Cultural Identity and Personal Values in Health and Wellbeing Sector

This article discusses the cultural identity and personal values of a Residential Support Worker for children with intellectual disabilities in Hohepa Homes in Hawke’s Bay. It explores the influence of collectivist culture, family, socio-economic and socio-cognitive environment, and education on the worker's values and work. The article also describes the cultural identity of Maori and Filipino communities in New Zealand and how their values differ from the worker's Indian culture. Finally, the article discusses the values of honesty, integrity, and inclusiveness in the health and wellbeing sector.

A i nmentHWB401- ss g 1
am or in a aI w k g s e idential pport or erR s Su W k or c ildren it intellect alf h w h u
di a ilitie in o epa ome in a e a or it ei t c ildren ands b s H h H s H wk ’s B y. I w k w h gh h
ele en co or er in t i ome ettin or o r a ee it di erentv -w k s h s h s g. I w k 40 h u s w k w h ff
c ild e er da T e c ildren are Maori and ropean et nicitie T e or er areh v y y. h h Eu h s. h w k s
Maori ilipino ndian ort American erman and American et nicitie, F , I , N h , G h s. ✓
Thank you!
Ta o r c lt ral identitsk 1: Y u u u y
T e nation ere elon to i ndia ndia i a land o di er e c lt re andh wh I b g s I . I s f v s u u s
reli ion T e ario et nic ro p o coe i t in t i continent contri teg s. h v us h g u s, wh x s h s sub- , bu
to it ariet T e di erent reli ion li e ind i m i i m lam dd i ms v y. h ff g s k H u s , S kh s , Is , Bu h s ,
ri tianit and aini m t at i practi ed it in t i one anct m lend to t eCh s y J s h s s w h h s s u s h
pirit alit o nd in t i nations u y f u h s (Pania agu , 2013 T e t pe o c lt re pre alent in). h y f u u v
ndia i primaril collecti i t ollecti i m re er to per onalit di po itionI s y v s . C v s f s s y s s
ere amil need and oal o or ro p are i en more importance t anwh by f y s g s f w k g u g v h
indi id al de ire or e ample t e c oice o career or marria e o an indi id alv u s s, f x , h h f g f v u
are mo tl o erned t e deci ion o t e elder in a amils y g v by h s f h s f y. ✓
actor oneF amilF y
o t i actor a made me o amH w h s f h s wh I
today
M amil in ndia i t at o ay f y I s h f traditional
oint amilj f y ic ere ad learntwh h wh I h
t e al e oh v u s f el le nes f ss ss and
interdependence t i in rained in m. I s g y
nat re to eep au k co e i e ondh s v b itw h
m ac aintancey qu s. ✓
o t i actor in l ence m or a aH w h s f f u s y w k s
or er in t e ealt and ell einw k h h h w b g
ectors
T e al e ic m amil adh v u s wh h y f y h
imparted enco ra ed me to p r e au g u su
i er ed cation in t e ield o ealth gh u h f f h h
and ocial or or c ildren it pecials w k f h w h s
needs. ✓

actor t oF w ocio conomicS -E and ocio o niti eS -C g v
n ironmentE v
o t i actor a made me o amH w h s f h s wh I
today
T e en ironment in ic adh v wh h I h
ro n p laid i emp a i tog w u h gh h s s
ecome pport tem or t e oneb su sys f h s
o need it and are m ene itwh sh y b f s
it ot er in t e amilw h h s h f y. ✓
o t i actor in l ence m or a aH w h s f f u s y w k s
or er in t e ealt and ell ein ectorw k h h h w b g s
ildren are t e t re o a co ntrCh h fu u f u y
in term o pro re and etterments f g ss b .
o e er t e one elon in romH w v , h s b g g f
t e ac ard ection o ten all preh b kw s s f f y
to maln trition and e ere ne lectu s v g
(M ammaduh
et al., 2015) T e e are. h s
e o t e ario ca e t at leadf w f h v us us s h
to t eir di a ilit t a mh s b y. I w s y
o ecti e to elp t e e c ildrenbj v h h s h
o ercome arrier it in t e ran ev b s w h h g
o t eir po i ilitf h ss b y. ✓
actor t reeF h lt reCu u
o t i actor a made me o amH w h s f h s wh I
today
T e t pe o c lt re pre alent in ndiah y f u u v I
i primaril collecti i t ollecti i ms y v s . C v s
re er to per onalit di po itionf s s y s s
ere amil need and oal owh by f y s g s f
or ro p are i en morew k g u g v
importance t an indi id al de ireh v u s s,
or e ample t e c oice o career orf x , h h f
marria e o an indi id al are mo tlg f v u s y
o erned t e deci ion o t eg v by h s f h
elder in a amils f y. ✓
o t i actor in l ence m or a aH w h s f f u s y w k s
or er in t e ealt and ell ein ectorw k h h h w b g s
ollecti i m a elped meC v s h s h
nder tand t e idea o acri ice in au s h f s f
a o ra le a ein a ealtf v u b w y. B g h h
or er a lar e amo nt o m time iw k , g u f y s
re ired at t e centre ic i equ h wh h g v s
me little cope o per onal acti ities f s v s.
o e er t e c lt re in ic aH w v , h u u wh h I w s

