Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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    Enhancing maternal sleep health in Aotearoa New Zealand: insights from the Wāhi Kōrero platform
    (Taylor and Francis Group on behalf of the Royal Society of New Zealand, 2025-07-03) Walsh Z; Muller D; Signal TL; Breheny M; Severinsen C; Ware F; Reweti A
    Maternal sleep health is crucial for maternal wellbeing, particularly maternal mental health which has implications for the wellbeing of children, families and whānau. In Aotearoa New Zealand, the Well Child Tamariki Ora (WCTO) service provides a unique opportunity to support mothers, their families, and whānau by providing education on sleep health for both mothers and children. However, there is a need for a deeper understanding of mothers' experiences with WCTO and the sleep information they receive to enhance these services. This primary research used data gathered from the Wāhi Kōrero online story-sharing platform, with 181 stories focusing specifically on sleep. Using thematic analysis, three key themes were identified: maternal instinct as a guide in navigating child sleep practices, promoting strength-based rather than deficit-focused approaches, and the necessity to move beyond rigid, monocultural service models. Findings underscore the importance of tailoring maternal and child health services to better meet the needs and perspectives of mothers, their families, and whānau, particularly in the areas of sleep and maternal mental health. Implications of findings for future policy and practice are discussed, including developing strength-based, culturally responsive approaches within services like WCTO, and adapting policy to support more flexible, whānau-centred models of care.
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    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.
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    Health equity in a climate-altered world
    (y Elsevier B V on behalf of Public Health Association of Australia, 2025-08-01) Murray L; Vyas A; Reweti A; Humphrey K; Murray L; Vyas A; Reweti A; Humphrey K
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    An evaluation of the population uptake and contact tracer utilisation of the Covid-19 Bluetooth Exposure Notification Framework in New Zealand
    (Elsevier B.V. on behalf of Public Health Association of Australia, 2024-11-05) Chambers T; Anglemyer A; Chen A; Atkinson J; Elers P; Baker MG
    Objective: Our primary research objective was to assess the population uptake and contact tracer utilisation of the Bluetooth function of the New Zealand Covid Tracer App (NZCTA) throughout the pandemic. Methods: We adopted a retrospective cohort study design using all diagnosed COVID-19 community cases from December 12, 2020 to February 16, 2022. Results: At its height, more than 60 % of the eligible population had the Bluetooth function of NZCTA activated. However, only an estimated 2.2 % of the population was able to fully participate. Cases managed by the national case investigation service were 17 times (aRR 17.54, 95%CI: 13.02-23.90) and 9 times (aRR 9.27, 95%CI: 6.91, 12.76) more likely to generate a Bluetooth token than cases managed by local public health units during the Delta and Omicron periods, respectively. Conclusions: The Bluetooth functionality of the NZCTA likely had a low impact on the pandemic response in NZ despite its exceptionally high levels of public uptake. The primary reason for the lack of impact was the low utilisation by contact tracers. Implications for public health: The results highlight the need for greater consultation and collaboration with the public health sector during the development and implementation of digital contact tracing tools.
