000			03657nab a22003617a 4500
999			_c7239 _d7239
005			20250625151554.0
008			210722s2021 -nz||| |||| 00| 0 eng d
040			_aAFVC
100			_aWilson, Denise _94116
245			_aCreating an Indigenous Māori-centred model of relational health : _ba literature review of Māori models of health _cDenise Wilson, Eleanor Moloney, Jenny M. Parr, Cathleen Aspinall and Julia Slark
260			_bWiley, _c2021
500			_aJournal of Clinical Nursing, 2021, Advance online publication, 27 May 2021
520			_aAims and objectives: Identify the key concepts, principles and values embedded within Indigenous Māori models of health and wellbeing; and determine how these could inform the development of a Māori-centred relational model of care. Background: Improving health equity for Māori, similar to other colonised Indigenous peoples globally, requires urgent attention. Improving the quality of health practitioners’ engagement with Indigenous Māori accessing health services is one area that could support improving Māori health equity. While the Fundamentals of Care framework offers a promising relational approach, it lacks consideration of culture, whānau or family, and spirituality, important for Indigenous health and wellbeing. Design and methods: A qualitative literature review on Māori models of health and wellbeing yielded nine models to inform a Māori-centred relational model of care. We followed the PRISMA guidelines for reporting literature reviews. Results: Four overarching themes were identified that included dimensions of health and wellbeing; whanaungatanga (connectedness); whakawhanaungatanga (building relationships); and socio-political health context (colonisation, urbanisation, racism, and marginalisation). Health and wellbeing for Māori is a holistic and relational concept. Building relationships that include whānau (extended family) is a cultural imperative. Conclusions: This study highlights the importance and relevance of relational approaches to engaging Māori and their whānau accessing health services. It signals the necessary foundations for health practitioners to build trust-based relationships with Māori. Key elements for a Māori-centred model of relational care include whakawhanaungatanga (the process of building relationships) using tikanga (cultural protocols and processes) informed by cultural values of aroha (compassion and empathy), manaakitanga (kindness and hospitality), mauri (binding energy), wairua (importance of spiritual wellbeing). Relevance to clinical practice: Culturally-based models of health and wellbeing provide indicators of important cultural values, concepts and practices and processes. These can then inform the development of a Māori-centred relational model of care to address inequity. (Authors' abstract). Record #7239
650			_aCOLONISATION _95710
650			_aHEALTH _9283
650			_aLITERATURE REVIEWS _9350
650			_aMĀORI _9357
650		0	_94882 _aMODELS
650			_aHAUORA _9281
650			_aKAUPAPA _95594
650			_aRANGAHAU MĀORI _95532
650			_aTAIPŪWHENUATANGA _95548
650		0	_aTIKANGA TUKU IHO _95542
651		4	_aNEW ZEALAND _92588
700			_aMoloney, Eleanor _910185
700			_aParr, Jenny M. _910186
700			_aAspinall, Cathleen _910187
700			_aSlark, Julia _910188
773	0		_tJournal of Clinical Nursing, 2021, Advance online publication, 27 May 2021
830			_aJournal of Clinical Nursing _96284
856			_uhttps://doi.org/10.1111/jocn.15859 _zDOI: 10.1111/jocn.15859 (Open access)
942			_2ddc _cARTICLE