ro t p a ta t me to eepb ugh u h s ugh k
m re pon i ilitie e ore my s s b s b f y
per onal intere ts s . ✓
actor o rF f u d cationE u
o t i actor a made me o amH w h s f h s wh I
today
a e t died ocial or or eI h v s u s w k f f w
mont peciali ation in manhs, s s hu
de elopment Maori c lt re andv , u u
interper onal ill e to m eers sk s. Du y sh
commitment in m domain today , y I
co ld mana e to ind a pro e ionalu g f f ss
pace at m or places y w k . ✓
o t i actor in l ence m or a aH w h s f f u s y w k s
or er in t e ealt and ell ein ectorw k h h h w b g s
M d cational ac ro nd ay E u b kg u h s
elped me to nder tand t eh u s h
n ance in or in or t eu s w k g f h
etterment o di a led c ildrenb f s b h . ✓
Ta M Per onal al esk 2: y s V u
al e ma e p o r tandard o li in t at ide to ard o r oal tV u s k u u s f v g h gu s us w s u g s. I
elp to rationali e o r deci ion to act in a partic lar a and pre ent romh s us z u s u w y v us f
ind l in in naccepta le e a io ru g g u b b h v u (Ad erg
et al., 2013). cellentEx
al eV u 1 nder tandin t eU s g h i ni icances g f
a ociated it t e criticalit oss w h h y f
man relation iphu sh s. ✓
al e de criptionV u s ollecti i t c lt re attac e reatC v s u u h s g
importance to man relation ip ahu sh s s
it determine t e ind o per on ones h k f s
ro p to eg ws u b (Ad erg
et al., 2013) n. I
t i p ical orld eac one o ah s hys w , h f us h s
o r o n lnera ilitie and limitationu w vu b s s.
en t e per on ne t to canWh h s x us
nder tand t e po iti e or ne ati eu s h s v g v
impact i or er action can a e onh s h h v
o r co r e o li e it ma e o r r i alu u s f f , k s u su v v
ea iers . ✓
o t e al e in l ence t e aH w h v u f u s h w y I T i al e a ta t me to ildh s v u h s ugh bu

or in m ealt and ell ein ettinw k y h h w b g s g ealt connection it ot erh hy w h h s,
nder tand t eir prioritie a ell au s h s s w s
con lictin ideaf g s. ✓
al eV u 2 Practicing e alitqu y to inc lcate t eu h
importance of ocial tices jus ✓
al e de criptionV u s T i al e tri e to promote antih s v u s v s -
di criminator en iti ities y s s v s. ✓
o t e al e in l ence t e aH w h v u f u s h w y I
or in m ealt and ell ein ettinw k y h h w b g s g
T i al e a in l enced t eh s v u h s f u h
en iti itie in m role a a ealts s v s y s H h
or er or i a led ildren T ew k f D s b Ch . h
concept o ildin ealtf bu g h hy
relation ip a elped me ildsh s h s h bu
rapport it t e patient andw h h s
nder tand t eir need i a ilitu s h s. D s b y
o ten inder an indi id al romf h s v u f
participatin e ecti el in di erentg ff v y ff
acti itie p ical a ell av s, hys s w s
p c olo ical in li e M econd al esy h g , f . y s v u
a r ed me to moti ate t e patienth s u g v h s
and in til con idence in t eir mind t ats f h h
t e can ac ie e t eir li e oalh y h v h f g s. ✓
Ta lt ral dentit o T o Tri esk 3: Cu u I y f w b s
e ealand i a m lti et nic re ion Amal amation o t e c tom andN w Z s u - h g . g f h us s
practice o ario ro p to rame ocio political policie i at de ine t es f v us g u s f s - s s wh f s h
c lt re o t i co ntru u f h s u y (Ad erg
et al., 2013 ein a part o t e ealt care ector). B g f h h h s
in e ealand ma orit o m co or er pop lation i dominated mo tlN w Z , j y f y -w k u s s y by
Maori and ilipino lt re and to ome e tent Pa e aF Cu u s s x by k h s ( careBé s, ormacC k &
arriH s, 2013 Maori con tit te t e nati e re ident o e ealand t e ilipino). s s u h v s s f N w Z , h F s
ad mo tl mi rated to e ealand d rin in earc o etterh s y g N w Z u g 1936 s h f b
opport nitie and to o ercome t e po ert tric en circ m tance in t eiru s v h v y s k u s s h
co ntr erea Pa e au y wh s, k h s, al o no n a Pa i i a peoples k w s s f k , are t e immi ranth g s
rom t e Paci ic land o ad ettled in e ealand ince riti oloni ationf h f Is s wh h s N w Z s B sh C z .

