Māori elders’ perspectives of end-of-life family care: whānau carers as knowledge holders, weavers, and navigators

Type of content
Journal Article
Thesis discipline
Degree name
Publisher
SAGE Publications
Journal Title
Journal ISSN
Volume Title
Language
en
Date
2022
Authors
Simpson ML
McAllum, Kirstie
Oetzel J
Berryman K
Reddy R
Abstract

Background: There is growing interest in palliative care within Indigenous communities, and within Aotearoa New Zealand, of the significant role that Māori (Indigenous people) families play in caring for older relatives. This study explored the centrality of culture in how Māori extended families (whānau) in Aotearoa New Zealand interpret and enact family-based care roles within the Māori world (Te Ao Māori). Methods: Applying Māori-centered and community-based participatory research principles, we examined 17 interviews with older Māori who shared experiences of palliative care for a partner or family member. The thematic analysis used a cultural-discursive framework incorporating Māori principles of wellbeing and values expressed within the care relationship. Results: The findings centered on three whānau roles in palliative care: whānau as (1) Holders and protectors of Māori knowledge; (2) Weavers of spiritual connection; and (3) Navigators in different worlds. Conclusion: The study problematizes the notion of a single ‘primary caregiver’, privileges whānau as an inter-woven relational, dynamic care network, and encourages health professionals to recognize the cultural embeddedness of dominant approaches to palliative care.

Description
Citation
Simpson ML, McAllum K, Oetzel J, Berryman K, Reddy R (2022). Māori elders’ perspectives of end-of-life family care: whānau carers as knowledge holders, weavers, and navigators. Palliative Care and Social Practice. 16. 263235242211185-263235242211185.
Keywords
care roles, culture-centered approach, family care, Indigenous, kaumātua
Ngā upoko tukutuku/Māori subject headings
Hauora | Health::Ora | Alive; Living; Well-being::Hauora whānau | Whakaoranga whānau; Family health
ANZSRC fields of research
45 - Indigenous studies::4510 - Te hauora me te oranga o te Māori (Māori health and wellbeing)::451008 - Ngā wāhanga ora o te Māori (Māori life course)
45 - Indigenous studies::4510 - Te hauora me te oranga o te Māori (Māori health and wellbeing)::451003 - Ngā tokoingoa ahurea o te hauora o te Māori (Māori cultural determinants of health)
45 - Indigenous studies::4510 - Te hauora me te oranga o te Māori (Māori health and wellbeing)::451017 - Te oranga ā-pāpori, ā-hinengaro, ā-ahurea, ā-wairua o te Māori (Māori social, cultural, emotional and spiritual wellbeing)
42 - Health sciences::4205 - Nursing::420502 - Aged care nursing
42 - Health sciences::4203 - Health services and systems::420316 - Palliative care
Rights
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).