Browsing by Author "Bean DJ"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Chinese and Indian views of pain and pain management: A qualitative evidence synthesis to facilitate chronic pain management
    (Wiley Periodicals LLC on behalf of World Institute of Pain, 2023-07-01) Lewis GN; Shaikh N; Wang G; Chaudhary S; Bean DJ; Terry G
    Objective People from minority ethnicities often have a greater impact of chronic pain, are underrepresented at pain services, and may not benefit from treatment to the same extent as dominant cultures. The aim of this study was to review Indian and Chinese cultural views of pain and pain management, as a basis for improving management of chronic pain in migrant populations from these ethnicities. Methods A systematic review of qualitative studies addressing pain beliefs and experiences involving Indian and Chinese participants was conducted. Thematic synthesis was used to identify themes across the studies, and the quality of the articles was appraised. Results Twenty-six articles were included, most of which were appraised as high quality. Five themes were identified: Making meaning of pain described the holistic interpretation of the meaning of pain; Pain is disabling and distressing described the marked physical, psychological, and spiritual impact of pain; Pain should be endured described the cultural expectation to suppress responses to pain and not be a burden; Pain brings strength and spiritual growth described the enrichment and empowerment some people experienced through living with pain, and Management of pain goes beyond a traditional or Western approach described the factors that guided people in their use of healthcare. Discussion The review identified a holistic interpretation and impact of pain in Indian and Chinese populations, with pain management guided by multiple factors that transcended a single cultural framework. Several strength-based management strategies are recommended based on preferences for traditional treatments and respect for Western healthcare.
  • Thumbnail Image
    Item
    Ngā Wai Rerekē: the water streams of difference
    (Taylor and Francis Group on behalf of the Royal Society of New Zealand, 2025-07-02) Lewis GN; Ihaka B; Morunga E; Bean DJ; Terry G; Roberts M; Ripia D
    Māori-centred research reflects a partnership between Māori and non-Māori researchers, working together on projects designed to benefit whānau Māori (Māori families). Such cross-cultural partnerships are challenging, particularly when embedded within Western-centred academic environments. The goal of our project was to review publications discussing how Māori-centred research had been or should be undertaken to identify ways such research partnerships could be better supported in academia. From a structured review of 19 articles, we generated a model of partnership, Ngā Wai Rerekē (water streams of difference), that incorporates key concepts of whakapapa (history), whanaungatanga (relationship), mana ōrite (shared management), kotahitanga (unity), wero (challenge), and he koha mō te iwi Māori (benefit for Māori). Ngā Wai Rerekē is a model of two streams coming together to form a river, reflecting the relationship between Māori and non-Māori. The model emphasises the importance of this relationship between research partners over the research project. It highlights the necessity of beneficial outcomes for Māori, discusses the challenges that commonly present, and describes actions that can facilitate stronger relationships. At the conclusion, we present recommendations for individuals and institutions to facilitate Māori-centred research in a way that promotes meaningful outcomes for whānau Māori.