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In this second edition of Cultural Safety in Aotearoa New Zealand, editor Dianne Wepa presents a range of theoretical and practice-based perspectives adopted by experienced educators who are active in cultural safety education. Dianne Wepa, Hawkes Bay District Health Board, NZ.

M?ori in Aotearoa have higher incidence, prevalence and mortality from chronic disease. The dominant narrative in Aotearoa about the reasons for M?ori ill health neglects to acknowledge the history of colonisation and failures of the health system, alongside the holistic view of health taken by M?ori focusing on collective, wh?nau-based outcomes. In this article, we review health interventions for chronic disease that have a kaupapa M?ori philosophical basis. Our findings demonstrate that there is no clear process in health service design, delivery, research and funding that values and understands m?tauranga M?ori. Western knowledge systems are inadequate for collecting and presenting M?ori knowledge. Overall, we highlight that the tension between acknowledging that a ?by M?ori, for M?ori? approach is best, and the difficulty in defining appropriate evidence collection methodology and outcome measures when funders and policy makers continue to require Western-centric interventions is an obstacle to improving M?ori health outcomes.

Colonial praxis has been imposed on the culture, epistemologies and praxis of indigenous Maori in Aotearoa, entrenching the settler cultural project that ensures the continuation of the colonial state, producing damaging disparities. This article theorises ways in which settler privilege works at multiple levels supporting settler interests, aspirations and sensibilities. In institutions, myriad mundane processes operate through commerce, law, media, education, health services, environment, religion and international relations constituting settler culture, values and norms. Among individuals, settler discursive/ideological frameworks are hegemonic, powerfully influencing interactions with Maori to produce outcomes that routinely suit settlers. In the internalised domain, there is a symbiotic sense of belonging, rightness, entitlement and confidence that the established social hierarchies will serve settler interests. This structure of privilege works together with overt and implicit acts of racism to reproduce a collective sense of superiority. It requires progressive de-mobilising together with anti-racism efforts to enable our society to move toward social justice.

Māori are the indigenous peoples of New Zealand and are culturally and ethnically diverse. Previous research suggests that Māori who identify jointly as European (New Zealand's dominant group) may have improved employment outcomes, income and levels of education relative to those who identify solely as Māori. However, research exploring the broader constellation of factors linked to multiple versus sole-ethnic affiliation for Māori remains scarce. We examine differences in outcomes for Māori depending upon their single versus multiple ethnic affiliation as Māori, Māori/European, or European (but with Māori ancestry) in a national probability sample (N=1416). Results indicated that people who identified jointly at Māori/European expressed political attitudes more aligned with Europeans. However, while Māori/Europeans may be more aligned with other Europeans in terms of support for mainstream political parties and intergroup attitudes, they remained lower on various indicators of social and economic status. In this latter regard, Māori/Europeans reported outcomes more similar to their sole-Māori counterparts.

This paper argues that stoicism as a central element of whiteness shapes, controls, and ultimately limits the experience and expression of emotion in public space. I explore how this may play out in particular medical settings like hospitals in Aotearoa New Zealand. I argue that working in conjunction with other values of whiteness identified by Myser (2003)—hyper-individualism, a contractual view of relationships, and an emphasis on personal control and autonomy—this makes hospitals emotionally unsafe spaces for Māori and other groups who place high importance in the collective sharing of emotion. Using death and bereavement as an example, I suggest that challenging and addressing stoicism in the structure and performance of whiteness in hospital settings may provide an important point of entry for anti-racism measures and health equity.

<em>Gale</em> Academic OneFile includes Anti-Maori themes in New Zealand journalism--toward alt by Angela Moewaka Barnes, Belinda Borell, . Click to explore.

Rongoa Maori is a holistic system of healing that has developed out of Maori cultural traditions. It has a long history of usage and credibility among Maori, and increased interest in its revival and sustainability has prompted calls for its formalisation within the New Zealand public health system. Objective and methods The objectives of the research project were to: - Examine the contribution of rongoa Maori to indigenous wellbeing, and - Identify issues for the ongoing sustainability of traditional Maori healing in New Zealand. The research process was lead by Maori researchers in collaboration with Maori healers and stakeholders. Two literature reviews were undertaken; one to provide understanding of international developments in traditional medicine, and a second to review national policy/literature related to rongoa Maori. Four focus groups and five workshops were held with groups in five communities to explore current rongoa practice and service delivery and drivers/barriers to its ongoing utilisation. The participant groups were healers and their associates, and health and local authority stakeholders.

The current model of ethical governance in research involving humans in the social sciences and humanities relies on prospective ethics review in ensuring that research in conducted ethically. One of its key features is distrust to researchers and their initiatives regardless of the subject matter, discipline, research methodology or settings, sources of funding, or researcher's experience. This article discusses the New Brunswick Declaration on Research Ethics adopted by the participants of the Ethics Rupture: Alternatives to Research-Ethics Review Summit in 2013. In particular, it provides background for the regulatory capture of the social sciences by the biomedical institutions of ethics review. It concludes by examining the limitations of the Declaration, and offers a set of principles for the development of the New Brunswick Declaration following its discussion at the Ethics in Practice: Tensions around Ethics Review and Maori Consultation Conference at the University of Otago in Dunedin in May 2015.

