Retention of Indigenous nursing students in New Zealand: A cross-sectional survey
Denise Wilson
Māori Health, Taupua Waiora Centre for Māori Health Research; School of Public Health and Psychosocial Studices, AUT University, Auckland, New Zealand
Caroline McKinney
Te Whare Wananga o Awanuiārangi, Auckland, New Zealand
Mereana Rapata-Hanning
School of Nursing, Otago Polytechnic, Dunedin, New Zealand
PP: 059 - 075
Abstract
Internationally the recruitment and retention of Indigenous and minority peoples into nursing is a persistent challenge, despite their participation being essential in reducing health disparities and improving health service quality for Indigenous and minority users.
We aimed to identify Māori (Indigenous to New Zealand) nursing students' experiences of undertaking a nursing degree program. A non-experimental cross-sectional survey was undertaken with undergraduate nursing students identifying as Māori.
The surveys were analyzed using descriptive and inferential statistics. One hundred and eight students responded, with a career, stable income, and desire to make a difference in Māori health outcomes motivating most to embark on a nursing program. They reported numerous obstacles that compromised their academic advancement. However, affirming students' identities; providing academic support; accessing Indigenous role models, mentors and relevant clinical experiences; and, having supportive teaching and learning environments and the inclusion of Indigenous content in curricula; were identified as strategies that promoted retention in nursing programs.
Keywords
nursing students; student retention; Māori nursing students; minority nurses; Indigenous people; cultural diversity
References
Anonson, J. M., Desjarlais, J., Nixon, J., Whiteman, L., & Bird, A. (2008). Strategies to support recruitment and retention of First Nations youth in baccalaureate nursing programs in Saskatchewan. Journal of Transcultural Nursing, 19(3), 274-283.
Bishop, R. (2003). Changing power relations in education: Kaupapa Maori messages for 'mainstream' education in Aotearoa/New Zealand. Comparative Education, 39(2), 221-238.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101.
Cooke, M., Mitrou, F., Lawrence, D., Guimond, E., & Beavon, D. (2007). Indigenous well-being in four countries: An application of the UNDPs human development index to Indigenous people in Australia, Canada, New Zealand, and the United States. BMC International Health and Human Rights, 7, 9.
de Vaus, D. (2004). Structured questionnaires and interviews. In V. Minchello, G. Sullivan, K. Greenwood, & R. Axford (Eds.), Handbook of research methods for nursing and health science (pp. 347-390). Frenchs Forest, NSW: Pearson.
Durie, M. (1998). Whaiora: Maori health development (2nd ed.). Auckland, NZ: Oxford University Press.
Evans-Campbell, T. (2008). Historical trauma in American Indian/Native Alaska communities: A multilevel framework for exploring impacts on individuals, families, and communities. Journal of Interpersonal Violence, 23(2), 316-338.
Gardner, J. (2005). Barriers influencing the success of racial and ethnic minority students in nursing programs. Journal of Transcultural Nursing, 16(2), 155-162.
George, D., & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference, 11.0 update (4th ed.). New York: Allyn & Bacon.
Gilchrist, K. L., & Rector, C. (2007). Can you keep them? Strategies to attract and retain nursing students from diverse populations: Best practices in nursing education. Journal of Transcultural Nursing, 18(3), 277-285.
Gone, J. (2009). A community-based treatment for Native American historical trauma: Prospects for evidence-based practice. Journal of Consultant Clinical Psychology, 77(4), 751-762.
Gregory, D., Hart-Wasekeesikaw, F., Macrae, A., Wood, R., & Amaral, N. (2002). Against the odds: Aboriginal nursing - National taskforce on recruitment and retention strategies. Ottawa, Canada: Health Canada.
Health Workforce Advisory Committee. (2003). The New Zealand health workforce: Future directions. Wellington, New Zealand: Ministry of Health. Accessed February 10, 2011, from http://www.moh.govt.nz/moh.nsf/pagesmh/5753?open
Jackson, D., Brady, W., & Stein, I. (1999). Toward (re)conciliation: (re)Constructing relationships between Indigenous health workers and nurses. Journal of Advanced Nursing, 29(1), 97-103.
KPMG Consulting. (2001). Strategic review of undergraduate nursing education: Report to the nursing council of New Zealand. Wellington, New Zealand: Nursing Council of NZ.
Martin, D. E., & Kipling, A. (2006). Factors shaping Aboriginal nursing students' experiences. Nurse Education in Practice, 6, 380-388.
McKinney, C., Cassels-Brown, K., Marston, A., & Spence, D. (2005). Linking cultural safety to practice: Issues for student nurses and their teachers. Research and Review, 13(1), 3-7.
Minichiello, V., Sullivan, G., Greenwood, K. & Axford, R. (2005). Handbook of research methods for nursing and health science. Frenchs Forest, NSW: Pearson.
Ministerial Taskforce on Nursing. (1998). Report of the ministerial taskforce on nursing: Releasing the potential. Wellington, NZ: Ministry of Health. Accessed February 10, 2011, from http://www.moh.govt.nz/moh.nsf/indexmh/nursing-resources-publications#1998
Noone, J. (2008). The diversity imperative: Strategies to address a diverse nursing workforce. Nursing Forum, 43(3), 133-143.
Omeri, A., & Ahern, M. (1999). Utilising culturally congruent strategies to enhance recruitment and retention of Australian Indigenous nursing students. Journal of Transcultural Nursing, 10(2), 150-155.
Ratima, M. M., Brown, R. M., Garrett, N. K. G., Wikaire, E. I., Ngawati, R. M., Aspin, C. S., et al. (2007). Strengthening Māori participation in the New Zealand health and disability workforce. Medical Journal of Australia, 186(10), 541-543.
Ring, I., & Brown, N. (2003). The health status of Indigenous peoples and others: The gap is narrowing in the United States, Canada, and New Zealand, but a lot more is needed. British Medical Journal, 327, 404-405.
SPSS Inc. (2006). SPSS 15.0 for Windows. Chicago: SPSS Inc.
Turale, S., & Miller, M. (2006). Improving the health of Indigenous Australians: Reforms in nursing education. An opinion piece of international interest. International Nursing Review, 53, 171-177.
Weaver, H. N. (1999). Transcultural nursing with native American: Critical knowledge, skills and attitudes. Journal of Transcultural Nursing, 10(3), 197-202.
Zurn, P., & Dumont, J.-C. (2008). Health workforce and international migration: Can New Zealand compete? OECD, France: OECD Health Working Paper No. 33.
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