Focus: Kaupapa Māori in physiotherapy practice
Tracks
Breakout 1
| Sunday, September 8, 2024 |
| 11:15 AM - 11:45 AM |
| Dobson 1 |
Speaker
Dr Miranda Buhler
Postdoc Fellow and Physiotherapist/Hand Therapist
University of Otago School of Physiotherapy
Kaupapa Māori in physiotherapy practice
Presentation Abstract
Due to a disastrous history of colonisation, Māori are yet to enjoy the same level of health care access and outcomes as most other populations in Aotearoa.(1,2) Major ongoing factors include service costs, racism, and practice environments and customs that are not familiar or welcoming.(3,4) Physiotherapy is no exception. For example, despite higher rates of injury for Māori, utilisation of ACC-funded rehabilitation services including physiotherapy is much lower.(5,6)
Kaupapa Māori health services are designed by Māori, for Māori, and use mātauranga Māori. They are designed with the knowledge of the way in which Māori will flourish best.(7) Resource redistribution is also a goal of the wider social transformation sought by these initiatives.(7,8) Kaupapa Māori health services are becoming more familiar in Aotearoa. However, Western biomedical knowledge and systems are still privileged, making it difficult to have mātauranga-evidenced interventions recognised by funders and decision makers.(2) Both biomedical outcomes and those that align with Māori health world views have been demonstrated by Kaupapa Māori interventions.(2) Evidence is also in the experiences of Kaupapa Māori health service designers, providers, and recipients.
In this focussed symposium we gather experiences of Kaupapa Māori in physiotherapy practice to share learnings, celebrate successes, and help us look to the future. We introduce some of the theoretical underpinnings of Kaupapa Māori in practice to better understand what it is that is being done. This then prepares a space for exploring perspectives, navigating obstacles, and beginning to define our foundations for growing and enabling Kaupapa Māori physiotherapy practice.
"Ko te manu e kai ana i te miro, nōna te ngahere. Ko te manu e kai ana i te mātauranga, nōna te ao."
(The bird who feeds on the berries, the forest is his. The bird who feeds on knowledge, the world is his.)
(Chair: Blake Taylor)
Kaupapa Māori health services are designed by Māori, for Māori, and use mātauranga Māori. They are designed with the knowledge of the way in which Māori will flourish best.(7) Resource redistribution is also a goal of the wider social transformation sought by these initiatives.(7,8) Kaupapa Māori health services are becoming more familiar in Aotearoa. However, Western biomedical knowledge and systems are still privileged, making it difficult to have mātauranga-evidenced interventions recognised by funders and decision makers.(2) Both biomedical outcomes and those that align with Māori health world views have been demonstrated by Kaupapa Māori interventions.(2) Evidence is also in the experiences of Kaupapa Māori health service designers, providers, and recipients.
In this focussed symposium we gather experiences of Kaupapa Māori in physiotherapy practice to share learnings, celebrate successes, and help us look to the future. We introduce some of the theoretical underpinnings of Kaupapa Māori in practice to better understand what it is that is being done. This then prepares a space for exploring perspectives, navigating obstacles, and beginning to define our foundations for growing and enabling Kaupapa Māori physiotherapy practice.
"Ko te manu e kai ana i te miro, nōna te ngahere. Ko te manu e kai ana i te mātauranga, nōna te ao."
(The bird who feeds on the berries, the forest is his. The bird who feeds on knowledge, the world is his.)
(Chair: Blake Taylor)
Biography
1. Dale Wilson-Scully: Ko Waikato-Maniapoto te iwi, Tainui te waka, Taupiri te maunga, Te Hoe o Tainui te marae. I am a physiotherapist with an extensive background in public health. As a Kaitiaki of Tae Ora Tinana I aspire to uphold Māori cultural philosophies, practice, values and beliefs to enable our profession to reflect Māori aspirations of ‘for Māori by Māori’.
2. Sheree Tikao-Harkess: Ko Te Poho o Tamatea Pokai Whenua te Māuka, Ko Whakaraupo te moana, Ko Kāi Tahu te iwi, Ko Sheree Tikao-harkess au. I am a musculoskeletal physiotherapist and Kaitiaki of Tae Ora Tinana. I am undertaking my Masters thesis exploring Māori worldviews of injury, healing and treatment to inform a Kaupapa Māori approach to post-injury health service delivery.
3. (Co-presenter) Witana Petley: I am a descendant of Ngāiterangi, Ngāti Ranginui and Ngāti porou and originally hail from Putaruru in the South Waikato. I have a Physiotherapy background with interests in Neurological Rehabilitation, Cultural Safety and Hauora Māori. I am a lecturer at the Dunedin School of Medicine with teaching components in cultural safety and Hauora Māori in Action. I am current Tūmuaki of Tae Ora Tinana.
4. (Co-presenter) Miranda Buhler: Nō Ngāti Iuropi ōku tupuna. I am a Kaitiaki of Tae Ora Tinana, hand therapist at Dunedin Hospital, and health services researcher with a focus on equity of physiotherapy workforce accessibility.
5. (Chair) Blake Taylor: Nō Tūranganui-a-Kiwa ahau. Ko Ngāi Te Rangi, Ko Ngāti Porou ngā iwi. My clinical experience encompasses delivering physiotherapy care in the public and private sectors and fostering relationships that enable optimal care and outcomes for whaiora Māori. In my role as a Kaitiaki of Tae Ora Tinana I am focussed on creating opportunities for our Māori kaimahi and kaiwhiwhi to help address health equity.
2. Sheree Tikao-Harkess: Ko Te Poho o Tamatea Pokai Whenua te Māuka, Ko Whakaraupo te moana, Ko Kāi Tahu te iwi, Ko Sheree Tikao-harkess au. I am a musculoskeletal physiotherapist and Kaitiaki of Tae Ora Tinana. I am undertaking my Masters thesis exploring Māori worldviews of injury, healing and treatment to inform a Kaupapa Māori approach to post-injury health service delivery.
3. (Co-presenter) Witana Petley: I am a descendant of Ngāiterangi, Ngāti Ranginui and Ngāti porou and originally hail from Putaruru in the South Waikato. I have a Physiotherapy background with interests in Neurological Rehabilitation, Cultural Safety and Hauora Māori. I am a lecturer at the Dunedin School of Medicine with teaching components in cultural safety and Hauora Māori in Action. I am current Tūmuaki of Tae Ora Tinana.
4. (Co-presenter) Miranda Buhler: Nō Ngāti Iuropi ōku tupuna. I am a Kaitiaki of Tae Ora Tinana, hand therapist at Dunedin Hospital, and health services researcher with a focus on equity of physiotherapy workforce accessibility.
5. (Chair) Blake Taylor: Nō Tūranganui-a-Kiwa ahau. Ko Ngāi Te Rangi, Ko Ngāti Porou ngā iwi. My clinical experience encompasses delivering physiotherapy care in the public and private sectors and fostering relationships that enable optimal care and outcomes for whaiora Māori. In my role as a Kaitiaki of Tae Ora Tinana I am focussed on creating opportunities for our Māori kaimahi and kaiwhiwhi to help address health equity.
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