UNASSIGNED: Indigenous populations globally experience disproportionately poorer eye health outcomes than non-Indigenous peoples. Incorporating Māori perspectives of eye care and pre-existing Indigenous models of health offers potential to enhance Māori experience and engagement with eye health services. This study seeks to develop and refine a practical framework for eye health care that incorporates nine established Indigenous health principles.
UNASSIGNED: Qualitative methodology, guided by Indigenous Māori research principles, was used to evaluate interviews with five leading senior Māori academics surrounding the ongoing development and refinement of a Kaupapa Māori (Māori worldview centric) framework for eye care in Aotearoa New Zealand, created following Māori health consumer consultation. Interviews were semi-structured and analysed using reflexive thematic analysis.
UNASSIGNED: Seven key themes arose in relation to the development of a Kaupapa Māori framework for eye care in Aotearoa New Zealand: 1) vision is critical to Māori well-being, 2) cultural safety is important, 3) Māori health beliefs must be upheld, 4) achieving pae ora (healthy futures) is important, 5) key concepts and focus of the framework must be clear, 6) pūrākau (traditional Indigenous stories) are valuable resources in developing health frameworks and 7) embedding Matariki (fundamental Māori) principles is valuable.
UNASSIGNED: Using Kaupapa Māori principles allowed development and refinement of a framework that encourages clinicians to consider Indigenous health principles when engaging with Māori patients who seek eye care. Application of this framework may contribute to enhancing cultural safety and responsiveness of eye care for Māori.
■全球土著居民的眼睛健康状况与非土著居民相比不成比例地差。将毛利人的眼部护理观点和先前存在的土著健康模式相结合,可以增强毛利人的经验和对眼部健康服务的参与。本研究旨在开发和完善眼保健的实用框架,该框架包含九项既定的土著健康原则。
■定性方法,以土著毛利人研究原则为指导,用于评估对五位领先的毛利高级学者的采访,这些学者围绕着新西兰Aotearoa眼部护理的KaupapaMaroori(以毛利人世界观为中心)框架的持续发展和完善,在毛利人健康消费者咨询之后创建。访谈是半结构化的,并使用反身性主题分析进行分析。
■在Aotearoa新西兰开发KaupapaMaori眼部护理框架时,出现了七个关键主题:1)视力对毛利人的福祉至关重要,2)文化安全很重要,3)毛利人的健康信念必须得到坚持,4)实现paeora(健康的未来)是重要的,5)框架的关键概念和重点必须明确,6)púrākau(传统的土著故事)是开发健康框架的宝贵资源,7)嵌入Matariki(基本毛利人)原则很有价值。
■使用Kaupapa毛利人原则可以开发和完善一个框架,鼓励临床医生在与寻求眼部护理的毛利人患者接触时考虑土著健康原则。该框架的应用可能有助于提高毛利人眼科护理的文化安全性和响应性。