He Arataki Akonga Hauora Mō Ngā Tauira Nēhi Māori Nursing Student Placement Guideline for Māori Providers.

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He Arataki Akonga Hauora Mō Ngā Tauira Nēhi Māori Nursing Student Placement Guideline for Māori Providers. He Arataki Akonga Hauora Mō Ngā Tauira Nēhi Māori Nursing Placement Guideline Presentation Tio Sewell and Ngaire Whata Otepoti 2011

Whakatauki Te huarahi tika o te tino rangatiratanga mai i te whakawhanaungatanga, kōkiritia me te kotahitanga The pathway of self-determination is through us all coming together and spearheading the thrust as one. Background

Early Māori Nursing One of the first Māori nurses, Ākenehi Hei, stands outside a rough shed described as her 'tent hospital' in 1908. Māori Nursing Today

Māori Nursing Practice Kaupapa Best Practice guideline that supports the preparation and retention of a skilled indigenous nursing workforce able to integrate clinical and cultural domains of practice to support whānau ora within whānau, hapū, iwi and Māori community

Ngā Whainga To increase the capacity of Hauora providers to confidently receive tauira for nursing placement, that is clinically sound and culturally appropriate. To promote learning and a working environment for tauira nēhi that is culturally appropriate and meets clinical requirements. To enhance recruitment and retention opportunities for Māori registered nurses to practice in Hauora environments and Māori communities during their education and upon registering. To pilot and implement the guideline nationally. Key Themes from Hauora Providers Want tauira to participate fully, culturally and clinically. Māori models and approaches to health essential to tauira development. Placement to take cognisance of cultural, educational and professional support, conduct and standards.

Cultural Participation I te waa e tipu haere ia I roto I ana mahi akoranga ka w hakauru ai te whakaaro Māori ki roto I ana mahi As the student grows in their learning environment they begin to incorporate a Māori world view in their practice. (Kahui kamatua April 2009) The Guideline at a Glance 1. He Whakapuaki-introduction 2. Tangata Raukotahi-guideline principles 3. Ngā Aratohu- guideline statements 4. Survey discussion and findings 5. Nursing regulation in NZ 6. Māori nursing in Aotearoa 7. acknowledgements

The Guideline Framework Framework encompasses Māori models and approaches to health. Whakapiripiri, (placement planning). Manaaki Tauira (placement support). Arotakenga (placement evaluation). Tangata Raukotahi Whanaungatanga Wairuatanga Manaakitanga Rangatiratanga Ukaipotanga Kotahitanga Pukengatanga

Whakapiripiri Preparing For Tauira Placement Kotahitanga- matching tauira with Hauora provider Whakapakari tauira- student development and placement. Ngā Whakaetanga- expectations and requirements for the hauora, tauira nehi, and education provider Manaaki Tauira Positive learning environment that is culturally safe and clinically sound. Ngā Tikanga Whakahaere (Ethical conduct) Manakitanga, awhina, tika, aroha Ngā Whanake Tuturu (Māori cultural competencies) Supervision and support (cultural and clinical)

Arotakenga-Evaluation All parties involved. Were learning goals achieved? Assessment of agreed practice skills. Evaluation includes cultural participation and learning. Poroporoaki Pilot and testing Held over 2011 Agreement by participating parties Numbers, Timeframes, Resources Assessment tools Achievement against standards Providers, Educators Evaluation

Tool Kit Tauira Nēhi Ārahi Akoranga To successfully integrate formal nursing theory and practice with iwi/hapū health knowledge and practice within the community and Hauora context. Kaupapa Māori Principles Manaakitanga Ūkaipōtanga Pūkengatanga Whānaungatanga Kotahitanga Wairuatanga Rangatiratanga Ngā Aratohu Hauora Whakapiri Manaaki Tauira Arotakenga Guideline supports the preparation and retention of a skilled indigenous nursing workforce able to integrate clinical and cultural domains of practice to support whānau ora within whānau, hapū, iwi and Māori community environments. Figure 1: Tauira Nēhi Placement Pathway He Arataki Akonga Hauora Mō Ngā Tauira Nēhi Māori Nursing Student Placement Guideline for Māori Providers.