: A thematic analysis was undertaken using a general inductive approach. The trustworthiness and reliability of the analysis was supported by sharing analysis of the transcripts among the research team. Member checking or respondent validation was used in seeking confirmation of the interim findings at five hui (meetings) with the research communities involved. Findings: This study found that the shock and grief that attends a life-limiting illness made hearing and processing health information very difficult for patients and whānau. Further, ‘hard conversations’ about moving from active treatment to palliative care were often avoided by health professionals, leaving patients and whānau distressed and confused about their choices and prognosis. Finally, poor cultural health literacy on the part of organisations has likely impacted on late access to or avoidance of palliative care for Māori.

scholarly journals The role of “not for profits” (NFPs) in disaster preparedness in Aotearoa New Zealand

2021 ◽  
Author(s):  
Sharon Torstonson ◽  
Denise Blake ◽  
Darrin Hodgetts ◽  
David M Johnston
Keyword(s):  
New Zealand ◽  
Disaster Preparedness ◽  
Single Parents ◽  
Structured Interviews ◽  
Group Setting ◽  
Staff Members ◽  
For Profit ◽  
Aotearoa New Zealand ◽  
The Right

PurposeThe purpose of this research is to highlight the role of not-for-profit (NFP) organisations in enhancing disaster preparedness. The authors set out to understand their perspectives and practices in regard to disaster preparedness activities to support people who live precarious lives, especially those who live as single parents who are the least prepared for disasters.Design/methodology/approachThe research draws on in-depth, semi-structured interviews with 12 staff members, either in a group setting or individually, from seven NFP organisations, who were located in Ōtautahi (Christchurch) and Kaiapoi in Aotearoa New Zealand. These participants were interviewed eight years after the 2011 Christchurch earthquake.FindingsFour key narrative tropes or elements were drawn from across the interviews and were used to structure the research results. These included: “essential” support services for people living precarious lives; assisting people to be prepared; potential to support preparedness with the right materials and relationships; resourcing to supply emergency goods.Originality/valueThis research contributes to disaster risk reduction practices by advocating for ongoing resourcing of NFP groups due to their ability to build a sense of community and trust while working with precarious communities, such as single parents.

scholarly journals 'The Powerful Ones': Exploring Young Men’s Understandings of Sexual Violence and Rape Culture in Aotearoa New Zealand

2021 ◽  
Author(s):  
◽  
Jahla Lawrence
Keyword(s):  
New Zealand ◽  
Violence Prevention ◽  
Sexual Violence ◽  
Sex Education ◽  
Rape Culture ◽  
Structured Interviews ◽  
Sexual Violence Prevention ◽  
Aotearoa New Zealand ◽  
Institutional Responses ◽  
Response Measures

<p>The centralising of women within institutional responses to sexual violence (Ministry of Justice, 2019) and sexual violence scholarship (Fanslow & Robinson, 2004a, 2011; Fanslow, Robinson, Crengle, & Perese, 2010; Gavey, 1991; Jordan, 2004, 2008) consequently means that despite men being both the primary perpetrators of sexual violence, and whose privileged identities create and maintain rape culture, men often remain invisible within sexual violence discourse. To gain insight into how young men understand sexual violence, rape culture, and their own identity within these structures, this research involved (n=11) qualitative semi-structured interviews with cisgender men aged between 18-30 who identified as heterosexual. These interviews highlighted the complexities of participant’s comprehension of sexual violence, particularly regarding the typology and motivations of offenders, the relationship between gender, alcohol, power and consent, and the various perceived causes of sexual violence. Participants also signalled the importance of comprehensive consent and sex education as a method of sexual violence prevention. This research is essential to responsibilise sexual violence prevention as the obligation of men, effectively inform prevention, intervention and response measures, and work towards ultimately eradicating sexual violence and the wider rape culture in Aotearoa New Zealand.</p>

scholarly journals The incorporation of Māori environmental values as part of the Ruamāhanga Whaitua Implementation Programme in the Wellington Region, Aotearoa New Zealand

2021 ◽  
Author(s):  
◽  
Bryn Cal Hickson Rowden
Keyword(s):  
Environmental Management ◽  
Decision Making ◽  
New Zealand ◽  
Theory Approach ◽  
Structured Interviews ◽  
Environmental Decision Making ◽  
Aotearoa New Zealand ◽  
Management Processes ◽  
Local Government Level ◽  
Implementation Programme

