scholarly journals Whakaohonga nā Kahungatanga: Awakening from Addiction

2021 ◽  
Author(s):  
◽  
Hemaima Mariana Hughes
Keyword(s):  
Narrative Inquiry ◽  
Methodological Approach ◽  
Well Being ◽  
Research Process ◽  
Core Beliefs ◽  
Success Rates ◽  
Successful Recovery ◽  
The Two Cultures ◽  
Kaupapa Māori ◽  
Health And Well Being

<p>Alcohol and other drug (AOD) use, abuse and addiction are destructive to Māori and are an urgent problem; wairuatanga, cultural identity and tino rangatiratanga (self determination) are key to successful recovery ffom AODs for Maori. Kaupapa Māori AOD services have better success rates because they provide what is essential for Māori such as tikanga, core beliefs, values and practices of Maori re health, illness, wairua, tapu, noa and life. There are strategies for addressing the problem of AOD addiction for Māori such as positive stories of recovery. This thesis explores the shared experiential journeys of four Pūkōrero (participants) who successfully completed detoxification and recovery programmes from AOD addiction. Three questions were used to guide the research process to enable the Pūkōrero to identify positive aspects of their individual detoxification and recovery programmes, surface any barriers and issues they experienced, and clarify the support they received throughout the process. Kaupapa Maori and Narrative Inquiry was adapted to undertake this study to capture the essence of Maori thinking and reality regarding AOD. Through the use of thematic analysis the data findings of the study reflect the views from each Pūkōrero of Wairua, Whakapapa and Whānau as key to their successful recovery. This supports the notion that a pathway of detoxification, recovery and hope exists to enable Maori and others to take the journey to reclaim their own health and well-being, and the health and well-being of Whānau, Hapū, Iwi, and Māori community. In honour of these Pūkōrero, Kāumatua, Tipuna, Whānau, Hapū, Iwi, Māori katoa, and to celebrate Kaupapa Maori and Narrative Inquiry [as the preferred methodological approach], the use of our tino ataahua reo integrated with English throughout the thesis demonstrates the interwoven connections between the two cultures enshrined in Te Tiriti o Waitangi that comprise the nation of Aotearoa me Te Waipounamu of New Zealand.</p>

scholarly journals Whakaohonga nā Kahungatanga: Awakening from Addiction

2021 ◽  
Author(s):  
◽  
Hemaima Mariana Hughes
Keyword(s):  
Narrative Inquiry ◽  
Methodological Approach ◽  
Well Being ◽  
Research Process ◽  
Core Beliefs ◽  
Success Rates ◽  
Successful Recovery ◽  
The Two Cultures ◽  
Kaupapa Māori ◽  
Health And Well Being

<p>Alcohol and other drug (AOD) use, abuse and addiction are destructive to Māori and are an urgent problem; wairuatanga, cultural identity and tino rangatiratanga (self determination) are key to successful recovery ffom AODs for Maori. Kaupapa Māori AOD services have better success rates because they provide what is essential for Māori such as tikanga, core beliefs, values and practices of Maori re health, illness, wairua, tapu, noa and life. There are strategies for addressing the problem of AOD addiction for Māori such as positive stories of recovery. This thesis explores the shared experiential journeys of four Pūkōrero (participants) who successfully completed detoxification and recovery programmes from AOD addiction. Three questions were used to guide the research process to enable the Pūkōrero to identify positive aspects of their individual detoxification and recovery programmes, surface any barriers and issues they experienced, and clarify the support they received throughout the process. Kaupapa Maori and Narrative Inquiry was adapted to undertake this study to capture the essence of Maori thinking and reality regarding AOD. Through the use of thematic analysis the data findings of the study reflect the views from each Pūkōrero of Wairua, Whakapapa and Whānau as key to their successful recovery. This supports the notion that a pathway of detoxification, recovery and hope exists to enable Maori and others to take the journey to reclaim their own health and well-being, and the health and well-being of Whānau, Hapū, Iwi, and Māori community. In honour of these Pūkōrero, Kāumatua, Tipuna, Whānau, Hapū, Iwi, Māori katoa, and to celebrate Kaupapa Maori and Narrative Inquiry [as the preferred methodological approach], the use of our tino ataahua reo integrated with English throughout the thesis demonstrates the interwoven connections between the two cultures enshrined in Te Tiriti o Waitangi that comprise the nation of Aotearoa me Te Waipounamu of New Zealand.</p>

scholarly journals Symbiotic relationships in patients' engagements with practice nurses

