Growing Our Own
Thinking of a career in nursing? This could be the time, as the Ministry of Health’s Māori nursing strategy is to increase the Māori nursing workforce from seven to 16% by 2028 (Kaitiaki, 2017).
Māori nurses learn early on in their career development the need to develop resilience and to strive for excellence in order to pursue registered nursing as a vocation (Baker, 2008; Huria et al, 2014). Māori nurses have an important role in supporting Māori whānau in their mission to achieve whānau ora (Te Puni Kōkiri, 2013). Therefore, more effort is needed to improve the recruitment, retention and ongoing development of Māori nurses.
Nursing in Te Ao Māori is focussed on the person and their whānau (Barton & Wilson, 2008). In turn, this cultivates the connection of their nursing care with that of Māori cultural values and principles such as manaakitanga and whanaungatanga (Simon, 2006).
The double binding of clinical and cultural aspects of nursing is challenging especially within non-Māori institutions where racism exists. This impedes on Māori nursing potential, by not recognising the Māori models of care they practice from (Barton & Wilson, 2008; Huria et al, 2014).
Vision of Māori Nurses
Te Rau Matatini recognises the influence whānau have upon Māori who choose to become registered nurses, and subsequently underpins the reasons Māori nurses contribute so greatly to the wellbeing of their people. It is through our message “Every whānau should have a Māori Nurse”, that we will see a paradigm shift occur with whānau, hapū and Iwi to help further lift the gains of Māori health workforce development strategies. This in turn will assist to increase the number of Māori nurses being available for all whānau across the health and disability sector.
For many Māori who choose nursing as a vocation, it is often whānau who have influenced their decision in some way. This driving motivation to improve quality of life, may come from being a user of health services, or through health experiences (Te Rau Matatini, 2009; Baker, 2008; Huria et al, 2014, p369).
The identity and recognition of Māori Nurses, with their commitment to whānau wellbeing, has begun to establish a knowledge base about its uniqueness, and emerging evidence shows whānau prefer Māori nurses to care for them. This was confimed in a study of palliative care, where Māori whanau felt more supported by Māori nurses, due to the connection fostered by them, and the cultural sensitivity of the Māori nurse (Donnelly & Dickson, 2013).
As Aotearoa’s health sector is challenged to increase and retain the Māori nursing workforce, various strategies continue to be considered to build on the successes to date in order to secure Māori as a highly valuable indigenous nursing workforce (Te Rau Matatini, 2009).
Within the mental health and addiction context, high numbers of Māori are considered to experience a mental illness sometime in their life (Baxter, 2008), although not all Māori will have access to a Māori health professional let alone a Māori mental health and addiction nurse. It is suggested solutions to Māori wellbeing can be found within Māori models, Māori whānau and within the Māori workforce (Turia cited in Baker, 2010).
Māori Nursing E-Portfolio PDRP - Huarahi Whakatū
Huarahi Whakatū is an on-line Nursing Council Accredited Professional Development and Recognition Programme (PDRP) specifically tailored by, and for, Māori Registered Nurses.
The programme is co-ordinated by a Māori registered nurse, guided by a cultural and clinical governance board with access to mentors and Māori Assessors. The programme has been running since 2009, and in 2014 was reaccredited by the New Zealand Nursing Council for a further five years. Huarahi Whakatū is accepted within District Health Boards, Government and non-Government organisations and is the only accredited PDRP programme run outside of the District Health Boards.
The Huarahi Whakatū PDRP promotes the philosophy of ‘dual competency', that is clinical and cultural competencies. Clinical competencies are drawn from the Nursing Council of New Zealand, whereas cultural competencies are informed by Te Ao Māori.
A range of Māori Registered Nurses throughout the country are engaged with the Huarahi Whakatū professional development programme, with Māori nurses successfully completing the programme across sectors.
District Health Boards, Maori Providers, Government and Non-Government organisations are allies to ensure Māori Registered Nurses receive professional development hours in order to complete their portfolio as per New Zealand Nursing Council requirements. Registered nurses that complete Puna Whakatau and Puna Rahi are entitled to remuneration payments, as per New Zealand Nursing Organisation or Public Service Association. Huarahi Whakatu have four levels of competencies – Puna Whakato (Competent), Puna Whakatau (Proficient), Puna Rahi (Expert), and Puna Rangatira (Senior Nurses and Nurse Educators).
Huarahi Whakatu online E Portfolios.
- First and only Indigenous Dual Competency Nursing programme in Aotearoa.
- Endorsed by New Zealand Nursing Council.
- Huarahi Whakatū now has easy online access
- Ability to log on from anywhere.
- Easy to follow instructions, oral and written.
- Access to programme co-ordinator for support.
- Recognise and reward cultural and clinical excellence.
- Strengthen best practice standards of Māori nursing care.
- Provide a framework for professional growth and development.
- Supported and directed by Te Rōpu Korowai for Cultural and Clinical advice.
- Te Rōpu Korowai is to wrap around the Kaupapa of the programme keeping and guiding the Tikanga to ensure safety of practice.
- Oversee the cultural and clinical aspects required to ensure the Tapu and Mana of Huarahi Whakatū stay’s Pono to the Kaupapa.