T e e comm nitie co e i t t ro tran action o t eir traditional al e inh s u s - x s h ugh s f h v u s
di erent a en e o li eff v u s f f .
ame o Per on neN f s O Timoti rid eB g s
e cription o er lt ral dentitD s f h Cu u I y Maori
e cription o al eD s f V u 1 Manaa itan ak g T i i one o t e core: h s s f h
al e e i ited in Maori lt re icv u s xh b Cu u wh h
relate to t eir nat re os h u f o pitalitH s y and
indnek ss and de ined t eir en e of by h s s f
empathy or and pport to ard ot erf su w s h s
( en onV z & i in ottomH gg b , 2013). ✓
o al e i demon trated in t eH w v u 1 s s h
ealt and ell ein ettinh h w b g s g
ne o m ello co or er M TimotiO f y f w -w k , s.
rid e o e c lt ral root elon toB g s, wh s u u s b g
Maori i an o t tandin e ample in er, s u s g x h
department e i er. Sh s v y en iti es s v to ardw s
t e et nic care need o er patient oh h - s f h s wh
are c ildren erin rom di a ilit a ellh suff g f s b y s w
a t eir ardian e trie to eep ers h gu s. Sh s k h
per onal c ed les s h u le i lef x b in order to
accommodate or an emer enc it ationf y g y s u .
T i attit de in er pro e ion tem romh s u h f ss s s f
t eh m t al re pectu u s and empat e ahy sh h s
or ot erf h s. ✓
e cription o al eD s f V u 2 aitia itan aK k g con i t o anot er core al es s s f h v u
n rt red Maori t con i t ou u by s. I s s s f
e ta li in a re pect l in ip et eens b sh g s fu k sh b w
man ein and t eir en ironment thu b gs h v . I
e entiall promote con er ation o t ess y s s v f h
nat ral orld and reapin ene it rom itu w g b f s f
it o t ca in it an armw h u us g y h . ✓
o al e i demon trated in t eH w v u 2 s s h
ealt and ell ein ettinh h w b g s g
Timoti rid e m co or er ad a tarB g s, y -w k h s k
inclination to ard t e application ow s h f
nat ral medicine o er p armacolo icalu v h g
one e per onall pre erred con ltin as. Sh s y f su g
To a a oppo ed to a doctor or erhug s s f h
per onal ailment o e er its s. H w v , w h
increa ed r ani ation and poor ocios u b z s -

economic ratio o er comm nit erf h u y, h
pre erence a e con idera l i tedf s h v s b y sh f
to ard tili ation o modern er ice etw s u z f s v s. Y ,
e trie to maintain a alance et eensh s b b w
er elie and er practical need noth b fs h s by
oin or e tremel p armacolo icalg g f x y h g
treatment or er patient i t ere i as f h s f h s
ealt alternati e o nat ral ealt careh hy v f u h h
practice ic tend to ca e le er arms wh h us ss h
to t e en ironmenth v . T i inclinationh s
to ard t e e o nat ral medicine can ew s h us f u b
attri ted to er c lt re and p rin inbu h u u u b g g.
o e er t e d al impact o or in in anH w v , h u f w k g
en ironment ic e pect er to ev wh h x s h us
p armacolo ical medicine in critical ca eh g s s s
and ere er collea e elon romwh h gu s b g f
di er e c lt ral ac ro nd a een av s u u b kg u h s b
i ni icant actor in modi in ers g f f fy g h
perception o medicine and treatmentf s .
e cri e t e actor t at ma e t eirD s b h f s h k h
c lt ral identit di erent to o ru u y ff y u s
ne ma or di erence t at a an ndianO j ff h I, s I
a e it m ello Maori co or er ih v w h y f w -w k s s
t at ac in o r co ntr e en t o eh b k u u y, v h ugh w
a e e eralh v s v et nic ro p a ell ah g u s s w s
indi eno comm nitie t e dependenceg us u s, h
on modern ealt care er ice i relati elh h s v s s v y
more t an t o e elon in to Maorih h s b g g
comm nit n ndia p armacolo icallu y. I I , h g y
dri en ealt treatment are more pop larv h h s u
t an t e A r eda or practice o nat ralh h yu v f u
medicine T e pop lation dependins. h sub u g
p rel on A r eda i er le inu y yu v s v y ss
compari on to t o e dependin on Moderns h s g
medicine and ealt care practices h h s. ✓
ame o Per on T oN f s w Patric Mendo ak z
e cription o er lt ral dentitD s f h Cu u I y ilipinoF

e cription o al eD s f V u 1 Mapa mala a itg s k i one o t e core al es f h v u s
o ilipino omm nit t at i identi ied orf F C u y h s f f
t eir lo e and compa ion or t eirh v ss f h
amilie T e are a er clo e nitf s. h y v y s k
comm nit o eep con tant atc onu y wh k s w h
eac ot er e it t eir riend or relati eh h , b h f s v s,
apart rom t eir o n comm nitief h w u s. ✓
o al e i demon trated in t eH w v u 1 s s h
ealt and ell ein ettinh h w b g s g
M co or er Mr Patric Mendo a o iy -w k , . k z , wh s
a ilipino a al a een er pop larF , h s w ys b v y u
it t e c ildren o t e di a ilit ard ew h h h f h s b y w . H
i compa ionate per on o trie tos ss s wh s
en re t at t e c ildren eel lo ed andsu h h h f v
important a o e an ot er treatment i, b v y h . H s
attit de i a direct re lt o i p rin inu s su f h s u b g g.
✓
e cription o al eD s f V u 2 Mapa pa alamatq s i anot er core al e os h v u f
t e ilipino omm nit ic re er toh F C u y wh h f s
ait in i e and od P ilippine ein aF h L f G . h s, b g
co ntr t at i o ten tr c it nat ralu y h s f s u k w h u
calamit t e people a e in tilled any, h h v s
optimi tic c aracteri tic it in t em el es h s w h h s v s
t at enco ra e t em to cele rate e erh u g s h b v y
moment o t eir li e it o t einf h v s w h u b g
depre ed a o t at a le t t em T ess b u wh h s f h . h
mem er o t i comm nit old e ten i eb s f h s u y h x s v
ea t and cele rate t e po iti e o tloof s s b h s v u k
to ard li e it t eir amilie and clo ew s f w h h f s s
riendf s. ✓
o al e i demon trated in t eH w v u 2 s s h
ealt and ell ein ettinh h w b g s g
n t e i a ilit ard o ten parent oI h D s b y w , f s f t eh
c ildren are o nd depre ed and lo th f u ss s
a o t t eir c ildren t re a t e do notb u h h ’s fu u s h y
po e e al mental or p ical re o rcess ss qu hys s u s
to compete in t i orld Patric ah s w . k h s
al a tood tron e ide t o e parentw ys s s g b s h s s
and e i a con tant o rce o in pirationh s s s u f s
or all a e trie to e plain t em t at itf s h s x h h w h
lo e care and proper treatment t e ev , , h s
c ildren o ld e a le to o ercome t eirh w u b b v h

