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    From the cleaners to the doctors : exploring the dimensions of effective health social work practice in an acute hospital : a thesis presented in fulfilment of the requirements for the degree of Doctor of Philosophy in Social Work at Massey University, Albany, New Zealand
    (Massey University, 2011) Haultain, Linda Rose
    My thesis reports that since the earliest days of the social work profession the role of science and its relationship to practice has been contested. In Aotearoa this debate has often centred on the relevance of research conducted on distant shores, with populations that were not our own. Social work, by its very nature is interested in context. The absence of local research may have left us bereft of the ability to claim and articulate what it is that does inform us and what it is we aim to achieve in order to legitimately claim our practice as effective. In an effort to begin to understand what may be claimed as effective practice in one particular context this mixed methodology study asked the question: “How are the dimensions of effective health social work practice demonstrated and described within the multidisciplinary team, in an acute hospital setting in Aotearoa?” Beginning with a fine grained case study, the dimensions of effective practice were identified, and then tested across a broader context, with a broader group of participants via an online survey tool. Whilst accepting that at times clear evidence does exist to support particular health social work practices, engaging in this type of interpretive research provided an opportunity to begin to understand the most appropriate practice in this particular circumstance (Plath, 2006). Key stakeholders were clear that the dimensions of effective practice in the acute hospital context are made up of a combination of professional activities, behaviours, attitudes and theory-informed practice. The quality of the relationships between the health social worker, their team, patients and his/her whanau members were found to be at the very heart of these dimensions, this is reflected in the title of my thesis ‘from the cleaners to the doctors’. These dimensions are not confined to specific results, although there are indications that they do support successful outcomes. There is much in the findings to suggest that the vestiges of many of the discoveries made by empirical studies can be found in the dimensions of effective practices that emerged from this study. It is not the remnants of the empirical effectiveness studies that dominate the findings. Rather it appears to be the successful adaptation to the acute hospital environment made by the Health Social Worker that was found to be important. In this context the dimensions of effective practice were identified as those which were best able to support the provision of an efficient, responsive and timely health social work service in a practice context that heavily favours ‘getting the job done.’
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    Spirituality in social work education and practice in Aotearoa New Zealand : a thesis presented in partial fulfilment of the requirements for the degree of Master of Social Work at Massey University, Manawatu, New Zealand
    (Massey University, 2010) Phillips, Carol Anne
    There is growing interest worldwide in the place of spirituality in social work practice, but as yet very little research in Aotearoa New Zealand. This study examines how non-Māori former students of the social work programme at Te Wānanga o Aotearoa experienced spirituality during the programme and how it is applied in their social work practice. As a non-Māori researcher who has engaged with spirituality in a Māori environment, the researcher places herself in relation to Te Tiriti o Waitangi, bicultural practice and critical theory. Participants discuss the importance of spirituality in their own lives, their experiences at Te Wānanga o Aotearoa, and the relevance of spirituality to social work practice. The bicultural nature of the social work programme as expressed through ngā take pū, the underpinning bicultural principles, is also examined. The study found that engaging with the social work teaching programme at Te Wānanga o Aotearoa was a spiritual experience which enhanced and deepened participants’ sense of their own spirituality and flowed through into their practice. They describe their spiritual practice with reference to client needs and social work models, including blocks and ethical dilemmas. The study identifies some elements of the Wānanga programme which were associated with spiritual development and learning and suggests that these may be helpful for other social work education programmes. It also suggests that social work practitioners can use existing models to incorporate spirituality into their practice.
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    Tongan metaphors of social work practice : Hangē ha pā kuo fa'u´ : a thesis presented in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Social Work at Massey University, Palmerston North, New Zealand
    (Massey University, 2005) Mafileʻo, Tracie Ailong
    This study explores Tongan social work practice and examines how social and community work is constructed from a Tongan worldview. Tongan social workers in Aotearoa New Zealand participated in individual interviews and focus group meetings which explored the Tongan values, knowledge, skills and processes foundational to their practice. The participants' narratives contribute to an understanding of Tongan conceptions of wellbeing, personal and social change and to an identification of key components of a Tongan theoretical framework for social and community work practice. This exploratory study contributes to the growing literature articulating indigenous and non-western frameworks for social and community work practice. Seeking to draw on a Tongan interpretive framework, the thesis employs metaphors, in particular two fishing practices (pola and uku), to draw the findings together. Pola, a community fishing practice, illustrates a Tongan social welfare system comprised of core values, namely: fetokoni'aki (mutual helpfulness), tauhi vā (looking after relationships), faka'apa'apa (respect) and 'ofa (love). Maintaining this Tongan system in the diaspora is central to the purpose of Tongan social and community work and the values themselves are a basis for practice. Other key concepts are shown to define a Tongan practice framework and these are identified as: fakafekau'aki (connecting), a'u tonu (going in person), lotu (spirituality/prayer/religion), fakatōkilalo (humility), fie'aonga (wanting to be useful), matakāinga (behaving like family) and 'osikiavelenga (doing utmost). The uku metaphor draws parallels to specialised practices of fishing or diving under the reef, around pupu'a puhi (blowholes). Similarly, Tongan social and community work involves specific processes which draw on a constellation of skills and values. Fakatoukatea (skills in opposite directions) is important for bridging Tongan and pālangi contexts, for working across various fields of practice and for adopting family-like roles as a social worker. Lea fakatonga (Tongan language), hua (humour)and feongo'i'aki (intuitive use of feelings) are important aspects of a Tongan social work approach. Tongan social and community work is located primarily within kāinga (extended family) and community. This location of social work reconstructs conventional conceptions of professionalism and relationships become a key force for change within a Tongan framework. A balance between a directive and empowerment approach needs to be achieved and an advocacy emphasis is required given the position of Tongans in the diaspora. This thesis demonstrates that a framework for social and community work derived from a Tongan worldview: provides new discourses and thinking within the critical postmodern tradition; is negotiated alongside other discourses thus creating spaces of possibility; is characterised by layers of ethnic specific, indigenous and humanity level differences and commonalities; emphasises the moral-artistic nature of social and community work; and challenges social work to be more diverse in terms of practice competencies, supervision, cross-cultural practice, education and community development. The thesis argues that if social and community work is to be transformative, it must itself be transformed and its very foundations reshaped by Tongan and other indigenous, non-western voices.