2021 ◽  
Author(s):  
◽  
Elsa Lally
Keyword(s):  
General Practice ◽  
Narrative Inquiry ◽  
General Practitioners ◽  
Professional Education ◽  
Well Being ◽  
Original Research ◽  
Practice Nurses ◽  
Symbiotic Relationships ◽  
Primary Health ◽  
Health And Well Being

<p>Practice nurses engaging with patients is a daily activity in general practice. However, there is little research to assess these relationships from a primary health care, general practice standpoint. The purpose of this new and original research was to explore from patients' perspectives what occurs in general practice, and to establish how the engagements patients have with practice nurses influences patients' health and well-being. The conceptualisation of symbiotic relationships between practice nurses, general practitioners receptionists and patients described in this study, shows how these relationships work in practice, and how they shaped patients' perspectives of their engagements in the general practice setting. Although each person’s role was independent and capable of existing without the other, a mutually beneficial close association was developed.  From the experiences of 15 patients from seven rural and urban general practices in New Zealand, using Narrative Inquiry methodology informed by life course theory and White’s (2010) dimensions of well-being, the co-constructed stories gathered from the participants were analysed applying a modification of McCormack’s (2001) multiple lens model. Findings from the individual participant stories revealed three major themes – general practice activity, health focused practice, and professional comforting. Each of these themes described aspects of the participants' relationships and engagements with practice nurses that contributed to their health and well-being. The co-constructed stories described participants' relationships and engagements, not only with practice nurses but also with general practitioners and receptionists. The presence of the (often unseen) overarching doctor and of practice nurses filling the gap in patients' care was evident. Patients described practice nurses as both support for the doctor and as autonomous practitioners. Ease of access to practice nurses significantly contributed to patients obtaining competent health promoting care. Particularly cogent were the findings that practice nurses directly contributed to patients' health and well-being through nurses' skilled compassion and skilled companionship. Nurses actively listened to patients' concerns, suggesting strategies to move patients forward, while at the same time, providing space for them to move at their own pace. Receptionists were viewed as the 'fronts people' of the practice who triaged patients' health concerns, making decisions relating to whom the patient consulted, the doctor or the nurse.  By building on existing theories in Narrative Inquiry methodology, data collection and analysis, this research makes an important contribution to nursing knowledge. It provides new perspectives about nurse-patient relationships, as well as other relationships within general practice. The research also demonstrates that while there has been a significant increase in collaboration between nurses and general practitioners over time, this collaboration is distinct from the symbiotic relationships described. The findings have implications for health professionals' everyday practice, and for Primary Health Organisations and District Health Boards when undertaking health professional education and funding reviews. Future research into patients' relationships with practice nurses, doctors and receptionists, and how these relationships contribute to patients' health and well-being is necessary.</p>

Employing Indigenous Methodologies to Understand Women’s Perceptions of HIV, Health, and Well-being in Quebec, Canada

2020 ◽  
Vol 13 (2) ◽  
pp. 160-181
Author(s):  
Nadia O’Brien ◽  
Carrie Martin ◽  
Doris Peltier ◽  
Angela Kaida ◽  
Marissa Becker ◽  
...  
Keyword(s):  
Participatory Research ◽  
Well Being ◽  
Research Process ◽  
Indigenous Women ◽  
Research Approach ◽  
Care Needs ◽  
Indigenous Methodology ◽  
Women’S Perceptions ◽  
Conducting Research ◽  
Health And Well Being

Guided by an Indigenous Methodology and a participatory research approach, we explored the experiences and priorities of Indigenous women living in Quebec regarding HIV prevention and care, overall health, and well-being. We drew from our research process to identify recommendations for conducting research with Indigenous women. These lessons include: (1) incorporating culturally adapted methods (e.g., sharing circles, arts, ceremony) facilitated participants’ safety and comfort; (2) conducting numerous workshops was valuable in building trust; and (3) validating findings with participants was essential to ensuring that the knowledge, experiences, and priorities of Indigenous women were respected. Our research findings regarding the care needs and priorities of women emphasize the importance of peer-led groups, culturally rooted healing strategies, accessible harm reduction, and social supports. Participatory research, led by members of the communities concerned, imbues the research with local knowledge and wisdom, which ensures the relevance of the research, the appropriateness of its conduct, and enables its overall success.

