The importance and relevance of relational approaches to engaging Māori and their whānau accessing health services has been highlighted in a qualitative literature review. Health and wellbeing for Māori is a holistic and relational concept, and building relationships that include whānau is a cultural imperative. Key elements for a Māori-centred model of relational care include whakawhanaungatanga (the process of building relationships) using tikanga (cultural protocols and processes) and informed by cultural values of aroha (compassion and empathy), manaakitanga (kindness and hospitality), mauri (binding energy), and wairua (importance of spiritual wellbeing).
Tā Mason himself would argue that we should continue to build, revise and grow models of hauora Māori. For me, the elements aligned with Kaupapa Māori Theory (particularly Linda Smith’s Decolonising Methodologies) and Vision Matauranga and Charles Royal’s idea that such models can revitalise our cultural ways of knowing, as well as achieve social justice, in ways that generate new knowledge.
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
