Pene Bobbie-Jo, Aspinall Cathleen, Deo Sharon S, Wilson Denise, Parr Jenny M
Health New Zealand, Te Whatu Ora, Counties Manukau, Auckland, New Zealand.
School of Nursing, University of Auckland, Auckland, New Zealand.
J Adv Nurs. 2025 Apr;81(4):2148-2158. doi: 10.1111/jan.16622. Epub 2024 Dec 13.
To explore the alignment of nursing and healthcare practice illustrated in the Fundamentals of Care framework with Māori (Indigenous person of Aotearoa, New Zealand) worldviews using Indigenous methods.
Discursive report.
In October 2023, around 50 healthcare professionals and Māori leaders from across Aotearoa, New Zealand, attended a wānanga, an Indigenous Māori approach for sharing knowledge and engaging in in-depth discussion and deliberation.
Attendees understood the origins of the Fundamentals of Care framework and how it translates to practice. The depth and breadth of meaning when referring to Māori values and practices adds a layer of complexity when attempting to align Māori worldviews with the Fundamentals of Care framework. A key outcome of the day was a call for tāngata Tiriti (people of the Treaty-non-Māori) to continue to work in partnership with tāngata whenua (people of the land-Māori) to explore how the Fundamentals of Care framework could be used with a mode of practice that emphasises Māori values and practices such as whakawhanaungatanga (establishing relationships) and manaakitanga (showing respect, generosity and care for others).
Applying Indigenous methods to explore problems and co-create solutions offers the potential to advance health equity agendas. Wānanga, as a forum for engaging in the process of sharing, reflecting, discussing and learning, provides a mana-enhancing (strengths-based) space for tāngata whenua (people of the land-Māori) and tāngata Tiriti (people of the Treaty-non-Māori), to relate and collaborate. Additional wānanga are required to co-create a mode of practice that can be applied by all health professionals and that meets the needs of Māori.
This report addresses how the Fundamentals of Care framework can be scrutinised for its usefulness or adaptability to encompass Indigenous populations' culture and care needs. Critical points of difference between the Fundamentals of Care framework and Indigenous Māori worldviews exist and need further exploration. This report impacts the delivery of healthcare for Indigenous Māori and the provision of healthcare by all nurses.
No patient or public contribution.
运用本土方法，探讨《护理基础》框架中所阐述的护理与医疗实践如何与毛利人（新西兰奥特亚罗瓦的原住民）的世界观相契合。
论述性报告。
2023年10月，来自新西兰奥特亚罗瓦各地的约50名医疗保健专业人员和毛利领袖参加了一场研习会，这是一种毛利人分享知识、进行深入讨论和审议的本土方式。
与会者了解了《护理基础》框架的起源及其在实践中的转化方式。在尝试将毛利人的世界观与《护理基础》框架相契合时，提及毛利价值观和实践时意义的深度和广度增加了一层复杂性。当天的一个关键成果是呼吁《怀唐伊条约》相关人士（非毛利人）继续与原住民（毛利人）合作，探索如何以强调毛利价值观和实践（如建立关系和关怀他人）的实践模式来运用《护理基础》框架。
运用本土方法探索问题并共同创造解决方案，有可能推动健康公平议程。研习会作为一个分享、反思、讨论和学习的平台，为原住民（毛利人）和《怀唐伊条约》相关人士（非毛利人）提供了一个增强力量（基于优势）的空间，以便他们建立联系和开展合作。需要更多的研习会来共同创造一种可供所有医疗保健专业人员应用且满足毛利人需求的实践模式。
本报告探讨了如何审视《护理基础》框架在涵盖原住民文化和护理需求方面的实用性或适应性。《护理基础》框架与毛利人本土世界观之间存在关键差异，需要进一步探索。本报告影响了为毛利原住民提供的医疗保健服务以及所有护士提供的医疗保健服务。
无患者或公众参与。
