Te Tiriti O Waitangi: Application to Practice

Te Tiriti O Waitangi: Application to Practice

• The Treaty of Waitangi includes concepts of equity, partnership, and economic and cultural security. These concepts contribute to hauora (spirit of life/health).
• Poor Maori health standards can be seen as a failure to fulfill Treaty concepts and obligations (Davis & Dew, 1999).
• Main intention of the Treaty was to protect the wellbeing of tangata whenua.
• Colonization's harmful effects necessitate protection.

Article One - Kawanatanga

• Maori ceded governorship of their lands but expected benefits from the government.
• Good government requires the Crown and its agencies to create policies and services enhancing the health and wellbeing of all citizens.

Article Two - Tino Rangatiratanga

• Maori have control, authority, and responsibility over their affairs, especially health.
• Guarantees Maori control over their resources and taonga.
• Government support for Maori health funders and providers is a response to Crown obligations.

Article Three - Rights & Privileges

• Consent to the Queen's governorship, granting the same rights as English citizens.
• The article addresses issues of equity and equality and requires the Crown to reduce disparities between Maori and non-Maori.
• Discussion points include the rights of citizenship, social rights, and whether citizenship guarantees social rights.

Promote and Protect Maori Health

• Maori health inequity, disparities, and differential treatment are present.
• Understanding health inequities and hauora Maori standards of health IV are important.

He Korowai Oranga

• Provides a framework for the public sector to be responsible for supporting Maori health.
• Promoting whanau wellbeing, quality education, employment opportunities, suitable housing, safe working conditions, income and wealth improvements, and addressing institutional racism are all included in public policies.
• The government is committed to fulfilling the special relationship between iwi and the Crown under the Treaty of Waitangi.
• Principles of partnership, participation, and protection are underpinned in He Korowai Oranga.

Partnership, Participation, and Protection

• Working with iwi, hapu, whanau, Maori communities,
• Developing strategies for Maori health and disability services
• Maori involvement in all sector levels (decision-making, planning, development, and delivery)
• Ensures Maori have a health level equal to that of non-Maori, protecting Maori cultural concepts, values, and practices.

Whanau Ora

• An inclusive interagency approach to building the capacity of all New Zealand families.
• Empowering whānau as a whole, rather than focusing on individual family members and their problems, is included.

Tikanga Best Practice Guidelines

• Culturally responsive health and disability services for Maori patients and whānau.
• Ethical guidelines are underpinned by Māori values, protocols, concepts and Te Tiriti o Waitangi views of health.
• Whānau are treated with respect for their diversities and values.

Nursing Council of New Zealand

• Cultural safety, the Treaty of Waitangi and Maori health are part of nursing practice standards and competencies.

Competency 1.2

• Demonstrates the ability to apply Treaty of Waitangi principles to nursing practice.
• Understanding the Treaty of Waitangi and Maori health in Aotearoa New Zealand is critical.
• Knowing about differing health and socio-economic statuses of Maori and non-Maori is essential.
• Applying the Treaty to nursing practice is key.

Cultural Safety

• Even competent nurses will not be effective if patients do not feel safe.
• Emotional safety in service usage is highlighted.
• Patient safety is the sole determinant for good nursing.

Clinical Visit

• A 21-year-old Maori woman with a 4-month-old baby with bronchiolitis will be visited.
• The woman lives in the city and is separated from her whanau.
• The nurse should consider cultural factors, and her distance from support systems when providing care.

This quiz examines the principles of the Treaty of Waitangi and their application to Maori health practices. It covers key concepts such as equity, partnership, and the responsibilities of the Crown in enhancing the wellbeing of tangata whenua. Explore how colonization has impacted Maori health and the importance of self-determination for Maori communities.