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- Title
NGĀ MANUKURA O ĀPŌPŌ: SUSTAINING KAUPAPA MĀORI NURSE AND MIDWIFERY LEADERSHIP.
- Authors
Pipi, Kataraina; Moss, Michelle; Were, Louise
- Abstract
Aim: The aim of this study was to explore the outcomes of Ngā Manukura o Āpōpō's national Māori nursing and midwifery clinical leadership training programmes and to consider how the kaupapa Māori approach (Māori ways of doing things) has contributed to these outcomes. Background: In Aotearoa New Zealand, Māori -- the indigenous peoples -- experience the worst health inequality of any population group. Māori workforce development has long been recognised as key to improving Māori health and wellbeing. Ngā Manukura o Āpōpō is a significant programme designed to enhance the capacity of Māori leaders in the health and disability system. It covers clinical leadership, recruitment and profile raising, professional development and governance. Ngā Manukura o Āpōpō provides a marae-based kaupapa Māori leadership development programme for Māori nurses and midwives in Aotearoa. Methods: A content analysis and synthesis of findings from Ngā Manukura o Āpōpō evaluation reports to date was undertaken, using inductive strategies to categorise the data. Results/findings: Whakamana (a sense of empowerment) and ngā manukura (starting or progressing leadership journeys) were key themes identified through the synthesis. These centred on outcomes from the programme relating to personal and professional development, and cultural identity, as well as taking up leadership opportunities and contributing to change. The training also helped retain participants in the health workforce. The kaupapa Māori approach was a key contributor to these outcomes. Challenges that participants faced in their roles -- including racism and bridging the Māori and western health paradigms -- and their ability to contribute to better health outcomes for Māori, are consistent with experiences of other Māori nurses and midwives, and of indigenous nurses and midwives in other parts of the world. Conclusions: There is a significant need for Māori clinical leaders in the health and disability sector to help address current and future workforce and population health needs. Ngā Manukura o Āpōpō clinical leadership training can help meet this requirement.
- Subjects
WELL-being; RACISM; HEALTH policy; HEALTH services accessibility; CLINICAL governance; LEADERSHIP; HEALTH of indigenous peoples; PROFESSIONAL employee training; ATTITUDE (Psychology); RESEARCH methodology; HEALTH status indicators; EMPLOYEE recruitment; GROUP identity; LABOR supply; QUALITATIVE research; SELF-efficacy; HOSPITAL nursing staff; QUALITY assurance; DESCRIPTIVE statistics; INDIGENOUS peoples; CONTENT analysis; THEMATIC analysis; MANAGEMENT styles; EDUCATIONAL outcomes
- Publication
Kaitiaki Nursing Research, 2021, Vol 12, Issue 1, p16
- ISSN
1179-772X
- Publication type
Article