ortcomin to a con idera le e tent Tsh g s b x . hus
e trie to in e optimi m in t e mind oh s fus s h s f
de paired parents s. ✓
e cri e t e actor t at ma e t eirD s b h f s h k h
c lt ral identit di erent to o ru u y ff y u s
ot ilipino and ndian lt re are imilarB h F I Cu u s s
in term o ot a in t eir root in A ias f b h h v g h s s .
o e er e traditional a pect o ndiaH w v , f w s s f I
c lt re are tron l orro ed rom t eu u s g y b w f h
n li d e to t e lon period o ritiE g sh u h g f B sh
oloni ation erea in ca e oC z , wh s, s f
P ilippine it i more in l enced t eh s, s f u by h
pani and AmericanS sh s (Alm tairiu &
ondneR y, 2013) T i i t e dri in actor. h s s h v g f
or t e ndian o ein more concernedf h I s f b g
a o t t e n merical parameter in alitb u h u s qu y
te tin in an pro e ion ilipino on t es g y f ss . F s, h
ot er and depend more on t eh h s h
ecti e e perience in alitsubj v x qu y
a e mentss ss . ✓
Ta al e n l enced lt ral dentitsk 4: V u s I f u by Cu u I y
ector al eS v u 1
ame o t e al eN f h V u
T e ector al e am de cri in i one t and nte rith s v u I s b g s H s y I g y ✓
e ine t e al eD f h v u
T e ector al e o one t and nte rit mean maintainin leadin tandardh s v u f H s y I g y g g s s
in practice and per ormance t at i repre ented all t e mem ers f s h s s by h b s. ✓
Application o al ef v u
T e al e o one t and nte rit i applied all ta o t e ealt careh v u f H s y I g y s by s ff f h H h
department pertainin to eac o t eir core and allied domains g h f h s. ✓
idence o m or place applicationEv f y w k
ile or in in o epa ome ad applied one t and nte ritWh w k g H h H s, I h H s y I g y by
maintainin all tandard o t e centre o a not to reac t e tr t o t eg s s f h s s b h h us f h
patient or t eir amilies h f s. ✓
al e di erence d e to c lt ral identitV u s ff u u u y
T e al e ma e een di erentlh v u y b s ff y a era e peopleby v g in o r co ntru u y, ndiaI , itw h

re pect to t e o ernment and Pri ate ealt are er ice Patient ats h G v v H h-C S v s. s,
time ma e e in e tment in treatin t eir amil mem er in pri ates, k hug v s s g h f y b s v
n r in ome it tate o t e art acilitie o e er in e in tance t eu s g h w h s f h f s. H w v , f w s s, h y
o nd t em el e e iled and o erc ar ed and t e treatment not p to t ef u h s v s b gu v h g h u h
mark.
ector al eS v u 2
ame o t e al eN f h V u
T e ector al e am de cri in i ncl i eneh s v u I s b g s I us v ss✓
e ine t e al eD f h v u
T e ector al e o ncl i ene re er to acti e participation o all mem erh s v u f I us v ss f s v f b s
o a er ice contri tin to ot ocial and per onal ene itf S v bu g b h s s b f s. ✓
Application o al ef v u
T e al e o ncl i ene i enco ra ed to ma e re e er one opinionh v u f I us v ss s u g k su v y ’s
matter and t at all mem er a e potential to ma e a po iti e c an e in t es h b s h v k s v h g h
or in en ironmentw k g v . To p t t i al e in i ni icant e arterl meetinu h s v u s g f us , qu y gs
are eld in t e or ani ation in ic all mem er participate and di c t eh h g s wh h b s s uss h
implication o core or ani ational policie Alon it t at t e mana ementf g s s. g w h h , h g
al o circ late eed ac r e amon t e nior emplo ee to e amine is u s f b k su v ys g h ju y s x f
t e are a le to or it proper reedom and et t e re ired pport andh y b w k w h f g h qu su
idance rom t e enior n c r e recommendation are al o a ed ogu f h s s. I su h su v ys, s s sk f
t em in relation to t e or ani ation impro ement in or c lt reh h g s ’s v w k u u .
idence o m or place applicationEv f y w k
ile or in in o epa ome ad to ta e t e Treat o aitan i intoWh w k g H h H s, I h k h y f W g
acco nt to er e o r acco nta ilit to t e Maori tan ata en au s v u u b y h g wh u . T eh
partic lar term in t e Treat ic a i en additional attention au h y wh h w s g v w s
Protection t compri ed o cla e re errin to c lt re and traditional‘ ’. I s f us s f g u u
en iti itie t at t e ome needed to maintain ile treatin patients s v s h h H wh g s
elon in to t i comm nitb g g h s u y.
al e di erence d e to c lt ral identitV u s ff u u u y
T e al e ma e een di erentl in o r co ntr it re pect to t eh v u y b s ff y u u y w h s h
rame or o application T e ealt care er ice a aila le in ndia are moref w k f . h h h s v s v b I
enerali ed in t eir rame or ic i e al or all comm nitieg z h f w k wh h s qu f u s. ✓
ector al eS v u 3