Background and objectives:‘Race’ and ethnicity data have become increasingly institutionalised within health research about indigenous peoples. While these data are critical to monitoring the differential distribution of risks and benefits in racialised societies, their uncritical and under-theorised use can perpetuate harmful biologically-deterministic and essentialist approaches to indigenous health. Additionally, indigenous rights and interests in data about us are often overlooked, with issues of indigenous data governance unresolved. The workshop objectives are to: Develop skills to critique uncritical use of ‘race’/ethnicity in indigenous health researchProvide examples from Aotearoa/New Zealand of frameworks or principles of indigenous data sovereignty

Maori tribal authorities have sought to measure the wellbeing of their people as a baseline for determining the extent to which their economic, social, and cultural goals are being achieved. In recent years, data from government-administered social surveys and/or censuses have become a significant source of information. Using the tribal authority of Te Runanga o Ngai Tahu (TRONT) as a case study, this paper explores and compares data concerning Ngai Tahu wellbeing contained in two recently completed TRONT reports: the Ngai Tahu State of the Nation 2015 report (a quantitative study derived from government-administered survey data); and, the preliminary findings from the Ngai Tahu Whenua Project (a qualitative study undertaken by TRONT). Both studies present similar results regarding levels of tribal economic wellbeing, however, they show different results in regards to levels of cultural wellbeing. The qualitative study reveals reasonably high levels of cultural engagement among participants. Conversely, the quantitative study demonstrates reasonably low levels of cultural engagement. The difference is explained in each study's approach to understanding culture. The quantitative study viewed culture as engagement in 'static' cultural practices, whereas the qualitative study viewed Maori culture as a 'lived' set of deep networks and connections between individuals, their whanau (extended family), and places of symbolic cultural importance (particularly land and water). It is argued that measuring 'lived' culture would provide a better means of ascertaining cultural wellbeing. It is suggested that a useful means of measuring Maori lived culture would be to determine the quality and depth of relational networks.

Colonization has resulted in Maori occupying a vulnerable position in New Zealand society. Comparatively poor health, along with complex social and economic problems, is a reflection of this fundamental insecurity. This article aims to put forward a historical and developmental perspective for understanding some of the current health disparities experienced by Maori, by exploring the concepts of historical trauma, loss of land, and alternative theories of development from post-development theory.

The New Zealand government has been globally praised for its response to Covid-19. Despite the global accolades, little attention has been given to the swift and innovative Māori response to Covid-19. This paper will detail some of this rapid Māori response to Covid-19 in Aotearoa New Zealand and argue the response can be understood as key examples of Māori exercising tino rangatiratanga (self-determination), independent of the government's measures and policies. We suggest that this exploration of tino rangatiratanga during Covid-19 demonstrates central aspects of Māori well-being that move beyond a government focus on statistics as the key measure of well-being and how tikanga Māori (Māori values) are being used to develop successful responses to the global pandemic.

The politics and practice of counting: ethnicity in official statistics in Aotearoa/New Zealand was produced as part of a broader project funded by Te Kete Hauora, Ministry of Health to investigate issues with ethnicity data in New Zealand and the implications of these for the Māori health and disability sector. The paper is one in a series of topic-based discussion papers. It aims to summarise key literature on the measurement of the Māori population in official ethnic statistics over time as a background to the accompanying discussion papers.

In New Zealand, there are significant and long-standing inequalities in a range of health outcomes, risk factors and healthcare measures between Māori (indigenous peoples) and Pākehā (European). This study expands our understanding of racism as a determinant of such inequalities to examine the concept of socially-assigned ethnicity (how an individual is classified by others ethnically/racially) and its relationship to health and racism for Māori. There is some evidence internationally that being socially-assigned as the dominant ethnic group (in this case European) offers health advantage.

Colonisation has deeply harmed Maori communities, seriously and consistently undermining their vitality, aspirations and potentials, particularly since the 1860s, at inestimable cost to the entire nation. The British arrival in Aotearoa commenced a relationship between two very different peoples that has profoundly influenced their distinct and collective fortunes ever since. Despite manifest breaches of te Tiriti o Waitangi, this relationship has centred settler interests ensuring that Maori sovereignty has been displaced in favour of colonial hegemony, entrenching longstanding, preventable inequities in health and other important domains of social life. In this paper we trace some broad indicators of relational health and wellbeing in Aotearoa and consider how Maori thinking about whenua, health and wellbeing might lead healing opportunities for people and whenua. We outline ways in which a unified, dynamic, relational Maori concept based on whenua as the determinant of health could contribute. We believe this could expand, strengthen and revitalise prevention, protection and promotion approaches, to counter the injustices of colonisation, contribute toward health equity and move toward just, sustainable shared futures for the benefit of all New Zealanders.