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    Integrating nurse practitioners into primary healthcare to advance health equity through a social justice lens: An integrative review
    (John Wiley and Sons Ltd, 2024-02-06) Adams S; Komene E; Wensley C; Davis J; Carryer J
    AIM: To develop a framework to guide the successful integration of nurse practitioners (NPs) into practice settings and, working from a social justice lens, deliver comprehensive primary healthcare which advances health equity. DESIGN: Integrative review. METHODS: The integrative review was informed by the Whittemore and Knafl's framework and followed the Preferred Reporting for Systematic Reviews and Meta-Analyses guidelines. Quality was assessed using the Johns Hopkins Research Evidence Appraisal Tool. Findings were extracted and thematically analysed using NVivo. A social justice lens informed all phases. DATA SOURCES: Databases, including CINAHL, PubMed, Scopus and Web of Science, were searched for peer-reviewed literature published in English between 2005 and April 2022. RESULTS: Twenty-eight articles were included. Six themes were identified at the individual (micro), local health provider (meso), and national systems and structures (macro) levels of the health sector: (1) autonomy and agency; (2) awareness and visibility; (3) shared vision; (4) leadership; (5) funding and infrastructure; and (6) intentional support and self-care. The evidence-based framework is explicitly focused on the components required to successfully integrate NPs into primary healthcare to advance health equity. CONCLUSION: Integrating NPs into primary healthcare is complex and requires a multilevel approach at macro, meso and micro levels. NPs offer the potential to transform primary healthcare delivery to meet the health needs of local communities. Health workforce and integration policies and strategies are essential if the contribution of NPs is to be realized. The proposed framework offers an opportunity for further research to inform NP integration. IMPACT STATEMENT: \ - Nurse practitioners (NPs) offer the potential to transform primary healthcare services to meet local community health needs and advance health equity. - Globally, there is a lack of guidance and health policy to support the integration of the NP workforce. - The developed framework provides guidance to successfully integrate NPs to deliver comprehensive primary healthcare grounded in social justice. - Integrating NPs into PHC is complex and requires a multilevel approach at macro, meso and micro levels. - The framework offers an opportunity for further research to inform NP integration, education and policy. SUMMARY STATEMENT: - What problem did the study address: The challenges of integrating nurse practitioners (NPs) into primary healthcare (PHC) are internationally recognized. Attempts to establish NP roles in New Zealand have been ad hoc with limited research, evidence-informed frameworks or policy to guide integration initiatives. Our review builds on existing international literature to understand how NPs are successfully integrated into PHC to advance health equity and provide a guiding framework. - What were the main findings: Six themes were identified across individual (micro), local health provider (meso) and national systems and structures (macro) levels as fundamental to NP integration: autonomy and agency; awareness and visibility of the NP and their role; a shared vision for the direction of primary healthcare utilizing NP scope of practice; leadership in all spaces; necessary funding and infrastructure; and intentional support and self-care. - Where and on whom will the research have an impact: Given extant health workforce challenges together with persisting health inequities, NPs provide a solution to delivering comprehensive primary healthcare from a social justice lens to promote healthcare access and health equity. The proposed evidence-informed framework provides guidance for successful integration across the health sector, training providers, as well as the NP profession, and is a platform for future research. REPORTING METHOD: This integrative review adhered to the Preferred Reporting for Systematic Reviews and Meta-Analyses (PRISMA) method. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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    Enhancing health outcomes for Māori elders through an intergenerational cultural exchange and physical activity programme: a cross-sectional baseline study
    (Frontiers Media S.A., 2023-12-12) Oetzel JG; Zhang Y; Nock S; Meha P; Huriwaka H; Vercoe M; Tahu T; Urlich J; Warbrick R; Brown G; Keown S; Rewi P; Erueti B; Warbrick I; Jackson A-M; Perry T; Reddy R; Simpson ML; Cameron MP; Hokowhitu B; Rashedi V
    BACKGROUND: The study offers baseline data for a strengths-based approach emphasizing intergenerational cultural knowledge exchange and physical activity developed through a partnership with kaumātua (Māori elders) and kaumātua service providers. The study aims to identify the baseline characteristics, along with correlates of five key outcomes. METHODS: The study design is a cross-sectional survey. A total of 75 kaumātua from six providers completed two physical functioning tests and a survey that included dependent variables based in a holistic model of health: health-related quality of life (HRQOL), self-rated health, spirituality, life satisfaction, and loneliness. RESULTS: The findings indicate that there was good reliability and moderate scores on most variables. Specific correlates included the following: (a) HRQOL: emotional support (β = 0.31), and frequent interaction with a co-participant (β = 0.25); (b) self-rated health: frequency of moderate exercise (β = 0.32) and sense of purpose (β = 0.27); (c) spirituality: sense of purpose (β = 0.46), not needing additional help with daily tasks (β = 0.28), and level of confidence with cultural practices (β = 0.20); (d) life satisfaction: sense of purpose (β = 0.57), frequency of interaction with a co-participant (β = -0.30), emotional support (β = 0.25), and quality of relationship with a co-participant (β = 0.16); and (e) lower loneliness: emotional support (β = 0.27), enjoyment interacting with a co-participant (β = 0.25), sense of purpose (β = 0.24), not needing additional help with daily tasks (β = 0.28), and frequency of moderate exercise (β = 0.18). CONCLUSION: This study provides the baseline scores and correlates of important social and health outcomes for the He Huarahi Tautoko (Avenue of Support) programme, a strengths-based approach for enhancing cultural connection and physical activity.