title: Ceremonious storytelling: Exploring experiences within the publicly funded health service

authors: Mellsop-Kupe, Jessie

subjects: Māori health

abstract: Background: Chronic disease is defined as a condition impacting organs or organ systems causing dysfunction or dysregulation that lasts longer than six months or remains, despite medical intervention or treatment.  Research has shown that barriers, including those of a financial, physical, institutional and patient orientated nature significantly impact on outcomes. Māori are significantly over-represented in chronic health condition statistics, particularly relating to cardiac, respiratory, renal and mental health.  Further, Māori are more likely to have a negative experience engaging with primary and secondary health services, leading to disempowerment and dis-engagement. Therefore, research which explores how quality of care for Māori can be improved is of pressing value.

Objective: This study seeks to explore the experiences of Māori and non-Māori health-care consumers and providers within the publicly funded health service of Aotearoa. 
 
Participants: Advertising across primary and secondary care settings resulted in a total of 37 responses from health care consumers (31 respondents contributing to pūrākau) and 37 responses from health professionals (27 respondents contributing to pūrākau).

Methods: This study utilised kaupapa Māori methodological approaches, frameworks and models to guide and intertwine qualitative and quantitative research methods.  Participants were able to engage with any subset of questions, defining their responses through pūrākau, which supports the development of narratives within questions that are outside the limits of other worldviews.  Māori methods such as pūrākau are flexible, enabling the development of research methods that are culturally aware and safe for Indigenous and non-Indigenous people globally

Results: Key themes found within pūrākau highlighted the importance of meaningful engagement, person focused, trauma informed care to positively impact willingness and ability to engage with primary, secondary and tertiary services.  The study reported that consumers had a strong willingness to engage with services.

Conclusion: Health is personal and impacts people in various ways.  Access to health services, while funded in Aotearoa, still create barriers for some people and perpetuates the gap between prevention and diagnosis of chronic disease.  Kaupapa Māori methods within research support Māori engagement and definition within research through historical ways of being, knowing and conducting research.  Participants of this study detailed experiences within health services, highlighting willingness and ability to engage with health services.  Prior research defined the development of the Levesque access and accessibility framework, which correlates with the findings within this study."

text: Ceremonious storytelling: Exploring experiences within the publicly funded health service Background: Chronic disease is defined as a condition impacting organs or organ systems causing dysfunction or dysregulation that lasts longer than six months or remains, despite medical intervention or treatment.  Research has shown that barriers, including those of a financial, physical, institutional and patient orientated nature significantly impact on outcomes. Māori are significantly over-represented in chronic health condition statistics, particularly relating to cardiac, respiratory, renal and mental health.  Further, Māori are more likely to have a negative experience engaging with primary and secondary health services, leading to disempowerment and dis-engagement. Therefore, research which explores how quality of care for Māori can be improved is of pressing value.

Objective: This study seeks to explore the experiences of Māori and non-Māori health-care consumers and providers within the publicly funded health service of Aotearoa. 
 
Participants: Advertising across primary and secondary care settings resulted in a total of 37 responses from health care consumers (31 respondents contributing to pūrākau) and 37 responses from health professionals (27 respondents contributing to pūrākau).

Methods: This study utilised kaupapa Māori methodological approaches, frameworks and models to guide and intertwine qualitative and quantitative research methods.  Participants were able to engage with any subset of questions, defining their responses through pūrākau, which supports the development of narratives within questions that are outside the limits of other worldviews.  Māori methods such as pūrākau are flexible, enabling the development of research methods that are culturally aware and safe for Indigenous and non-Indigenous people globally

Results: Key themes found within pūrākau highlighted the importance of meaningful engagement, person focused, trauma informed care to positively impact willingness and ability to engage with primary, secondary and tertiary services.  The study reported that consumers had a strong willingness to engage with services.