ame o t e al eN f h V u
T e ector al e am de cri in i alit and cellenceh s v u I s b g s Qu y Ex ✓
e ine t e al eD f h v u
T e ector al e o alit and cellence tri e to promote and deli er oodh s v u f Qu y Ex s v s v g
alit ealt er icequ y h h s v s. ✓
Application o al ef v u
T i al e i one o t e core actor on t e a i o ic an ind tr operateh s v u s f h f s h b s s f wh h us y s.
T e area ic con tit te t i al e are clinical e cellence patient a eth wh h s u h s v u s x , ’s s f y
and con identialit and an nparalleled commitment to ard er in t ef y u w s s v g h
patient it care and compa ion t al o incl de pecial acilitie or t o e ins w h ss . I s u s f s f h s
an comm nit o are not a le to a ord or t eir treatmenty u y wh b ff f h .
idence o m or place applicationEv f y w k
ile or in in o epa ome ad to ma e re t at t e alit o mWh w k g H h H s, I h k su h h qu y f y
er ice i ne er compromi ed at an co t T ere ere a ociated a pect li es v s v s y s . h w ss s s k
p nct alit o t e ta an in ra tr ct re promi in tate o t e art acilitieu u y f h s ff, f s u u s g s f h f s
and a per onal to c to ard ealin patient t at en red a idin t is u h w s h g s h su b g by h s
al ev u . An e ample rele ant to t i a pect t at can cite rom m e perience ox v h s s h I f y x f
or in in o epa ome o ld e in relation to a partic lar elderl patientw k g H h H s w u b u y
elon in rom t e Maori omm nit e a in i tent t at e a loo edb g g f h C u y. Sh w s s s h sh w s k
a ter omeone elon in to er comm nit it om e co ldf by s b g g h u y w h wh sh u
comm nicate and e at ea e T e ome ad nderta en a pecial recr itmentu b s . h H h u k s u
dri e to accommodate to er need and to t e need o t re patient itv h h s f fu u s w h
imilar re e t t a a relati el emer enc it ation t t e ome did nots qu s . I w s v y g y s u bu h H
deter rom arran in itf g g .
al e di erence d e to c lt ral identitV u s ff u u u y
n compari on to t e p lic ealt care er ice a aila le in e ealand t eI s h ub h h s v s v b N w Z , h
ndian P lic ealt care er ice need to nder o lot o in ra tr ct ralI ub h h s v s u g f f s u u
modi ication partic larl it re pect to anitationf , u y w h s s . ✓
ector al eS v u 4
ame o t e al eN f h V u
T e ector al e am de cri in i airneh s v u I s b g s F ss. ✓
e ine t e al eD f h v u
T e ector al e o airne mainl aim at promotin ocial ticeh s v u f F ss y s g s jus . ✓
Application o al ef v u
T e al e oh v u f airnef ss i an inte ral re irements g qu s in a place c a esu h s N w

ealand ic a ario indi eno comm nitie it lo acce to modernZ wh h h s v us g us u s w h w ss
ealt care acilitieh h f s. ✓
idence o m or place applicationEv f y w k
ile or in in o epa ome ad applied t i al e to c r an notion oWh w k g H h H s, I h h s v u u b y f
di crimination it re pect to m patient treatments w h s y ’s . plicit raci m aEx s h s
al a een a ri in concern in er ice ind trie incl din t at o ealt carew ys b s g s v us s u g h f h h .
o e er at o epa airne o treatment a ollo ed in it literal termH w v , H h , f ss f w s f w s s by
all mem er eca e o r centre a open to patient rom di er eb s b us u w s s f v s
comm nit an o cited incon enience in treatin a patient elon inu y. If y f us v g b g g
rom ome ot er comm nit e or e a ir t co n elled a ain t cf s h u y, h sh w s f s u s g s su h
practice and in ca e o e ere malpractice t e mem er a terminateds f s v , h b w s . itW h
e ecti e comm nication and empat made re t at m er ice a a le toff v u hy, I su h y s v w s b
red ce i not c re t e ailment o a patientu , f u h f .
al e di erence d e to c lt ral identit, V u s ff u u u y
T e al e ma e een di erentl in o r co ntrh v u y b s ff y u u y ndia, I , it re pect to t ew h s h
need and re irement o ario c lt ral comm nitie e i tins qu f v us sub- u u u s x s g t ereh .
Maori al ev u 1
ame o t e al eN f h V u
T e Maori al e am de cri in i o e i eneh v u I s b g s C h s v ss
e ine t e al eD f h v u
T e Maori al e o o e i ene mean a clo e ond or a ociation amonh v u f C h s v ss s s b ss g
mem er elon to t eir ocial and per onal ro pb s b g h s s g u s.
Application o al ef v u
T e al e o o e i ene i applied en important deci ion are needed toh v u f C h s v ss s wh s s
e ta en ndi id al o t e comm nit act to et er to ard a common oalb k . I v u s f h u y g h w s g .
idence o or place applicationEv f w k
ile or in in o epa ome t e ealt care or er elon in to t eWh w k g H h H s, h h h w k s b g g h
Maori omm nit ere o ten o er ed to readil colla orate it or erC u y w f bs v y b w h w k s
rom ot er di cipline to arri e at a concl i e deci ion re ardin a patientf h s s v us v s g g ’s
ealt and ell einh h w -b g.
al e di erence d e to c lt ral identitV u s ff u u u y
T e applica ilit o t i al e a not eld it m c di erence in t e ot erh b y f h s v u w s h w h u h ff h h
comm nitieu s.
Maori al ev u 2

