Department of Nursing, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Helen Hamer & Associates Ltd, Auckland, New Zealand.
Int J Ment Health Nurs. 2022 Dec;31(6):1438-1445. doi: 10.1111/inm.13044. Epub 2022 Jul 24.
This article is based on a larger research project, which investigates the effectiveness of a culturally appropriate model, namely ūloa, when working with Tongan people. Ūloa is a communal method of fishing in Tonga, which includes all members of the community. A previous paper described the three phases of ūloa: presenting the concept to health providers and community groups; phase two amended the model based on phase one. This paper reports on phase three and findings related to the increased awareness of ūloa model within the mental health services and to raise awareness of how to work with Pacific people and adjust the health service to suit the needs of this population to test its effectiveness. Using reflexive thematic analysis, results highlighted a number of patterns both across the groups, described as napanapangamālie (harmony, balance), ngāue fakataha (working together/oneness), and toutai (fisher). These findings continue to support that the conventional biomedical approach employed in the mental health services overlooks elements of Tongan constructions of mental illness and the intersections between Tongan and biopsychosocial themes. Care that is based only on the 'medicine' rather than bringing the spiritual aspect into care planning (fake leaves) will not serve the needs of the Tongan community.
这篇文章基于一个更大的研究项目，该项目调查了一种文化上适宜的模式，即ūloa，在与汤加人民合作时的有效性。ūloa 是汤加的一种集体捕鱼方式，包括社区的所有成员。之前的一篇论文描述了 ūloa 的三个阶段：向卫生提供者和社区团体介绍该概念；第二阶段根据第一阶段修改模型。本文报告了第三阶段的发现，以及与精神卫生服务中对 ūloa 模型的认识提高有关的发现，并提高了如何与太平洋人民合作以及调整卫生服务以满足这一人群的需求以检验其有效性的认识。使用反思性主题分析，结果突出了跨群体的一些模式，这些模式被描述为 napanapangamālie（和谐、平衡）、ngāue fakataha（一起工作/一体）和 toutai（渔夫）。这些发现继续支持这样一种观点，即精神卫生服务中采用的传统生物医学方法忽视了汤加人对精神疾病的构建以及汤加与生物心理社会主题之间的交叉点。仅仅基于“医学”而不将精神层面纳入护理计划（假叶）的护理，将不能满足汤加社区的需求。
