Week 31 Flashcards
What occurred in 1835?
The Declaration of Independence was made by James Busby. It was to declare that New Zealand was a sovereign nation.
Trade was also established with Australia.
What happened in 1840
Te Tiriti o Waitangi was signed.
What was the Foreshore and seabed legislation
The crown suspended the Maori of their rights to the foreshore and sea bed land. Upon this legislation, the
Maori had no evidence to show their interests and rights in those areas. Eight Iwi’s in the Marlborough
Sounds area took the local district to court for their refusal to approve Maori to use the land for marine
farming/ other projects although many Pakeha were accepted for similar reasons. Since then the legislation has undergone multiple changes and the conflict between Maori and Pakeha has not been settled.
Why is Te Tiriti o Waitangi considered in nursing practice
As a regulatory authority, independent from the Crown, we have a responsibility to work with iwi and Māori to give effect to and realise the promise of Te Tiriti o Waitangi.
NCNZ “nurses have role in effecting positive health outcomes for Maori”
How does Professional Responsibility Competency 1.2 relate to Treaty of Waitangi
Demonstrate the ability to apply the principles of Treaty of Waitangi / Te Tiriti o Waitangi to practice
Understands Treaty of Waitangi/Te Tiriti and its relevance to Māori health
Demonstrates understanding of differing health/socio economic status of Māori and non Māori
Applies the principles of Treaty/Tiriti to nursing practice
What are Treaty principles?
Self-Determination Tino Rangatiratanga
Partnership Pātuitanga
Equity Mana Taurite
Active Protection Whakamarumarutia
Options Kōwhiringa
How does Professional Responsibility Competency 1.5 relate to the treaty of waitangi
Practices in a manner which that the client determines as being culturally safe
- Applies the cultural safety principles in own nursing practice
- Recognises the impact of the culture of nursing on the client and endeavours to protect the client’s wellbeing within this culture
- Practices in a way that respects each client’s identity and right to hold personal beliefs
- Assists the client to gain appropriate support and representation from those who understand the clients’ culture, needs and preferences
When interacting with a maori patient what considerations should be made?
1) Let the patient tell their story (facilitating therapeutic relationship)
2) Understand the unique illness experience for individual patients
3) Use open questions to check understanding and
agreement
4) Some Māori may prefer to communicate in their own language
5) Engaging patients in their health issues
6) Agree on realistic patient health goals
What does Self-determination suggest?
Self-determination.
Nurses work with individuals, family| whānau, hapū, iwi |Māori communities to ensure they are involved in:
– Planning
– Delivery
– Evaluation of all health care/interactions
Tino rangatiratanga enables Maori self-determination over health, recognises the right to manage Maori interests, and affirms the right to development, by:
1.1 enabling Maori autonomy and authority over health
1.2 accepting Maori ownership and control over knowledge, language and customs, and recognising these as taonga
1.3 facilitating Maori to define knowledge and worldviews and transmit these in their own ways
1.4 facilitating Maori independence over thoughts and action, policy and delivery, and content and outcome as essential activities for self-management and self control.
What does partnership suggest?
Nurses working in partnership with individuals, family| whānau, hapū, iwi |Māori communities
– Consultation
– Person centred
– Family centred
– Empowerment
– Valued added partnership
Partnership involves nurses working together with Maori with the mutual aim of improving health outcomes for Maori by:
2.1 acting in good faith as Treaty of Waitangi partners
2.2 working together with an agreed common purpose, interest and cooperation to achieve positive health outcomes
2.3 not acting in isolation or unilaterally in the assessment, decision making and planning of services and service delivery
2.4 ensuring that the integrity and wellbeing of both partners is preserved.
What does Equity suggest?
Nurses working in with individuals, family| whānau, hapū, iwi |Māori communities to achieve equitable outcomes
– Knowledge of equity issues in health care in NZ
– Identifying clients priorities
– Consultation
– Interprofessional collaboration
– Advocacy
– Equity focused nursing practice
The nursing workforce recognises the citizen rights of Maori and the rights to equitable access and participation in health services and delivery at all levels through:
4.1 facilitating the same access and opportunities for Maori as there are for
non-Maori
4.2 pursuing equality in health outcomes.
What does Active Protection suggest?
Nurses ensure that all interactions with Māori demonstrate that they are meeting Competency 1.2 and 1.5 by
– Culturally safe practice
– Awareness of current issues in Māori health (local and national )
– Equity focused nursing practice
What does Options suggest?
Nurses support individuals, family| whānau, hapū, iwi
|Māori communities by
– Knowledge of Māori support staff /advisors within health care setting
– Interprofessional network
– Providing information in accessible and appropriate
What does it mean to be Culturally Safe?
Cultural safety means an environment which is spiritually, socially and emotionally safe, as well as physically safe for people; where there is no assault, challenge or denial of their identity, of who they are and what they need.
Cultural safety requires healthcare professionals and their associated healthcare organisations to influence healthcare to reduce bias and achieve equity within the workforce and working environment.
What skills to registered nurses need to be culturally safe in their practice?
Culturally safe care requires the nurse to recognise that difference exists between her/him and the person for whom care is provided. It calls for an understanding of the influence personal, social, historical and contemporary life experiences have on the wellbeing of individuals and groups using health services.
