The Experience of Whanau Caring for Members Disabled from the Effects of a Cerebro-Vascular Accident
Andrea Corbett
Western Institute of Technology at Taranaki, New Plymouth, New Zealand; PhD candidate, Monash University, Gippsland Campus, Churchill VIC
Karin Francis
Professor of Rural Nursing,School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill VIC, Australia
Ysanne Chapman
School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Gippsland Campus, Churchill VIC
PP: 255 - 263
Abstract
The study sought to understand the experience of Maori in accepting responsibility for the care of a whanau member following a cerebro-vascular accident (CVA). The importance and role of whanau, kaumatua and kuia to Maori as a distinctive ethnic entity is well known and acknowledged in coming to an understanding of Maori society.
Whanau has a very large part to play in the care of the family member disabled by CVA. There is extensive literature that deals with these issues, yet there is little that deals with disability issues and in particular those issues that arise following CVA.
A qualitative study was conducted examining the experience of Whanau caring for members disabled from the effects of CVA. Individual and focus group interviews were undertaken with Maori patients and their caregivers to explore this phenomenon. Data were analysed using a thematic analysis approach and highlighted three time stages of concern, namely i) the onset of the event, ii) hospitalisation, and iii) discharge care.
Keywords
Maori, CVA, Indigenous health, caring, Whanau
References
Ajwani S, Blakely T, Robson B, Tobias M and Bonne M (2003) Decades of disparity: Ethnic mortality trends in New Zealand 1980 - 1999, Ministry of Health and University of Otago, Wellington.
Bonita R, Broad JB and Beaglehole R (1993) Changes in stroke incidence and case fatality in Auckland 1981 - 1991, Lancet 342: 1470-3.
Bonita R, Broad JB and Beaglehole R (1997) Ethnic differences in stroke incidence and case fatality in Auckland, New Zealand, Stroke 28(4): 758 761.
Cram F (1997) Developing Partnerships in Research: Pakeha Researchers and Maori Research, Sites 35: 44-63.
Corbett AM (2003) The experience of whanau caring for members disabled from the effects of stroke, Thesis (MPhil). Massey University, Palmerston North.
Durie MH (1994a) Whaiora: Maori Health Development, Oxford University Press, Auckland.
Durie MH (1994b) Whanau, Whanaungatanga and Healthy Development, In Te Whaiti P, McCarthy M and Durie A (eds) Mai I Rangiatea: Maori Wellbeing and Development, Auckland University Press, Auckland.
Durie MH (1994c) Whanau, Family and the Promotion of Health, Massey University, Palmerston North.
Jahnke H and Taiapa J (1999) Maori Research. In Davidson C and Tolich M (eds) Social Science Research in New Zealand: Many Paths To Understanding, Pearson Education, Auckland.
Metge J (1995) New Growth From Old: The Whanau in the Modern World, Victoria University, Wellington.
Ministry of Health (1998) Whaia Te Whanaungatanga: Oranga Whanau. The well being of whanau: the public health issues, Wellington.
Ministry of Health (1999) Our Health, Our Future Hauora Pakari, Koiora Roa: The health of New Zealanders 1999, Wellington.
Ministry of Health (2001) The Health and Independence Report, Wellington.
Ratima MM, Durie MH, Allan GR, Morrison PS, Gillies A & Waldon JA (1995) He Anga Whakamana: A framework for the delivery of disability support services for Maori, Massey University, Palmerston North.
Smith LT (1992a) Te Raapunga I Te Ao Maarama: The search for the light of the world (Monograph No 9), Education Research Unit for Maori Education, University of Auckland, Auckland.
Smith LT (1992b) The issue of research and Maori (Monograph No 9), Education Research Unit for Maori Education, University of Auckland, Auckland.
Teal A (2004) Template Analysis Technique (online) University of Huddersfield, accessed at http://www.hud.ac.uk/hhs/research/template_analysis/whatis.htm on 9 July 2004.
World Health Organisation (1980) The international classification of impairments, disabilities, and handicaps, World Health Organisation, Geneva.

eContent Home