Conclusion: Health is personal and impacts people in various ways.  Access to health services, while funded in Aotearoa, still create barriers for some people and perpetuates the gap between prevention and diagnosis of chronic disease.  Kaupapa Māori methods within research support Māori engagement and definition within research through historical ways of being, knowing and conducting research.  Participants of this study detailed experiences within health services, highlighting willingness and ability to engage with health services.  Prior research defined the development of the Levesque access and accessibility framework, which correlates with the findings within this study."

year: 2024-07-27

title: Maori and Pakeha at Te Aroha: the context: 1: Pakeha perceptions of Maori

authors: Hart, Philip

abstract: Interaction between Maori and Pakeha was unavoidable in the nineteenth century. Although Maori were commonly considered to be superior to other uncivilized races, in general the stereotyping of Maori was more negative than positive, for it was assumed that they needed to be raised to the level of Pakeha. Maori were seen as being capable of high achievements, but only if they abandoned their feckless and lazy ways along with their customs and superstitions; instead, they should adopt the best of Western civilization rather than the worst, as was believed to be all too common. Being somewhat child-like, they needing Pakeha guidance to attain their potential. An underlying fear remained that they were potentially dangerous, with their old savage ways lurking under the veneer of adopting European clothes and some European customs. 
Sometimes they were viewed as having too much influence on government policy, partly through the legacy of the Treaty of Waitangi and partly through the machinations of Pakeha Maori. Increasingly, as the often-admired ‘old time’ rangatira, died, the newer generation of lower class Maori were patronized or mocked for their poor English and assumed stupidity. Yet always there were some Pakeha who had good relations with Maori, meaning that intermarriage was neither unusual nor (openly at least) condemned.

text: Maori and Pakeha at Te Aroha: the context: 1: Pakeha perceptions of Maori Interaction between Maori and Pakeha was unavoidable in the nineteenth century. Although Maori were commonly considered to be superior to other uncivilized races, in general the stereotyping of Maori was more negative than positive, for it was assumed that they needed to be raised to the level of Pakeha. Maori were seen as being capable of high achievements, but only if they abandoned their feckless and lazy ways along with their customs and superstitions; instead, they should adopt the best of Western civilization rather than the worst, as was believed to be all too common. Being somewhat child-like, they needing Pakeha guidance to attain their potential. An underlying fear remained that they were potentially dangerous, with their old savage ways lurking under the veneer of adopting European clothes and some European customs. 
Sometimes they were viewed as having too much influence on government policy, partly through the legacy of the Treaty of Waitangi and partly through the machinations of Pakeha Maori. Increasingly, as the often-admired ‘old time’ rangatira, died, the newer generation of lower class Maori were patronized or mocked for their poor English and assumed stupidity. Yet always there were some Pakeha who had good relations with Maori, meaning that intermarriage was neither unusual nor (openly at least) condemned.

year: 2016

title: Analysis of adaptive reactive control systems for autonomous mobile robots

authors: Brightwell, Gary

abstract: This thesis presents techniques developed for the robust reactive control of autonomous mobile robots navigating in complex environments. Traditional approaches have adopted a top-down perspective by focusing on the reasoning part of path-planning. In contrast, this thesis tackles planning from a bottom-up perspective which is characterised by a tight coupling between perception and action.

With this view in mind, control systems ranging from pure reactive controllers to controllers that can construct spatial representations of the environment are investigated. Hand-designed techniques as well as evolutionary approaches are developed and analysed. Quantitative simulation experiments measuring the performance of each control system are presented along with a new algorithm for developing topological maps of the environment from laser range-finder sensory information.

text: Analysis of adaptive reactive control systems for autonomous mobile robots This thesis presents techniques developed for the robust reactive control of autonomous mobile robots navigating in complex environments. Traditional approaches have adopted a top-down perspective by focusing on the reasoning part of path-planning. In contrast, this thesis tackles planning from a bottom-up perspective which is characterised by a tight coupling between perception and action.

With this view in mind, control systems ranging from pure reactive controllers to controllers that can construct spatial representations of the environment are investigated. Hand-designed techniques as well as evolutionary approaches are developed and analysed. Quantitative simulation experiments measuring the performance of each control system are presented along with a new algorithm for developing topological maps of the environment from laser range-finder sensory information.

year: 1999