Cultural considerations when providing care to New Zealand Māori opting for conservative care

Stallworthy, Elizabeth J; Glavish, R Naida

doi:10.1111/nep.12081

Cited by 1 publication

(1 citation statement)

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“…The development of culturally accessible information about ACP should begin with recognition of cultural differences in understanding. Māori, Pacific and Asian peoples each imbue a unique cultural significance to death and dying (Schwaas , Stallworthy & Glavish ). For example, in Samoan culture, failure to fulfil a person's dying wish (mavaega) can result in a curse for the living (Bathgate & Pulotu‐Endemann , Tamasese et al .…”

Section: Discussionmentioning

confidence: 99%

Advance care planning for Māori, Pacific and Asian people: the views of New Zealand healthcare professionals

Frey

Raphael

Bellamy

et al. 2013

Health Soc Care Community

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Despite the benefits of advance care planning (ACP), international research has suggested that in pluralistic and multicultural societies such as New Zealand, significant differences exist in the uptake of ACP between European-based populations and other cultural groups [Crawley (2005)]. The purpose of this study was to therefore explore the views of generalist palliative care providers in both the community and hospital settings regarding the barriers to ACP adoption as well as methods to increase knowledge about ACP among Māori, Pacific and Asian cultural groups within New Zealand society. Eleven individual interviews, two joint interviews and three focus groups were conducted with health and social care professionals with a wide range of knowledge and experience in palliative care. Challenges were related to a number of issues based on culture, including family decision-making style, a need to 'do everything' and a reluctance to discuss issues surrounding dying and death. Suggestions to increase the knowledge of ACP included techniques to improve information access and the utilisation of shared norms and values to assist with discussions between Māori, Pacific and Asian health professionals and their patients and families/whānau. Findings indicate a need for more family/whānau-centred models of ACP, addressed much earlier in the healthcare process and within the community setting.

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Section: Discussionmentioning

confidence: 99%