ame o t e al eN f h V u
T e Maori al e am de cri in i pirit ali mh v u I s b g s S u s
e ine t e al eD f h v u
T e Maori al e o pirit ali m mean a in con idera le ait in t e e ecth v u f S u s s h v g s b f h h ff s
o pirit al ideolo ie practiced t e elder in t eir comm nitf s u g s by h s h u y.
Application o al ef v u
T e al e o pirit ali m i applied en t e mem er are aced it cri i inh v u f S u s s wh h b s f w h s s
t eir li e in t i al e t e en ance t eir mental capacit to it tandh v s. By us g h s v u h y h h y w hs
tre l e ent at ors ssfu v s w k.
idence o or place applicationEv f w k
ile or in at o epa ome t e or er rom Maori omm nit o tenWh w k g H h H s, h w k s f C u y f
relied on t eir traditional elie in t e ealin a ilit o nat ral medicineh b fs h h g b y f u s.
al e di erence d e to c lt ral identitV u s ff u u u y
T e al e o pirit alit a percei ed di erentl indi id al o ot erh v u f s u y w s v ff y by v u s f h
c lt ral comm nit eca e t e concept o pirit alit it el emer e rom t eu u u y b us h f s u y s f g s f h
i ni icant di erence in c lt re ic ape t e perception o t i al e ins g f ff u u s wh h sh s h f h s v u
t eir mind pirit alit can e aptl de ined t ro P enomenolo ich . S u y b y f h ugh h gy wh h
tate t at t e mental or odil en ation are percei ed di erentl eacs s h h b y s s s v ff y by h
indi id al ic orm t e a e o t eir pirit al di erencev u wh h f s h b s f h s u ff s.
Maori al ev u 3
ame o t e al eN f h V u
T e Maori al e am de cri in i M t al e pecth v u I s b g s u u R s
e ine t e al eD f h v u
T e Maori al e o M t al e pect mean ond p oldin ono r and di nith v u f u u R s s b s u h g h u g y
e i tin et een t e elder and t e o n ter in t e comm nitx s g b w h s h y u gs s h u y.
Application o al ef v u
T e al e o M t al e pect i applied t e comm nit mem er in t ih v u f u u R s s by h u y b s h s
ealt care acilit to treat eac and e er patient ettin admitted t ere T ih h f y h v y s g g h . h s
al e elp t em to e ndi criminatin and le critical o ot erv u h s h b u s g ss f h s.
idence o or place applicationEv f w k
ile or in in o epa ome on man occa ion a e itne ed mWh w k g H h H s, y s s I h v w ss y
Maori co or er ein en iti e to ard t e need o t e patient e en en-w k s b g s s v w s h s f h s v wh
t e ad to ace di ic lt and r dene rom t e ot er end ent all t eh y h f ff u y u ss f h h . Ev u y, h
patient ere o nd to ond more com orta l it t ems w f u b f b y w h h .
al e di erence d e to c lt ral identitV u s ff u u u y

T e al e i percei ed i percei ed di erentl in term o patience andh v u s v s v ff y s f
en iti it ot all c lt ral attri te en orce t i al e e ecti el and a as s v y. N u u bu s f s h s v u ff v y s
re lt indi id al rom c c lt re are o nd to e more re tle impatientsu v u s f su h u u s f u b s ss,
and e oi tic en t eir entiment are rt ot er e a io r T e Maorig s wh h s s hu by h ’s b h v u . h
c lt re enco ra e it mem er to e more con iderate e en in c allen inu u u g s s b s b s v h g g
it ations u s.
Maori al ev u 4
ame o t e al eN f h V u
T e Maori al e am de cri in i Proacti ene and t oin at reh v u I s b g s v ss Ou g g N u
e ine t e al eD f h v u
T e Maori al e o Proacti ene and t oin at re can e de ined t eh v u f v ss Ou g g N u b f by h
r e o t e comm nit mem er to elp eac ot er it in t e comm nit oru g f h u y b s h h h w h h u y
t o e in needh s .
Application o al ef v u
T e al e i applied in t e proce o deci ion ma in or attendin acti el to ah v u s h ss f s k g g v y
partic lar d tu u y.
idence o or place applicationEv f w k
ile or in at o epa ealt care a e itne ed t at t e al e oWh w k g H h H h , I h v w ss h h v u f
Proacti ene and t oin at re i applied decentl mo t o m Maoriv ss Ou g g N u s y by s f y
co or er in all a pect it in t e acilit e it it re pect to attendin a-w k s s s w h h f y, b w h s g
patient or an a ociated admini trati e nction T e ere read to ta e t ey ss s v fu . h y w y k h
re pon i ilit o a di ic lt ta and o ort it its s b y f ff u sk g f h w h .
al e di erence d e to c lt ral identitV u s ff u u u y
At an or place t i al e i t e mo t loo ed or in all emplo ee and ity w k h s v u s h s k f y s
e entiall doe not depend on c lt ral di erence amon indi id al toss y s u u ff s g v u s
internali e it and act on it term t i one o t e trait c aracteri tic in ans s s. I s f h h s s
indi id al ic determine i t e per on o ld act proacti el in a i env u wh h s f h s w u v y g v
it ation or nots u .
Paci i a al ef k v u 1
ame o t e al eN f h V u
T e Paci i a al e am de cri in i o pitalith f k v u I s b g s H s y
e ine t e al eD f h v u
T e Paci i a al e o o pitalit mean ole ome en a ement it t eh f k v u f H s y s wh s g g w h h

