title: Characteristics of and differences between Pasifika women and New Zealand European women diagnosed with breast cancer in New Zealand

authors: Brown, Charis

abstract: AIM: Breast cancer in New Zealand-based Pasifika women is a significant issue. Although Pasifika women have a lower incidence of breast cancer compared to New Zealand European women, they have higher breast cancer mortality and lower five-year survival. The aim of this study was to describe the characteristics and tumour biology of Pasifika women and to compare New Zealand European women to identify what factors impact on early (Stage 1 and 2) vs advanced stage (Stage 3 and 4) at diagnosis. METHOD: Data on all Pasifika and New Zealand European women diagnosed with breast cancer (C50) during the period 1 June 2000 to 31 May 2013 was extracted from the Auckland and Waikato Breast Cancer Registries. Descriptive tables and Chi-square test were used to examine di erences in characteristics and tumour biology between Pasifika and New Zealand European women. Logistic regression was used to identify factors that contributed to an increased risk of advanced stage at diagnosis. RESULTS: A significantly higher proportion of Pasifika women had advanced disease at diagnosis compared to New Zealand European women (33.3% and 18.3%, respectively). Cancer biology in Pasifika women was more likely to be: 1) HER2+, 2) ER/PR negative and 3) have a tumour size of ≥50mm. Pasifika women live in higher deprivation areas of 9–10 compared to New Zealand European women (55% vs 14%, respectively) and were less likely to have their cancer identified through screening. Logistic regression showed that if Pasifika women were on the screen-detected pathway they had similar odds (not sig.) of having advanced disease at diagnosis to New Zealand European women. CONCLUSION: Mode of detection, deprivation, age and some biological factors contributed to the di erence in odds ratio between Pasifika and New Zealand European women. For those of screening age, adherence to the screening programme and improvements in access to earlier diagnosis for Pasifika women under the current screening age have the potential to make a substantial di erence in the number of Pasifika women presenting with late-stage disease.

text: Characteristics of and differences between Pasifika women and New Zealand European women diagnosed with breast cancer in New Zealand AIM: Breast cancer in New Zealand-based Pasifika women is a significant issue. Although Pasifika women have a lower incidence of breast cancer compared to New Zealand European women, they have higher breast cancer mortality and lower five-year survival. The aim of this study was to describe the characteristics and tumour biology of Pasifika women and to compare New Zealand European women to identify what factors impact on early (Stage 1 and 2) vs advanced stage (Stage 3 and 4) at diagnosis. METHOD: Data on all Pasifika and New Zealand European women diagnosed with breast cancer (C50) during the period 1 June 2000 to 31 May 2013 was extracted from the Auckland and Waikato Breast Cancer Registries. Descriptive tables and Chi-square test were used to examine di erences in characteristics and tumour biology between Pasifika and New Zealand European women. Logistic regression was used to identify factors that contributed to an increased risk of advanced stage at diagnosis. RESULTS: A significantly higher proportion of Pasifika women had advanced disease at diagnosis compared to New Zealand European women (33.3% and 18.3%, respectively). Cancer biology in Pasifika women was more likely to be: 1) HER2+, 2) ER/PR negative and 3) have a tumour size of ≥50mm. Pasifika women live in higher deprivation areas of 9–10 compared to New Zealand European women (55% vs 14%, respectively) and were less likely to have their cancer identified through screening. Logistic regression showed that if Pasifika women were on the screen-detected pathway they had similar odds (not sig.) of having advanced disease at diagnosis to New Zealand European women. CONCLUSION: Mode of detection, deprivation, age and some biological factors contributed to the di erence in odds ratio between Pasifika and New Zealand European women. For those of screening age, adherence to the screening programme and improvements in access to earlier diagnosis for Pasifika women under the current screening age have the potential to make a substantial di erence in the number of Pasifika women presenting with late-stage disease.

year: 2017

title: Settling in: Korean international students as English language learners in New Zealand

authors: Lee, Jinah

subjects: Korean international students

abstract: This small-scale study examines the initial settlement period of Korean international students in New Zealand. Using Bour-dieu’s (2018) theory of social and cultural capital, the ethnographic research explores the settlement experiences of these students. The findings reveal that participants face significant challenges in adapting to new social and cultural practices, along with a notable lack of social support during this transition. Most prominently, they identify English language profi-ciency as the primary barrier to successful settlement. As both an insider and outsider, the researcher reflects on the par-ticipants' stories and analyzes them through the lens of her own experiences. The findings provide valuable insights for supporting the return of international students to countries such as New Zealand and the Republic of Korea in the post-pandemic era, with a particular focus on improving support services and enhancing sustainability.

text: Settling in: Korean international students as English language learners in New Zealand This small-scale study examines the initial settlement period of Korean international students in New Zealand. Using Bour-dieu’s (2018) theory of social and cultural capital, the ethnographic research explores the settlement experiences of these students. The findings reveal that participants face significant challenges in adapting to new social and cultural practices, along with a notable lack of social support during this transition. Most prominently, they identify English language profi-ciency as the primary barrier to successful settlement. As both an insider and outsider, the researcher reflects on the par-ticipants' stories and analyzes them through the lens of her own experiences. The findings provide valuable insights for supporting the return of international students to countries such as New Zealand and the Republic of Korea in the post-pandemic era, with a particular focus on improving support services and enhancing sustainability.

year: 2024

title: Māori whānau experiences of a neonatal intensive care unit: Waikato hospital

authors: Thompson, Keri

subjects: Maori whanau narratives

abstract: This thesis topic emerged from my personal experience of having a premature baby in the Neonatal Intensive Care Unit (NICU) at Waikato hospital.  My whānau and I felt like aliens; culturally inept, and totally alone during our time in the NICU.  It was not until I spoke to other Māori mothers that I realised our stories were similar.   

