Te Matahouroa: a feasibility trial combining Rongoā Māori and Western medicine in a surgical outpatient setting.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL NEW ZEALAND MEDICAL JOURNAL Pub Date : 2024-06-21 DOI:10.26635/6965.6417
Jonathan Koea, Glennis Mark, Donna Kerridge, Amohia Boulton
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引用次数: 0

Abstract

Aim: This feasibility study was undertaken to implement and assess a Rongoā Māori (traditional Māori healing)/Western medicine collaboration model in a general surgical outpatient setting.

Methods: Six patients were recruited and consulted with both a Rongoā Māori practitioner and a Western trained surgeon three times in 6 months. Appointments were an average of 45 minutes duration, patient whānau (family) were welcome and kai (food) was provided as a culturally appropriate custom. Qualitative interviews were conducted with patients, whānau and practitioners after the final appointment with practitioners. The data were thematically analysed and reviewed by the team researchers.

Results: Seven themes were identified from the successful collaboration: benefits of Rongoā/medical collaboration to participants; the high value of healer/doctor relationships with participants; participants' experiences of healer/doctor collaboration; healer/doctor perceptions of the Rongoā/medical collaboration process; paying attention to the ecosystem of each participant; unanimous support for Rongoā/medical collaboration to be implemented in the health system; suggestions for Rongoā/medical collaboration improvement.

Conclusions: Many challenges remain, but collaboration between Rongoā Māori healing and Western health professionals in public hospitals is not only possible, but also meets the need for patient-centred care.

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Te Matahouroa:在外科门诊结合毛利语和西医的可行性试验。
目的:本可行性研究旨在普通外科门诊环境中实施并评估毛利传统疗法(Rongoā Māori)/西医合作模式:招募了6名患者,在6个月内由一名Rongoā毛利医师和一名受过西方培训的外科医生为其提供3次咨询服务。就诊时间平均为45分钟,患者的家人(whānau)受到欢迎,并按照文化习俗提供食物(kai)。在最后一次预约医师后,对患者、家属和医师进行了定性访谈。团队研究人员对数据进行了主题分析和审查:从成功的合作中确定了七个主题:Rongoā/医疗合作给参与者带来的益处;治疗师/医生与参与者关系的高价值;参与者对治疗师/医生合作的体验;治疗师/医生对Rongoā/医疗合作过程的看法;关注每个参与者的生态系统;一致支持在医疗系统中实施Rongoā/医疗合作;对Rongoā/医疗合作的改进建议:结论:虽然仍存在许多挑战,但公立医院中的Rongoā毛利医护人员与西方医护人员之间的合作不仅是可能的,而且还能满足以患者为中心的护理需求。
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来源期刊
NEW ZEALAND MEDICAL JOURNAL
NEW ZEALAND MEDICAL JOURNAL MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
23.50%
发文量
229
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