PMID- 35585592
OWN - NLM
STAT- MEDLINE
DCOM- 20220520
LR  - 20220716
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 22
IP  - 1
DP  - 2022 May 19
TI  - Understanding the workforce that supports Maori and Pacific peoples with type 2 
      diabetes to achieve better health outcomes.
PG  - 672
LID - 10.1186/s12913-022-08057-4 [doi]
LID - 672
AB  - BACKGROUND: Prevalence of Type 2 diabetes mellitus (T2DM) is high among Maori and 
      other Pacific Island peoples in New Zealand. Current health services to address 
      T2DM largely take place in primary healthcare settings and have, overall, failed 
      to address the significant health inequities among Maori and Pacific people with 
      T2DM. Culturally comprehensive T2DM management programmes, aimed at addressing 
      inequities in Maori or Pacific diabetes management and workforce development, are 
      not extensively available in New Zealand. Deliberate strategies to improve 
      cultural safety, such as educating health professionals and fostering culturally 
      safe practices must be priority when funding health services that deliver T2DM 
      prevention programmes. There is a significant workforce of community-based, 
      non-clinical workers in South Auckland delivering diabetes self-management 
      education to Maori and Pacific peoples. There is little information on the 
      perspectives, challenges, effectiveness, and success of dietitians, community 
      health workers and kai manaaki (KM) in delivering these services. This study 
      aimed to understand perspectives and characteristics of KM and other 
      community-based, non-clinical health workers, with a focus on how they supported 
      Maori and Pacific Peoples living with T2DM to achieve better outcomes. METHODS: 
      This qualitative study undertaken was underpinned by the Tangata Hourua research 
      framework. Focus groups with dietitians, community health workers (CHWs) and KM 
      took place in South Auckland, New Zealand. Thematic analysis of the transcripts 
      was used to identify important key themes. RESULTS: Analysis of focus group 
      meetings identified three main themes common across the groups: 
      whakawhanaungatanga (actively building relationships), cultural safety (mana 
      enhancing) and cultural alignment to role, with a further two themes identified 
      only by the KM and CHWs, who both strongly associated a multidisciplinary 
      approach to experiences of feeling un/valued in their roles, when compared with 
      dietitians. Generally, all three groups agreed that their roles required good 
      relationships with the people they were working with and an understanding of the 
      contexts in which Maori and Pacific Peoples with T2DM lived. CONCLUSIONS: 
      Supporting community based, non-clinical workers to build meaningful and 
      culturally safe relationships with Maori and Pacific people has potential to 
      improve diabetes outcomes.
CI  - (c) 2022. The Author(s).
FAU - Mullane, Tania
AU  - Mullane T
AD  - Whitireia Institute, DX Box: SX33459, Porirua, Wellington, New Zealand. 
      tania.mullane@whitireia.ac.nz.
FAU - Harwood, Matire
AU  - Harwood M
AD  - Department of General Practice and Primary Care, Faculty of Medical and Health 
      Sciences, University of Auckland Private Bag 92019, Auckland Mail Centre, 
      Auckland, 1142, New Zealand.
FAU - Warbrick, Isaac
AU  - Warbrick I
AD  - Faculty of Health and Environmental Sciences, Auckland University of Technology 
      Private Bag 92006, Auckland, 1142, New Zealand.
FAU - Tane, Taria
AU  - Tane T
AD  - Faculty of Medical and Health Sciences, Te Kupenga Hauora Maori, University of 
      Auckland Private Bag 92019, Auckland Mail Centre, Auckland, 1142, New Zealand.
FAU - Anderson, Anneka
AU  - Anderson A
AD  - Faculty of Medical and Health Sciences, Te Kupenga Hauora Maori, University of 
      Auckland Private Bag 92019, Auckland Mail Centre, Auckland, 1142, New Zealand.
LA  - eng
PT  - Journal Article
DEP - 20220519
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Humans
MH  - *Native Hawaiian or Other Pacific Islander
MH  - New Zealand/epidemiology
MH  - Outcome Assessment, Health Care
MH  - Qualitative Research
MH  - Workforce
PMC - PMC9118861
OTO - NOTNLM
OT  - Diabetes
OT  - Indigenous
OT  - Maori
OT  - Pacific
OT  - Qualitative
OT  - Workforce
COIS- The authors declare that they have no competing interests.
EDAT- 2022/05/19 06:00
MHDA- 2022/05/21 06:00
PMCR- 2022/05/19
CRDT- 2022/05/18 23:42
PHST- 2021/12/21 00:00 [received]
PHST- 2022/05/04 00:00 [accepted]
PHST- 2022/05/18 23:42 [entrez]
PHST- 2022/05/19 06:00 [pubmed]
PHST- 2022/05/21 06:00 [medline]
PHST- 2022/05/19 00:00 [pmc-release]
AID - 10.1186/s12913-022-08057-4 [pii]
AID - 8057 [pii]
AID - 10.1186/s12913-022-08057-4 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2022 May 19;22(1):672. doi: 10.1186/s12913-022-08057-4.