I sought to understand how other Māori whānau members made sense of their own experiences, how they coped/adjusted to the experience of having a premature baby in an NICU and at home, and the sources of support they utilised. This study did not seek to delineate parents' experiences but attempted to allow whānau members to share their stories and explore their experiences of having a premature or special-care baby in an NICU.

The event of childbirth and the placing of a natural event into a pathological illness model through necessity has repercussions for the ways in which women experience and make sense of the event.  Knowing this, six whānau stories were collected comprising of four individual interviews with the mothers and two whānau hui (focus groups).  My use of a narrative methodology and kaupapa Māori approach enabled all the participants the opportunity to share their stories on how they make sense of their own experiences without the frame of pathological illness. 

The findings present each whānau story autonomously, to highlight the key events that   occur once the birth of a premature/special-care infant is admitted into an NICU. The participants' narratives followed their transitions through an NICU and return home. The narrative analysis and discussion confirmed that this research had been successful in creating a space for the mothers and their whānau members to share their stories.  The discussion combined their narratives to reveal that the effective coping strategies did not remove the sources of stress but rather lessened the impact of the stresses.  In situations where sources of stress were unable to be removed or reduced, participants perceptions of ineffective coping translated into narratives of negative perceptions of the NICU, and birthing experience. 

The importance of positive relationships within an NICU, and in particular, the role of the nurse as a key facilitator, highlighted that efficacious communication resulted in positive experiences for Māori whānau.  Whānau support was identified as one of the most important coping strategies for mothers in the NICU.  Those participants who were encouraged to maintain connections with whānau members reported more positive experiences overall.

Three levels of implications were identified in this research. Firstly, that the participants'narratives provided a range of coping strategies for future Māori parents and their whānau who enter an NICU.  Secondly, there are implications for NICU policy, and best practice particularly when supporting Māori in an NICU environment.  Lastly, the narratives provided meaningful insights that contribute to gaps in local, national, and international literature.  Overall, I realised that just like me, these mothers, and other whānau members, constructed narratives that are meaningful accounts to be shared with others.

text: Māori whānau experiences of a neonatal intensive care unit: Waikato hospital This thesis topic emerged from my personal experience of having a premature baby in the Neonatal Intensive Care Unit (NICU) at Waikato hospital.  My whānau and I felt like aliens; culturally inept, and totally alone during our time in the NICU.  It was not until I spoke to other Māori mothers that I realised our stories were similar.   

I sought to understand how other Māori whānau members made sense of their own experiences, how they coped/adjusted to the experience of having a premature baby in an NICU and at home, and the sources of support they utilised. This study did not seek to delineate parents' experiences but attempted to allow whānau members to share their stories and explore their experiences of having a premature or special-care baby in an NICU.

The event of childbirth and the placing of a natural event into a pathological illness model through necessity has repercussions for the ways in which women experience and make sense of the event.  Knowing this, six whānau stories were collected comprising of four individual interviews with the mothers and two whānau hui (focus groups).  My use of a narrative methodology and kaupapa Māori approach enabled all the participants the opportunity to share their stories on how they make sense of their own experiences without the frame of pathological illness. 

The findings present each whānau story autonomously, to highlight the key events that   occur once the birth of a premature/special-care infant is admitted into an NICU. The participants' narratives followed their transitions through an NICU and return home. The narrative analysis and discussion confirmed that this research had been successful in creating a space for the mothers and their whānau members to share their stories.  The discussion combined their narratives to reveal that the effective coping strategies did not remove the sources of stress but rather lessened the impact of the stresses.  In situations where sources of stress were unable to be removed or reduced, participants perceptions of ineffective coping translated into narratives of negative perceptions of the NICU, and birthing experience. 

The importance of positive relationships within an NICU, and in particular, the role of the nurse as a key facilitator, highlighted that efficacious communication resulted in positive experiences for Māori whānau.  Whānau support was identified as one of the most important coping strategies for mothers in the NICU.  Those participants who were encouraged to maintain connections with whānau members reported more positive experiences overall.

Three levels of implications were identified in this research. Firstly, that the participants'narratives provided a range of coping strategies for future Māori parents and their whānau who enter an NICU.  Secondly, there are implications for NICU policy, and best practice particularly when supporting Māori in an NICU environment.  Lastly, the narratives provided meaningful insights that contribute to gaps in local, national, and international literature.  Overall, I realised that just like me, these mothers, and other whānau members, constructed narratives that are meaningful accounts to be shared with others.

year: 2009