title: Perspectives and expectations of person-centred and equitable cancer nursing care

authors: Leow, Clara

subjects: Person-centred

abstract: Abstract
Background: The rising prevalence of cancer in New Zealand calls for a need to improve person-centred and equitable cancer nursing care, in order to enhance patient outcomes and alleviate burden on the healthcare system. However, achieving this can prove to be a challenge due to the increase in cultural diversity amongst patients and nurses. Therefore, understanding and embracing the perspectives and expectations of both patients and nurses would be beneficial and crucial to raising awareness and bridging gaps that could jeopardise person-centred and equitable cancer nursing care. With only one inpatient ward within the region, the acute Haematology and Oncology ward within Health New Zealand - Te Whatu Ora Waikato is no exception to these challenges. 

Objective: This research aims to explore the perspectives and expectations of patients and nurses in an acute Haematology and Oncology ward within Health New Zealand - Te Whatu Ora Waikato.

Participants: Six patients from the inpatient ward were purposefully recruited in the qualitative phase according to the sampling framework, and through the application of inclusion, and exclusion criteria. All 53 registered nurses were invited to participate in an anonymous online survey during the quantitative phase. However, only 15 registered nurses responded. 

Methods: This exploratory sequential mixed methods research consisted of an initial qualitative phase that explored the perspectives and expectations of patients using semi-structured interviews. Braun and Clarke’s reflexive thematic analysis was utilised to identify themes from the interviews. An anonymous online Likert scale survey was then developed for registered nurses in the quantitative phase. Data from the surveys were analysed using descriptive statistics. 

Findings: Four main themes emerged from patient interviews as important aspects of person-centred and equitable cancer care to patients: (i) Holistic needs and care, (ii) Involving and engaging support system, (iii) Barriers and challenges, and (iv) Nursing roles and patient engagement. However, findings from staff surveys revealed that nurses had varying perspectives and were not consistently providing care that patients valued. When both data sets were compared, it was evident that there were significant misalignments in the perspectives and expectations of person-centred and equitable care between patients and nurses. 

Conclusion: Understanding and embracing the perspectives and expectations of patients and nurses in cancer care is a pivotal aspect to achieving person-centred and equitable care in New Zealand. However, barriers such as misaligned perspectives and expectations between patients and nurses can negatively impact the delivery of individualised care. As a result, this increases the risk for more unfavourable treatment outcomes and complications, thereby also placing more pressure on the already strained healthcare system. While this study has provided valuable insights, further research may be required to increase the generalisability and robustness of this topic. In addition, implementation of strategies, and interventions to encourage the alignment of perspectives and expectations between patients and nurses should also be explored at different levels of cancer care, including the incorporation of policy, educational and clinical support.

text: Perspectives and expectations of person-centred and equitable cancer nursing care Abstract
Background: The rising prevalence of cancer in New Zealand calls for a need to improve person-centred and equitable cancer nursing care, in order to enhance patient outcomes and alleviate burden on the healthcare system. However, achieving this can prove to be a challenge due to the increase in cultural diversity amongst patients and nurses. Therefore, understanding and embracing the perspectives and expectations of both patients and nurses would be beneficial and crucial to raising awareness and bridging gaps that could jeopardise person-centred and equitable cancer nursing care. With only one inpatient ward within the region, the acute Haematology and Oncology ward within Health New Zealand - Te Whatu Ora Waikato is no exception to these challenges. 

Objective: This research aims to explore the perspectives and expectations of patients and nurses in an acute Haematology and Oncology ward within Health New Zealand - Te Whatu Ora Waikato.

Participants: Six patients from the inpatient ward were purposefully recruited in the qualitative phase according to the sampling framework, and through the application of inclusion, and exclusion criteria. All 53 registered nurses were invited to participate in an anonymous online survey during the quantitative phase. However, only 15 registered nurses responded. 

Methods: This exploratory sequential mixed methods research consisted of an initial qualitative phase that explored the perspectives and expectations of patients using semi-structured interviews. Braun and Clarke’s reflexive thematic analysis was utilised to identify themes from the interviews. An anonymous online Likert scale survey was then developed for registered nurses in the quantitative phase. Data from the surveys were analysed using descriptive statistics. 

Findings: Four main themes emerged from patient interviews as important aspects of person-centred and equitable cancer care to patients: (i) Holistic needs and care, (ii) Involving and engaging support system, (iii) Barriers and challenges, and (iv) Nursing roles and patient engagement. However, findings from staff surveys revealed that nurses had varying perspectives and were not consistently providing care that patients valued. When both data sets were compared, it was evident that there were significant misalignments in the perspectives and expectations of person-centred and equitable care between patients and nurses. 