Sharing Research, Building Possibility: Reflecting on Research with Men Who Have Sex with Men in Kenya

2020 ◽  
Vol 79 (2) ◽  
pp. 83-94
Author(s):  
Jennifer L. Syvertsen
Keyword(s):  
Sex Work ◽  
Well Being ◽  
Research Process ◽  
Full Potential ◽  
Critical Space ◽  
Ethical Practice ◽  
Research Dissemination ◽  
Sex With Men ◽  
Applied Health Research ◽  
Health And Well Being

Sharing our research with participants and communities is a standard and critically important ethical practice in anthropology, but do we use such opportunities to their full potential? In this article, I reflect on the possibilities generated by a community dissemination event to share my research with men who have sex with men and engage in sex work in Kisumu, Kenya. Drawing on Arjun Apaddurai’s concept of an “ethics of possibility” that pushes beyond ordinary ethical practice, I reflect upon engagement with participants in the research process and advocate for greater emphasis on research dissemination events as a strategy to make research more meaningful to communities. Although my project was initially framed around HIV, what emerged were men’s desire for spirituality, belonging, and new possibilities of inclusive citizenship that better attend to men’s health and well-being. Research dissemination creates a critical space to generate ethnographic insight and guide theoretically rich applied health research.

Results of socially responsible transformational leadership: increased holism and success

Kybernetes ◽  
2017 ◽  
Vol 46 (3) ◽  
pp. 400-418 ◽  
Author(s):  
Simona Šarotar Žižek ◽  
Matjaž Mulej ◽  
Živa Veingerl Čič
Keyword(s):  
Transformational Leadership ◽  
Global Economy ◽  
Positive Impact ◽  
Methodological Approach ◽  
Field Research ◽  
Well Being ◽  
Good Health ◽  
Short Term ◽  
Content Type ◽  
Health And Well Being

Purpose The aim of this paper is to present a research on how – the extremely necessary – systemic rather than one-sided and short-term behavior can enjoy support from (corporate and individual) social responsibility (SR) enhanced by transformational leadership as a source of success. Design/methodology/approach Based on the previously published empirical research, the authors use qualitative research methodology including desk and informal field research, the Dialectical Systems Theory and its law of requisite holism. Findings The entire humankind is in big trouble and facing the danger of the Third World War resulting from the “war against terrorism” proclaimed in USA in 2002 and making close to 100 million persons need relief aid; this situation is because of monopolies in the global economy, both business and government monopolies. Application of knowledge that might be able to solve the problem depends on values, culture, ethics and norms that prevail in all/any entities from families via corporations and other organizations, countries, international entities (such as European Union) to the entire world and humankind (and its United Nations Organization). The most influential of all of them are the corporations, hence, their corporate governance and strategic management. Hence, they should urgently implement SR principles and methods supporting its realization instead of the prevailing short-term and one-sided criteria of right and wrong, for clear and proven economic reasons; satisfied and healthy people are causing much less cost and trouble than strikes, medical care, renewal of safe natural environment, wars, unhappy/abused partners, etc. Research limitations/implications The hypothesis is researched to the greatest extent possible, with qualitative analysis in desk and field research. Quantitative methodological approach took place in the cited previous publications. Practical implications For humankind and managers, the use of the transformational leadership is very important because of its positive impact on health and well-being of employees and, hence, on humankind’s survival in the current global socio-economic crisis. Social implications Good health and well-being of employees reduce many societal troubles and related cost resulting otherwise from the too short-term and narrow-minded behavior of managers and employees, potentially their families as well, all way to tens of millions of homeless migrants, killed and injured people, children with no chance for education, etc. Originality/value No similar concept is offered in the available literature.