c tomer in t i it ation patient in term o deli erin a per t eir needus s, h s s u , s s f v g s h s.
Application o al ef v u
T e al e o o pitalit i applied all ind trie in er ice ector ere t eh v u f H s y s by us s s v s s wh h
re en e enerated depend el on t e alit o er ice pro ided to t ev u g s hug y h qu y f s v v h
c tomer and t e interaction it t emus s h w h h .
idence o or place applicationEv f w k
ile or in at o epa ome o nd m Paci i a co or er i in eWh w k g H h H s, I f u y f k -w k s g v g hug
importance on t e alit o ealt care acilitie t e ere pro idin to t eh qu y f h h f s h y w v g h
patient and al o t e laid e importance on t e con enience o t e patients s h y hug h v f h
party.
al e di erence d e to c lt ral identitV u s ff u u u y
T e application o o pitalit i di erent or di erent c lt re and it ih f h s y s ff f ff u u s s
determined t eir nat re o interaction it t eir c tomer A c lt re li eby h u f w h h us s. u u k
t at o Paci i a emp a i e on maintainin ood relation it t o e o areh f f k s h s z s g g s w h h s wh
main enerator o t e ine re en e doin o not onl t e ineg s f h bus ss v u . By g s , y h bus ss
ill economicall pro per t it ill a e a ood ill in t e mar etw y s bu w h v g w h k .
Paci i a al ef k v u 2
ame o t e al eN f h V u
T e Paci i a al e am de cri in i indneh f k v u I s b g s K ss
e ine t e al eD f h v u
T e Paci i a al e o indne mean elpin ot er to e perience le treh f k v u f K ss s h g h s x ss s ss
and li e a meanin l li ev gfu f .
Application o al ef v u
T e al e o indne i applied all indi id al o are empat etic andh v u f K ss s by v u s wh h
optimi tic nat re and t o e o ant to ma e t i orld a etter place tos by u h s wh w k h s w b
li e inv .
idence o or place applicationEv f w k
ile or in at o epa ome itne ed t e indne o m Paci i a coWh w k g H h H s, I w ss h k ss f y f k -
or er on man occa ion e peciall it t o e in t e c ildren ard T o ew k s y s s, s y w h h s h h ’s w . h s
c ildren erin rom di a ilit need indne more t an an t in o t ath suff g f s b y k sss h y h g s h
t e did not lo e ope in t eir c ance to et etterh y s h h h s g b .
al e di erence d e to c lt ral identitV u s ff u u u y
T e al e o indne i o ten mi con tr ed or mi interpreted ot erh v u f k ss s f s s u s by h
in id al o pre me t at indne i a a to in o er ot er to er e t eirv u s wh su h k ss s w y w v h s s v h
o n p rpo e t t picall depend on t at per on c lt ral entit ic in tilw u s . I y y s h s ’s u u y wh h s s

c ne ati e con ect re a o t ot ersu h g v j u s b u h s.
Paci i a al ef k v u 3
ame o t e al eN f h V u
T e Pa i i a al e am de cri in i ocia ilith s f k v u I s b g s S b y
e ine t e al eD f h v u
T e Paci i a al e o ocia ilit ma e de ined a t e illin ne to e ith f k v u f S b y y b f s h w g ss b w h
ot er or or in it ot er indi id al in ood termh s w k g w h h v u s g s.
Application o al ef v u
T e al e o ocia ilit i applied in or ettin to impro e t e interper onalh v u f S b y s w k s gs v h s
relation amon emplo ee it t e perior ordinate and c tomers g y s, w h h su s, sub s us s,
o in t i ca e are patientwh h s s s
idence o or place applicationEv f w k
ile or in at o epa ome m Paci i a co or er re lected iWh w k g H h H s, y f k -w k s f h gh
competenc in t eir d tie T eir ocia le nat re a al o em lated t roy h u s. h s b u w s s u h ugh
t eir emotional intelli ence and people oc ed attri te ein i lh g -f uss bu s. B g h gh y
ocia le t e di pla ed con idera le le i ilit in t eir or c ed le T eirs b h y s y s b f x b y h w k s h u s. h
empat etic approac to ard t eir co or er dilemma tre and cri ih h w s h -w k ’s s, s ss s s
a al o notedw s s .
al e di erence d e to c lt ral identitV u s ff u u u y
T e al e i tar l di tin i ed a di erent in ot er c lt re e peciall t eh v u s s k y s gu sh s ff h u u s, s y h
con er ati e one o li e to e con ined it in t eir o n circle and ors v v s wh k b f w h h w s w k
it in itw h .
Paci i a al ef k v u 4
ame o t e al eN f h V u
T e Paci i a al e am de cri in i tron il lneh f k v u I s b g s S g W fu ss
e ine t e al eD f h v u
T e Paci i a al e o tron il lne mean tron per i tence andh f k v u f S g W fu ss s s g s s
dedication in di c ar in one d ts h g g ’s u y.
Application o al ef v u
T e al e o tron il lne i applied in or ettin ic a eh v u f S g W fu ss s w k s g wh h h s hug
pre re and tre l re pon i ilitie it i an ea ier option to it t to tassu s ssfu s s b s. s s qu bu s y
t ro t e or and et it done in it ri t l nat re re ire tronh ugh h w k g s gh fu u qu s s g
il lnew fu ss.