Conclusion: Understanding and embracing the perspectives and expectations of patients and nurses in cancer care is a pivotal aspect to achieving person-centred and equitable care in New Zealand. However, barriers such as misaligned perspectives and expectations between patients and nurses can negatively impact the delivery of individualised care. As a result, this increases the risk for more unfavourable treatment outcomes and complications, thereby also placing more pressure on the already strained healthcare system. While this study has provided valuable insights, further research may be required to increase the generalisability and robustness of this topic. In addition, implementation of strategies, and interventions to encourage the alignment of perspectives and expectations between patients and nurses should also be explored at different levels of cancer care, including the incorporation of policy, educational and clinical support.

year: 2025

title: Art that moves and re imagines place: a case-study on Tron Rocks

authors: Adams-Hutcheson, Gail

subjects: Mobilities

abstract: This workshop and presentation pushes into public art spaces and mobilities by drawing attention to place, environmental exploration, movement and the politics of care and kindness. Ideas loop back to, and are inspired by Peter Young’s 2015 documentary The Art of Recovery and the Lost and Found Project’s (2012) crafts of kindness in Christchurch post-disaster cityscapes. Here I present an autobiographical account of engaging with Waikato spaces and art through Hamilton’s Tron Rock group. The Tron, the colloquial name for Hamilton, is one of the country’s major nexus for painting and hiding rocks in and around urban spaces, public gardens, parks, lakes and the university campus. By painting rocks and ‘releasing them into the wild,’ participants use the online platform Facebook to facilitate a game of treasure hunting. The core politics that facilitate the ‘game’ is environmental respect, gifting and sharing art. Art is mobilised, it literally and emotionally moves, with shared journeys documented on Tron Rock sites. The thrill of discovery and sharing has mobilised groups of children and adults, as artists who reconfigure places by hiding rocks. I argue that geography and mobilites are crucial to think about how Tron Rocks has dynamically changed people-place engagements, as well as the breakdown of the categorisation of art as site-specific. Art literally travels. Rocks continue, may return or may never be seen again, it is all part of the game. I invite participants to this workshop to create their own rock and either keep it, set it free during the Symposium or hide elsewhere.

text: Art that moves and re imagines place: a case-study on Tron Rocks This workshop and presentation pushes into public art spaces and mobilities by drawing attention to place, environmental exploration, movement and the politics of care and kindness. Ideas loop back to, and are inspired by Peter Young’s 2015 documentary The Art of Recovery and the Lost and Found Project’s (2012) crafts of kindness in Christchurch post-disaster cityscapes. Here I present an autobiographical account of engaging with Waikato spaces and art through Hamilton’s Tron Rock group. The Tron, the colloquial name for Hamilton, is one of the country’s major nexus for painting and hiding rocks in and around urban spaces, public gardens, parks, lakes and the university campus. By painting rocks and ‘releasing them into the wild,’ participants use the online platform Facebook to facilitate a game of treasure hunting. The core politics that facilitate the ‘game’ is environmental respect, gifting and sharing art. Art is mobilised, it literally and emotionally moves, with shared journeys documented on Tron Rock sites. The thrill of discovery and sharing has mobilised groups of children and adults, as artists who reconfigure places by hiding rocks. I argue that geography and mobilites are crucial to think about how Tron Rocks has dynamically changed people-place engagements, as well as the breakdown of the categorisation of art as site-specific. Art literally travels. Rocks continue, may return or may never be seen again, it is all part of the game. I invite participants to this workshop to create their own rock and either keep it, set it free during the Symposium or hide elsewhere.

year: 2018

title: Applying the Ka Awatea model to Māori students’ experiences at university

authors: Derby, Melissa

abstract: Understanding key factors that contribute to (or negatively impact on) Māori student success can: 
• Promote the development of better policy that supports Māori students to achieve educational success; 
• Aid in targeting resources to support success; 
• Encourage a move away from deficit insinuation that the challenges some Māori face in education are based on ethnicity; and 
• Promote better understanding of contextual factors and the myriad of things that contribute to the outcomes we experience.

text: Applying the Ka Awatea model to Māori students’ experiences at university Understanding key factors that contribute to (or negatively impact on) Māori student success can: 
• Promote the development of better policy that supports Māori students to achieve educational success; 
• Aid in targeting resources to support success; 
• Encourage a move away from deficit insinuation that the challenges some Māori face in education are based on ethnicity; and 
• Promote better understanding of contextual factors and the myriad of things that contribute to the outcomes we experience.

year: 2022-11-16