Home > Review Articles > Māori experience > It’s not special treatment… That’s part of the Treaty of Waitangi! Organisational barriers to enhancing the aged residential care environment for older Māori and whānau in New Zealand

It’s not special treatment… That’s part of the Treaty of Waitangi! Organisational barriers to enhancing the aged residential care environment for older Māori and whānau in New Zealand

Making Education Easy

From Māori Health Review Issue 109
Authors:
  • Keelan K et al.
Summary:

Fostering a culture of equity within provider services and equipping staff with the skills and knowledge to deliver culturally safe care is critical to addressing organisational barriers to aged residential care (ARC), according to a Kaupapa Māori study. Interviews were undertaken with older Māori (n = 30) and whānau members (n = 18) who had used, or declined to use, an ARC facility. “Culturally safe care” was the key organisational theme, within which there were three barriers: (1) acceptability and adequacy of facility; (2) interface between ARC and whānau models of care; and (3) workforce.

Comment:
As our population ages, and with many whānau already stretched across roles at work, caring for young children, and with comorbidities themselves, we should expect to see more Māori living in ARC – if not our own Māori-led service! I‘d encourage whānau to use a ‘checklist’, including the themes described here, when looking at suitable accommodation for the older whānau member.
Reference: Int J Health Plann Manage. 2024;39(2):447-460.
Abstract
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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.

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