Te Tiriti O Waitangi Application to Health 2 PDF

Te Tiriti O Waitangi: Application to Practice Te Tiriti O Waitangi “Implicit with the Treaty were concepts of equity, partnership and economic and cultural security – all of which contributed importantly to hauora (spirit of life / health). Poor standards of Maori health...

Te Tiriti O Waitangi: Application to Practice Te Tiriti O Waitangi “Implicit with the Treaty were concepts of equity, partnership and economic and cultural security – all of which contributed importantly to hauora (spirit of life / health). Poor standards of Maori health may therefore be regarded in part as non fulfilment of these Treaty concepts and obligations” Davis & Dew (1999) Te Tiriti and Health  One of the main intentions of Te Tiriti o Waitangi was to protect the wellbeing of the tangata whenua  Harmful consequences of colonisation exposed a need for protection.  Discuss with your partner…..  What are the harmful effects of colonisation? Article One- Kawanatanga  Maori gave up governorship of their lands but in return expected to receive benefit from the government.  Good government means the Crown and its agencies have an obligation to develop policies and services which contribute to and enhance the health and wellbeing of all citizens Article Two – Tino Rangatiratanga  Provides for Maori to exercise control, authority and responsibility over their affairs, including health.  Guarantees to Maori control of their resources and taonga.  A government response to Crown obligations has been to support the development of Maori health funders and providers. Article Three –Rights & Privileges  Consent to the governorship of the Queen, giving the same rights as those of the people of England  What are the rights of citizenship?  What are social rights?  Does citizenship guarantee social rights? Article Three –Rights & Privileges  Addresses issues of equity and equality  Requires the Crown to actively protect and reduce disparities between Maori and non- Maori  We talk of Maori health needs, what about their rights? Promote and Protect Maori Health  But, what we find is:  Health Inequity  Health Disparities  Differential Treatment  Understanding Health Inequities  Hauora Maori Standards of health IV He Korowai Oranga  Provides a framework for the public sector to take responsibility for the part it plays in supporting the health status of wha¯ nau. This includes public policies that actively promote: whanau wellbeing, quality education, employment opportunities, suitable housing, safe working conditions, improvements in income and wealth, and addressing systemic barriers including institutional racism He Korowai Oranga  Committed to the Treaty of Waitangi  The Government is committed to fulfilling the special relationship between iwi and the Crown under the Treaty of Waitangi.  The principles of Partnership, Participation  and Protection (derived from the Royal Commission on Social Policy) will continue  to underpin that relationship, and are threaded throughout He Korowai Oranga.  Partnership  Working together with iwi, hapu¯, whanau and Maori  communities to develop strategies for Maori health gain and appropriate health and disability services  Participation  Involving Maori at all levels of the sector, in decision-making, planning, development and delivery of health and disability services  Protection  Working to ensure Maori have at least the same level of health as non-Maori, and safeguarding Maori cultural concepts, values and practices Whanau Ora  An inclusive interagency approach to providing health and social services to build the capacity of all New Zealand families in need.  It empowers whānau as a whole rather than focusing separately on individual family members and their problems. Tikanga Best Practice Guidelines  These guidelines can also be Provide culturally  responsive health and made available and disability services to Maori delivered to consumers of patients and their Whānau health services regardless of  Guidelines are ethnicity as they include underpinned by Māori best practice standards of values, protocols, care. concepts, views of health and Te Tiriti o Waitangi.   Central to the policy is the Central to the guidelines is expectation that all users of the expectation that health services are treated Whānau are treated in ways that respect their with dignity and respect. In diversities as well as their turn, users of health values and beliefs. services are expected to behave respectfully. Nursing Council of New Zealand  Cultural safety, the Treaty of Waitangi and Maori health are aspects of nursing practice that are reflected in the Council’s standards and competencies Competency 1.2  Demonstrates the ability to apply the principles of the Treaty of Waitangi (Te Tiriti o Waitangi) to nursing practice.  Indicator: Understands the Treaty of Waitangi/Te  Tiriti o Waitangi and its relevance to the health of  Maori in Aotearoa/New Zealand.  Indicator: Demonstrates knowledge of differing  health and socio-economic status of Maori and  non-Maori.  Indicator: Applies the Treaty of Waitangi/Te Tiriti  o Waitangi to nursing practice. How can we demonstrate this in practice?  “I treat everyone the same”  In relation to your reading and understanding of Cultural Safety and obligations under the Treaty of Waitangi…..  Debate this statement with your partner and be prepared to discuss with the rest of the class. Clinical Visit  You are preparing to visit a 21 year old Maori woman whose baby, aged 4 months, has bronchiolitis.  She lives in the city, with her partner, away from her whanau.  In preparing for your visit, what are you going to be thinking about? Cultural Safety “However competent any nurse or midwife may be technically, such skills and experience will not be of any use if people do not feel emotionally safe to approach the service or if they use it too late” “Only the patient is able to say whether the nurse is safe regardless of how many awareness courses the nurse has attended.” (TeWhaiti, McCarthy, & Durie, 1997 p.121). References  Davis, P., & Dew, P. (1999). Health and society in Aotearoa New Zealand. Oxford University Press, Auckland, New Zealand.  Fox, B. (N.D). Ka Awatea: Treaty of Waitangi principles.  Kingi,T.R. (2007). The Treaty of Waitangi: A framework for Maori health development. New Zealand Journal of Occupational Therapy,54(1), 4-10.  TeWhaiti, P., McCarthy, M., & Durie, A. (1997). Mai I rangiatea. Auckland University Press, Auckland. P.121.  Web Sites  http://www.nursingcouncil.org.nz/download/97/cultu ral-safety11.pdf  http://www.nzhistory.net.nz/category/tid/133