idence o or place applicationEv f w k
i toricall pea in mem er o Paci i a comm nit ad immi rated romH s y s k g, b s f f k u y h g f
ot er co ntrie and t at lead t em to ild a tron ill to ard e ta li inh u s h h bu s g w w s s b sh g
t eir c lt ral a pect and lendin t em it ot er attri te T i a pect ih u u s s b g h w h h bu s. h s s s
re lected till date n m or place m paci i a co or er do not it ea ilf . I y w k , y f k -w k s qu s y
on t e el are o an patient o e condition i critical and tri e till t e la th w f f y wh s s s v h s
moment to elp t em et etterh h g b .
al e di erence d e to c lt ral identitV u s ff u u u y
T e al e o tron il lne i o ten mi nder tood or ead tronh v u f s g w fu ss s f su s f h s g,
rec le ne and ein dominatin indi id al o ot er c lt rek ss ss b g g by v u s f h u u s.
Ta A Per on entred Approac to ell einsk 5 : s -C h W -B g
Per on entred Approac re er to a er ice de i n in ealt care t ats -C h f s s v s g h h h
oc e on a c tomi ed pat o caterin to t e need o t e patient ta in allf us s us z h f g h s f h s k g
t eir pre erence c lt ral al e and in i ition into con ideration T ih f s, u u v u s h b s s . h s
approac ollo certain core principle o el determination patience ildinh f ws s f s f- , , bu g
rapport it t e patient moti atin t em to ace t eir c allen e and al ow h h s, v g h f h h g s s ,
i in t em a certain de ree o a tonom to deal it li e Per on centricg v g h g f u y w h f . s -
approac re ire ade ate pport and ndin rom t e o ernment or t eh qu s qu su fu g f h G v f h
ealt or er to ta e important clinical deci ion pertainin to patient ellh h w k s k s s g ’s w -
einb g (Pania agu , 2013 n addition to t i indi id al elon in to t e indi eno). I h s, v u s b g g h g us
comm nitie li e Maori Tri e re ire dicio trainin on ocial el are andu s, k b , qu ju us g S W f
d cation to elp maintain t e c lt ral en iti itie o t e patient elon in toE u h h u u s s v s f h s b g g
t eir comm nith u y.
Ta o Per on entric Approac to ell ein i in l enced Msk 5B: H w s -C h W -B g s f u by y
lt ral dentitCu u I y
ein an ndian m et nicit i ric in pirit al and reli io elie icB g I , y h y s h s u g us b fs wh h
encompa a rea ona le area in ealt are practice t er e to ma e t ess s b H h-C s. I s v s k h
ealin approac more oli tic and compa ionate t m t e added t ath g h h s ss . I us b h
irre pecti e o c lt re and et nicit t e ndamental concept o ealin lie ins v f u u h y, h fu f h g s
ein empat etic to ard t e patient and caterin to t eir emotional andb g h w s h s g h

pirit al needs u s (M ammaduh
et al., 2015) it re ard to per on centric. W h g s s -
approac in ealt care m c lt ral ac ro nd a pla ed a ma or role inh h h , y u u b kg u h s y j
nder tandin t e re irement o t i propo ition t compri e o impro in t eu s g h qu s f h s s . I s s f v g h
li e t le o t e patient and not onl treatin t eir di ea e or di a ilitie t if s y s f h y g h s s s b s. I s
a o t tren t enin t e mental con iction o t e patient t at t e canb u s g h g h v f h s h h y
o ercome t eir c allen e T i proced re a let patient a ail t eir treatmentv h h g . h s u h s s v h s
a and en needed t em Ta in c e rom t e oodne o m c lt re ads wh by h . k g u s f h g ss f y u u , I h
een a le to impro e t e alit o m patient li e enco ra in t em to eatb b v h qu y f y ’s v s by u g g h
ealt e erci e and nder o p c olo ical inter ention alon ith hy, x s u g sy h g v s g w h
con entional p armacolo ical admini tration T i er ice a not onl elped t ev h g s . h s s v h s y h h
patient to e a are o t eir ealt re irement t a tantiall red ceds b w f h h h qu s bu h s subs y u
t e co t o treatment t ma in me more con ident a o t m potential toh s f , hus k g f b u y
er e t ems v h . ✓
e erenceR f s
Ad er arnett ro n Mar all rien lt ralg , W. N., B , J., B w , K., sh , N., & O'B , K. (2013). Cu u
dimen ion o climate c an e impact and adaptations s f h g s .
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di er e or orce To ard e ita le and peace l ealt carev s w kf s: w qu b fu h h .
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ei o r ood e ect on Maori ealt and racial di crimination inN ghb u h ff s h h s
Aotearoa e ealand/N w Z .
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S S & ,
88, 76-82.
ro am aar M ollecti i m c lt ral identit and emplo eeB ugh , D., & H , J. . (2013). C v s , u u y y
mental ealt A t d o e ealand Maorih h: s u y f N w Z .
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s s h,
114(3), 1143-1160.
M ammad M aller tein man A A ila M elone ranuh , ., W s , N., Suss , . L., v , ., B , L., & Du , B.
e lection on re earc er identit and po er T e impact o(2015). R f s s h y w : h f

po itionalit on comm nit a ed participator re earc P proce es y u y b s y s h (CB R) ss s
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ritical ociolo
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gu a e P lication. S g ub s.
Pania a A amada A M dgu , F. ., & Y , . . (E s.). (2013).
and oo o m ltic lt ral mental
H b k f u u u
ealt A e ment and treatment o di er e pop lation
h h: ss ss
f v s u s Academic Pre. ss.
en on r i in ottom T e e o oc ed et no rap inV z C uz, E., & H gg b , G. (2013). h us f f us h g hy
n r in re earcu s g s h.
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cellent re erencinEx f g!