Māori and Pacific families’ experiences and perspectives of cardiovascular care; A qualitative study

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Australian and New Zealand Journal of Public Health Pub Date : 2024-05-11 DOI:10.1016/j.anzjph.2024.100149

Karen Marie Brewer , Tua Taueetia-Su’a , Sandra Hanchard , Sione Vaka , Shanthi Ameratunga , Taria Tane , Rochelle Newport , Vanessa Selak , Corina Grey , Matire Harwood

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Abstract

Objective

This study aimed to understand the reasons behind evidence-practice gaps and inequities in cardiovascular care for Māori and Pacific people, as evidenced by the experiences and perspectives of patients and their families.

Methods

The research was guided by Māori and Pacific worldviews, incorporating Kaupapa Māori Theory and Pacific conceptual frameworks and research methodologies. Template analysis was used to analyse interview data from 61 Māori and Pacific people who had experienced a cardiovascular disease (CVD) risk assessment, acute coronary syndrome, and/or heart failure.

Results

The range of experiences relating to participants’ heart health journeys are presented in five main themes: Context, Mana (maintaining control and dignity), Condition, People and Journey.

Conclusions

Māori and Pacific people want to take charge of their heart health but face challenges. Participants described important obligations to family, community and tikanga (the culturally correct way of doing things). Participants described times when health care undermined existing responsibilities, their dignity and/or their mana, and they felt excluded from treatment as a result.

Implications for Public Health

Good reciprocal communication, stemming from a high-quality relationship is essential for successful outcomes. A workforce that is representative of the population it serves and is culturally safe lays the foundation for excellence in care.

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毛利和太平洋裔家庭对心血管护理的体验和看法；一项定性研究。

研究目的本研究旨在了解毛利人和太平洋岛屿族裔在心血管护理方面存在的证据-实践差距和不公平现象背后的原因，患者及其家属的经历和观点可以证明这一点：研究以毛利人和太平洋岛屿族裔的世界观为指导，结合了考帕帕毛利理论（Kaupapa Māori Theory）和太平洋岛屿族裔的概念框架和研究方法。研究采用模板分析法，对61名经历过心血管疾病（CVD）风险评估、急性冠状动脉综合征和/或心力衰竭的毛利人和太平洋裔人的访谈数据进行分析：结果：与参与者的心脏健康历程有关的一系列经历分为五大主题：结论：毛利人和太平洋岛民希望自己的心脏健康之旅能够保持健康：结论：毛利人和太平洋岛屿族裔希望掌控自己的心脏健康，但也面临着挑战。参与者描述了对家庭、社区和tikanga（文化上正确的做事方式）的重要义务。参与者描述了医疗保健损害现有责任、他们的尊严和/或他们的 mana 的情况，他们因此感到被排除在治疗之外：源于高质量关系的良好互惠沟通是取得成功结果的关键。一支能够代表其服务人群并在文化上安全的医疗队伍为卓越的医疗服务奠定了基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.