Experiences of Intergenerational Trauma in Second-Generation Refugees: Healing Through Occupation

2020 ◽  
Vol 87 (5) ◽  
pp. 412-422
Author(s):  
Janany Jeyasundaram ◽  
Luisa Yao Dan Cao ◽  
Barry Trentham
Keyword(s):  
Narrative Inquiry ◽  
Life Skills ◽  
Second Generation ◽  
Sense Of Self ◽  
Well Being ◽  
Intergenerational Trauma ◽  
Structured Interviews ◽  
Vietnamese Refugees ◽  
Greater Toronto Area ◽  
Health And Well Being

Background. Trauma experienced in one generation can affect the health and well-being of subsequent generations, such as impairing life skills, personal contentment, behaviour patterns and sense of self. This phenomenon has predominantly been explored with descendants of European refugees and is not fully understood from an occupational perspective. Purpose. This research explores how intergenerational trauma manifests in the occupational lives of second-generation Ilankai Tamil and Vietnamese refugees. Methods. Using qualitative narrative inquiry, 12 adult children of Tamil and Vietnamese refugees residing in the Greater Toronto Area participated in semi-structured interviews. Narratives were thematically analysed. Findings. Findings illustrate how sociohistorical, cultural and familial contexts influence the way second-generation refugees view what they can and should do. Many healing responses to intergenerational trauma include occupations focused on communal care. Implications. Findings from this study reveal the unique struggles and needs of two understudied populations and the possibilities for healing through occupation.

scholarly journals Symbiotic relationships in patients' engagements with practice nurses

2021 ◽  
Author(s):  
◽  
Elsa Lally
Keyword(s):  
General Practice ◽  
Narrative Inquiry ◽  
General Practitioners ◽  
Professional Education ◽  
Well Being ◽  
Original Research ◽  
Practice Nurses ◽  
Symbiotic Relationships ◽  
Primary Health ◽  
Health And Well Being

<p>Practice nurses engaging with patients is a daily activity in general practice. However, there is little research to assess these relationships from a primary health care, general practice standpoint. The purpose of this new and original research was to explore from patients' perspectives what occurs in general practice, and to establish how the engagements patients have with practice nurses influences patients' health and well-being. The conceptualisation of symbiotic relationships between practice nurses, general practitioners receptionists and patients described in this study, shows how these relationships work in practice, and how they shaped patients' perspectives of their engagements in the general practice setting. Although each person’s role was independent and capable of existing without the other, a mutually beneficial close association was developed.  From the experiences of 15 patients from seven rural and urban general practices in New Zealand, using Narrative Inquiry methodology informed by life course theory and White’s (2010) dimensions of well-being, the co-constructed stories gathered from the participants were analysed applying a modification of McCormack’s (2001) multiple lens model. Findings from the individual participant stories revealed three major themes – general practice activity, health focused practice, and professional comforting. Each of these themes described aspects of the participants' relationships and engagements with practice nurses that contributed to their health and well-being. The co-constructed stories described participants' relationships and engagements, not only with practice nurses but also with general practitioners and receptionists. The presence of the (often unseen) overarching doctor and of practice nurses filling the gap in patients' care was evident. Patients described practice nurses as both support for the doctor and as autonomous practitioners. Ease of access to practice nurses significantly contributed to patients obtaining competent health promoting care. Particularly cogent were the findings that practice nurses directly contributed to patients' health and well-being through nurses' skilled compassion and skilled companionship. Nurses actively listened to patients' concerns, suggesting strategies to move patients forward, while at the same time, providing space for them to move at their own pace. Receptionists were viewed as the 'fronts people' of the practice who triaged patients' health concerns, making decisions relating to whom the patient consulted, the doctor or the nurse.  By building on existing theories in Narrative Inquiry methodology, data collection and analysis, this research makes an important contribution to nursing knowledge. It provides new perspectives about nurse-patient relationships, as well as other relationships within general practice. The research also demonstrates that while there has been a significant increase in collaboration between nurses and general practitioners over time, this collaboration is distinct from the symbiotic relationships described. The findings have implications for health professionals' everyday practice, and for Primary Health Organisations and District Health Boards when undertaking health professional education and funding reviews. Future research into patients' relationships with practice nurses, doctors and receptionists, and how these relationships contribute to patients' health and well-being is necessary.</p>

