He urupounamu e whakahaerengia ana e te whānau : whānau decision processes : a thesis submitted for the degree of Doctor of Philosophy in Public Health (Māori), Massey University.

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dc.contributor.authorTūpara, Hope Ngā Taare Harawira
dc.date.accessioned2010-06-01T22:28:25Z
dc.date.available2010-06-01T22:28:25Z
dc.date.issued2009
dc.description.abstractA whanau is a social construct of Maori society in Aotearoa/New Zealand that is likened to an extended family. This thesis describes principles and practice that whanau utilise in decision processes from the findings of a retrospective qualitative case study of three whanau, who decided to participate in genetic research into a medical condition affecting their health. Four elements of whanau decision processes emerged from the data. Hui, rangatiratanga, manaakitanga and kotahitanga are Maori constructs that emphasise the collective nature of whanau decision making, and substantiate philosophical, theoretical and anecdotal evidence that Maori have distinctive ways of reaching decisions, underpinned by unique philosophical conventions. The results of this research place greater significance on the process of decision making than actual decisions, an incidental finding that has not been articulated by previous studies of Maori health and whanau. Contrary to western theoretical knowledge of decision making, whanau decision processes are collective activities. Individual decision making is closely linked to and depends on the collective, because individual identity manifests from the collective, and individual wellbeing is closely linked to that of the collective. When decision processes are familiar to members of a whanau, they are more likely to engage in decision making because they have a greater sense of knowledge and thus control of the processes, and they feel more able to contribute meaningfully to achieving aspirations for their own health. This thesis provides evidence that the New Zealand health sector, health legislation and policies are largely unfavourable for guaranteeing whanau engagement in decision processes. Yet, whanau decision making is an overall objective of the Government’s Maori Health Strategy: He Korowai Oranga, to address inequalities in health between Maori and other New Zealanders that have unacceptably become the norm.en_US
dc.identifier.urihttp://hdl.handle.net/10179/1349
dc.identifier.wikidataQ112882530
dc.identifier.wikidata-urihttps://www.wikidata.org/wiki/Q112882530
dc.language.isoenen_US
dc.publisherMassey Universityen_US
dc.rightsThe Authoren_US
dc.subjectMaori healthen_US
dc.subjectPublic healthen_US
dc.subjectWhanauen_US
dc.subjectDecision-makingen_US
dc.subjectHauoraen_US
dc.subject.otherFields of Research::320000 Medical and Health Sciences::321200 Public Health and Health Services::321207 Indigenous healthen_US
dc.titleHe urupounamu e whakahaerengia ana e te whānau : whānau decision processes : a thesis submitted for the degree of Doctor of Philosophy in Public Health (Māori), Massey University.en_US
dc.typeThesisen_US
massey.contributor.authorTūpara, Hope Ngā Taare Harawira
thesis.degree.disciplinePublic Healthen_US
thesis.degree.grantorMassey Universityen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Philosophy (Ph.D.)en_US
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