原住民关系实践作为转变急性医院环境的策略:卡乌帕帕毛利人的理论研究
Bobbie-Jo Pene1,2, Merryn Gott1, Terryann C Clark1
1School of Nursing, The University of Auckland, New Zealand.
Nursing inquiry
|March 26, 2025
概括
原住民价值观可以通过促进归属和包容性来改变医疗保健的关系实践. 实施毛利人的价值观,如 whanaungatanga, tikanga mahi 和 manaakitanga,可以增强护士和患者之间的联系和医疗保健经验.
科学领域:
- 医疗保健管理的管理
- 土著研究土著研究.
- 卫生社会学 卫生社会学
背景情况:
- 关系实践对于人与人之间的联系和医疗保健参与至关重要.
- 传统的以任务为导向的医疗保健往往会侵蚀基本的关系属性,如意识和反应能力.
- 需要探索土著价值观如何增强医疗保健环境中的关系实践.
研究的目的:
- 探索土著价值观和实践如何在新西兰奥特罗亚的一家急性医院内改变关系实践.
- 发展一种文化基础的理论,以实现 whanaungatanga (归属和包容) 的文化.
主要方法:
- 利用了Kaupapa Māori (毛利人的哲学和实践) 和有基础的理论.
- 从采访中收集和分析了与毛利人员工和消费者的数据.
- 确定了三种文化为基础的过程: tikanga mahi (工作道德), whakawhanaungatanga (发展亲属关系) 和 manaakitanga (文化和社会责任).
主要成果:
- 为了实现 whanaungatanga,开发了一种文化基础的理论.
- 发现强有力的职业道德,在承诺的领导和毛利人的价值观的支持下,是改变关系实践的关键.
- 强调发展和维护关系的重要性,并培养有利于关系实践的环境.
结论:
- 转变关系实践需要整合土著价值观,培养支持联系和响应能力的环境.
- 良好的工作道德,强大的领导力和支持毛利人的价值观是医疗保健组织文化变革的催化剂.
- 原住民的导师模式,如tuakana-teina (领导者-学习者),可以支持组织文化变化,并增强关系实践.
相关概念视频
Community Based Intervention
27
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
27
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Hospitals-II
724
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
724
Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Ethical Dilemmas II
872
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
872