Recovery From Substance Abuse Among Zimbabwean Men: An Occupational Transition

2017 ◽  
Vol 39 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Clement Nhunzvi ◽  
Roshan Galvaan ◽  
Liesl Peters
Keyword(s):  
Substance Abuse ◽  
Young Adult ◽  
Narrative Inquiry ◽  
Narrative Analysis ◽  
Recovery Process ◽  
Well Being ◽  
Occupational Identity ◽  
Key Factor ◽  
Spiritual Problems ◽  
Health And Well Being

Substance abuse is a rising global problem, associated with medical, psychiatric, family, occupational, legal, political, financial, and spiritual problems. Recovery is an important area of consideration in occupational therapy’s quest to promoting health and well-being. This narrative inquiry explored the journey of recovery from substance abuse among young adult Zimbabwean men. Three men were purposively selected to participate in in-depth narrative interviews about their occupations during recovery. Data were analyzed using a narrative analysis. Explanatory stories and three superordinate themes illustrated how substance abuse was associated with both positive and negative outcomes. The recovery process emerged as an ongoing occupational transition, influenced by occupational identity and involving changes in occupational participation. Recovery from substance abuse can be conceptualized as an occupational transition. Ongoing participation in “healthy” and meaningful occupations is key factor in this process. Construction of a positive occupational identity is also central.

scholarly journals Part of The Whānau: The Emergence of Takatāpui Identity - He Whāriki Takatāpui

2021 ◽  
Author(s):  
◽  
Elizabeth Kerekere
Keyword(s):  
Geographical Location ◽  
Well Being ◽  
Future Research ◽  
Subjective Experiences ◽  
Structured Interviews ◽  
Strength Based ◽  
Kaupapa Māori ◽  
Colonial Oppression ◽  
Oral History Interviews ◽  
Health And Well Being

<p>Since the early 1980s, Māori who are whakawāhine, tangata ira tāne, lesbian, gay, bisexual, trans, intersex or queer have increasingly adopted the identity of ‘takatāpui’ - a traditional Māori term meaning ‘intimate companion of the same sex.’ As the first study on takatāpui identity and well-being, this is fashioned as a Whāriki Takatāpui; a woven mat which lays the foundation for future research and advocacy. Kaupapa Māori research provides the tools for this task while Kaupapa Māori theory ensures the harvest of Māori narratives is underpinned by te reo, tikanga and mātauranga - Māori language, culture and knowledges. The preparation of weaving materials is represented by Mana Wāhine; which considers whakapapa (genealogy), intersectional colonial oppression with an artistic approach to analysing whakataukī (historical metaphor). Mana Motuhake represents the design of the Whāriki; the colours and patterns emanating from the subjective experiences of six leaders who have embraced a takatāpui identity. Te Whare Tapa Whā represents weaving together takatāpui health and well-being in response to the issues and discrimination they face. Oral history interviews were held with takatāpui participants who reflected a diversity of iwi, geographical location, gender identities and sexualities and, at the time of interview, ranged from 17 to 68 years of age. In order to gain insight into the perception of whānau with takatāpui members, semi structured interviews were also held with two kuia (female elders) and 12 whānau members of the takatāpui rangatahi (young people) interviewed. In total 27 participants were interviewed in three stages over four years. Their responses were recorded, transcribed then analysed based on the elements of the Whāriki Takatāpui framework. Despite colonial efforts to remove historical trace, this study reveals new evidence of takatāpui behaviour within traditional Māori narratives. It finds that takatāpui identity is predicated on Māori identity with a spiritual connection to takatāpui tūpuna (ancestors) that is crucial in addressing the discrimination they may face within their whānau and culture. It identifies the range of issues that impact on takatāpui health and well-being while highlighting the creative and strength-based manner in which takatāpui build resilience and connection through identity.</p>

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