<p>In recent years, there has been significant efforts to create frameworks in which Māori values are incorporated as part of environmental management processes in Aotearoa New Zealand(Forster, 2014; Harmsworth et al., 2016). This research explores the factors that influence the incorporation of Māori values at the local government level, and what barriers Māori values face to being incorporated in environmental management. This research focused on a case study of the Ruamāhanga Whaitua Committe Implementation Programme process in the Wellington region. Semi-structured interviews were used to collect information on the opinions of members of the Ruamāhanga Whaitua Committee. The interviews were analysed using a critical theory approach. The research found that there was a clear discrepancy between the values and behaviours expressed by some non-Māori members of the Committee. The result of such a discrepancy was that Māori values were not sufficiently part of environmental decision making. Such a discrepancy was a result of the political structures of the Regional Council’s Whaitua Implementation Programme process. The majority of the decision-making power was found to be situated ‘higher’ up in the organisation, outside of the Committee. Overall this research found that there are important opportunities to make sure iwi values are not only included, but form the basis of decisions.</p>

scholarly journals The role of “not for profits” (NFPs) in disaster preparedness in Aotearoa New Zealand

2021 ◽  
Author(s):  
Sharon Torstonson ◽  
Denise Blake ◽  
Darrin Hodgetts ◽  
David M Johnston
Keyword(s):  
New Zealand ◽  
Disaster Preparedness ◽  
Single Parents ◽  
Structured Interviews ◽  
Group Setting ◽  
Staff Members ◽  
For Profit ◽  
Aotearoa New Zealand ◽  
The Right

PurposeThe purpose of this research is to highlight the role of not-for-profit (NFP) organisations in enhancing disaster preparedness. The authors set out to understand their perspectives and practices in regard to disaster preparedness activities to support people who live precarious lives, especially those who live as single parents who are the least prepared for disasters.Design/methodology/approachThe research draws on in-depth, semi-structured interviews with 12 staff members, either in a group setting or individually, from seven NFP organisations, who were located in Ōtautahi (Christchurch) and Kaiapoi in Aotearoa New Zealand. These participants were interviewed eight years after the 2011 Christchurch earthquake.FindingsFour key narrative tropes or elements were drawn from across the interviews and were used to structure the research results. These included: “essential” support services for people living precarious lives; assisting people to be prepared; potential to support preparedness with the right materials and relationships; resourcing to supply emergency goods.Originality/valueThis research contributes to disaster risk reduction practices by advocating for ongoing resourcing of NFP groups due to their ability to build a sense of community and trust while working with precarious communities, such as single parents.

scholarly journals Women and Poverty: Insights from Adult Education and Pākehā Women in Aotearoa New Zealand

2021 ◽  
Author(s):  
◽  
Lynette Cochrane
Keyword(s):  
New Zealand ◽  
Adult Education ◽  
Low Socioeconomic Status ◽  
World Literature ◽  
Developing World ◽  
Relevant Literature ◽  
Education Sector ◽  
Local Context ◽  
Structured Interviews ◽  
Aotearoa New Zealand

<p>This thesis analyses the issues of women, poverty and education. Education is viewed as a key factor enabling women to move out of poverty. This view is well established in the developing world where education plays a key role to improve life choices and opportunities for women and girls (United Nations Girls' Education Initiative, 2012). However, the influence and impact of education to improve the wellbeing of marginalised women in a developed country requires further exploration.  The interconnectedness of gendered poverty and education are explored through the stories of three Pākehā women living in Aotearoa New Zealand. Firstly, in order to understand these local experiences, the developing world literature is assessed to ascertain the global situation of women, poverty and education. Secondly, the relevant literature on women, poverty and education is examined and reflected as it relates to these concerns in Aotearoa New Zealand. Thirdly, the significance of the emergent themes is analysed as the general concerns became personal through the lived realities of three Pākehā women of low socioeconomic status.  The thesis is contained within a social constructivism framework and has been influenced by feminist methodologies. Semi structured interviews were conducted to gather knowledge and to gain insights into the reality of a marginalised Pākehā woman engaging with education to improve her self-worth and/or economic opportunities.  The research participants echoed the sentiments in the literature that their education outcomes were impacted by their family backgrounds, school experiences and there are societal perceptions concerning marginalised women with limited or no formal education. Adult education was investigated in a local context as this is the domain where women would engage with to change their education status. The arena of education including adult education in Aotearoa New Zealand is dominated by the neoliberal approach to education. Neoliberal policy in adult education does not serve the marginalised members of society nor does an education sector with a bias towards vocational outcomes. A repositioning of the adult education sector within a holistic framework which includes empowerment and improvement in the economic status of marginalised Pākehā women is required.</p>

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