Effect of Colonisation

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Maori world views were encapsulated in Whakapapa, which provided them with their identity, in Whanau, Hapu, Iwi and Whenua, the land. Their world views also included believing in wairuatanga (spiritual connection to the natural environment), kaitiakitanga, which is that people are linked to all living and non – living things and it is the responsibility of the mankind to safeguard the ecosystem. In addition, they believed in oneness (kotahitanga) and manaakitanga - the ability to care for others (Hikuroa, 2010). According to Durie (as cited in Dew & Davis, 2006) Maori people were able to manage health by sound public health principles. They were able to preserve and store food, maintain clean water supply, have proper sanitation and …show more content…

However, the initial step would be to first acknowledge Maori as tangata whenua and not as the minority population. Thus, they have their indigenous right as well as the promise the Crown made for protection of their taonga, which includes their health in the Treaty O Waitangi. By acknowledging this nurses should adopt a Maori – centred approach to nursing practice. This involves keeping the needs of Maori consumers and their whanau central during the assessment, planning and intervention. However, individual nurses should first recognise the health inequalities that exist and the reason. Therefore the understanding of ethnicity and history as a determinant of health is important. Secondly, nurses should analyse whether the existing health delivery will be beneficial to them. Finally, that as nurses we have the power to contribute and initiate change. Another important aspect to consider before delivering health service is to consider the Maori definition of health which is in par with Mason Durie’s Whare Tapa Wha model. Hence, Maori people’s spirituality, mental wellbeing, family and physical wellbeing should all be considered when delivering care. For example, including the whanau in care as well as integrating karakia if the patient wishes to. The second is Whakapiki tangata, which is enablement and empowerment. Enablement will aim to optimise the interactions Maori have with health service. This will allow

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