Home' NZMJ Digest : NZMJ Digest Issue 87 Contents Another patient said ‘I asked the doctor to write down what was my
illness and why I am in hospital. The doctor left a hand-written note. This
was great, I then felt as if I knew what I needed to know.’
‘These positive relationships with staff appear to encourage patients to
use the call button and raise concerns immediately when needed. The data
and analysis has shown that tikanga Māori concepts such as whanaunga-
tanga and manaakitanga are critical in delivering safe and effective care for
patients and whānau,’ says Dr Psirides.
Whanaungatanga (building a relationship connection with others) can be
characterised by staff introducing themselves to patients, explaining why
they are there, and treating the patient with familiarity and warmth.
Manaakitanga (care, hospitality) between clinicians and patients is also
important. Manaakitanga can be characterised by clinicians taking the
time to explain medical matters to patients and whānau, being gentle and
caring, not rushing, and ensuring the patient feels safe.
The project also highlighted that consulting doctors and house officers
don’t tend to introduce themselves to the patient and their whānau.
‘The simple action of doctors introducing themselves can help to build
connection and break down barriers. This helps patients and whānau feel
more comfortable about escalating concerns if needed.
‘Another reason that was highlighted for delayed escalation is due to
patients not wanting to be hōhā (a nuisance). Identifying this is useful for
understanding some of the barriers patients face,’ says Dr Psirides.
Ria Earp, the chair of the Commission’s Te Rōpū Māori (Māori advisory
group) says ‘the approach to patient safety used in the kaupapa Māori
ward could benefit far more patients, both Māori and non-Māori, if it was
introduced into the wards we call ‘mainstream’.
‘When bringing these successful elements into health care it is important
to have high-level management support the application of tikanga Māori
principles in wards, and staff who are familiar with demonstrating
regional tikanga Māori principles,’ she says.
1. Gerdik C, Vallish RO, Miles K, Godwin SA, Wludyka PS, Panni MK. 2010.
Successful implementation of a family and patient activated rapid
response team in an adult level 1 trauma center. Resuscitation 81(12):
1676–81. URL: https://www.ncbi.nlm.nih.gov/pubmed/20655645.
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