000			03859nab a22004097a 4500
999			_c8714 _d8714
005			20250625151702.0
008			240521s2024 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aGear, Claire _91206
245			_a'Atawhai' : _ba primary care provider-led response to family violence in Aotearoa New Zealand _cClaire Gear, Jane Koziol-McLain, Elizabeth Eppel, Anna Rolleston, Ngareta Timutimu, Hori Ahomiro, Eunice Kelly, Clare Healy and Claire Isham
260			_bBMC, _c2024
500			_aArchives of Public Health, 2024, 82: 74
520			_aBackground As a key determinant of ill-health, family violence is inadequately responded to within Aotearoa New Zealand health policy and practice. Without adequate system support, health professionals can often be unsure of what to do, or how to help. Developed in response to this system gap, ‘Atawhai’ aims to make it easier for primary care professionals to respond to family violence. Methods Underpinned by indigenous Māori customs, Atawhai combines complexity theory and participatory research methodologies to be responsive to the complexity involved in family violence. We worked with 14 primary care professionals across ten whakawhitiwhiti kōrero wānanga (meetings for deliberate dialogue) to identify and develop primary care system pathways and tools for responding to family violence. This paper focuses on the development of Atawhai through wānanga and observation methods. Methods used to capture change will be reported separately. Findings Atawhai is a relational response to family violence, focused on developing a network of trusted relationships between health and social care professionals to support safe responses to those accessing care. This study identified four key health system pathways to responsiveness and developed associated tools to support health care responsiveness to family violence. We found the quality of relationships, both among professionals and with those accessing care, coupled with critical reflection on the systems and structures that shape policy and practice are essential in generating change within primary care settings. Conclusions Atawhai is a unique health care response to family violence evidenced on empirical knowledge of primary care professionals. Our theoretical lens calls attention to parts of the system often obscured by current health care responses to family violence. Atawhai presents an opportunity to develop a grassroots-informed, long-term response to family violence that evolves in response to needs. Keywords Participatory research, Primary care, Family violence, Indigenous, Complex adaptive system, Complexity theory, Deliberative dialogue, Complex interventions, Health care. (Authors' abstract). Record #8714
650			_aDOMESTIC VIOLENCE _9203
650			_aFAMILY VIOLENCE _9252
650			_aHEALTH _9283
650			_aINTERAGENCY COLLABORATION _9396
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aMĀORI _9357
650		4	_9399 _aNARRATIVE TECHNIQUES
650		4	_aWORKFORCE DEVELOPMENT _94320
651		4	_aNEW ZEALAND _92588
700			_aKoziol-McLain, Jane _91511
700			_aEppel, Elizabeth _96867
700			_aRolleston, Anna _913004
700			_aTimutimu, Ngareta _913005
700			_aAhomiro, Hori _913006
700			_aKelly, Eunice _913007
700			_aHealy, Clare _913008
700			_aIsham, Claire _913009
773	0		_tArchives of Public Health, 2024, 82: 74
830			_aArchives of Public Health _913010
856			_uhttps://doi.org/10.1186/s13690-024-01309-1 _zDOI: 10.1186/s13690-024-01309-1 (Open access)
856			_uhttps://www.aut.ac.nz/news/stories/atawhai-responding-to-family-violence _yAbout the Atawhai: Responding to family violence project
942			_2ddc _cARTICLE _hnews127