title: Ascending the Poutama: Culturally responsive diabetes care for Māori communities

authors: Crosswell, Rebekah Jane

subjects: culturally responsive

abstract: Introduction
Type 2 diabetes (T2D) significantly impacts Māori populations in Aotearoa New Zealand (NZ) who experience health disparities including suboptimal disease management.

Aim
To explore culturally responsive approaches to supporting Māori living with T2D from the perspective of healthcare providers.

Methods
Nine semi-structured interviews were conducted with clinicians from various disciplines (general practitioner, podiatrist, exercise physiologist, three kaiāwhina, dietitian, two pharmacists); five clinicians identify as Māori, four as non-Māori. Kaupapa Māori inductive thematic analysis was used.

Results
Four key themes emerged: empowering patient-centred communication, whānau involvement, interprofessional collaboration, and culturally appropriate analogies.

Discussion
The findings underscore the need for holistic, culturally responsive T2D care that prioritises culturally appropriate communication to improve patient engagement, health outcomes and address Māori health disparities.

text: Ascending the Poutama: Culturally responsive diabetes care for Māori communities Introduction
Type 2 diabetes (T2D) significantly impacts Māori populations in Aotearoa New Zealand (NZ) who experience health disparities including suboptimal disease management.

Aim
To explore culturally responsive approaches to supporting Māori living with T2D from the perspective of healthcare providers.

Methods
Nine semi-structured interviews were conducted with clinicians from various disciplines (general practitioner, podiatrist, exercise physiologist, three kaiāwhina, dietitian, two pharmacists); five clinicians identify as Māori, four as non-Māori. Kaupapa Māori inductive thematic analysis was used.

Results
Four key themes emerged: empowering patient-centred communication, whānau involvement, interprofessional collaboration, and culturally appropriate analogies.

Discussion
The findings underscore the need for holistic, culturally responsive T2D care that prioritises culturally appropriate communication to improve patient engagement, health outcomes and address Māori health disparities.

year: 2025

title: A step into the light: developing a culturally appropriate research prcoess to study Maori Rangatahi perspectives of leisure in one setting.

authors: Harvey, Geraldine

subjects: research -- methodology

abstract: There is little knowledge of Maori peoples' leisure understandings, experiences and participation. This article reports on the development of a culturally appropriate research process that investigated the leisure participation, perspectives, and experiences of five Rotorua Maori Rangatahi in one research setting'. Within this exploration there is a focus on the need to conduct leisure research with Maori people in culturally appropriate ways. This research approach incorporates focus group methodology within a Kaupapa Maori research framework which addresses issues of research for Maori. The research process revealed that focus group methodology can be adapted into a Kaupapa Maori research framework and that this research approach could be an important tool when conducting research with Maori Rangatahi, including in educational contexts.

text: A step into the light: developing a culturally appropriate research prcoess to study Maori Rangatahi perspectives of leisure in one setting. There is little knowledge of Maori peoples' leisure understandings, experiences and participation. This article reports on the development of a culturally appropriate research process that investigated the leisure participation, perspectives, and experiences of five Rotorua Maori Rangatahi in one research setting'. Within this exploration there is a focus on the need to conduct leisure research with Maori people in culturally appropriate ways. This research approach incorporates focus group methodology within a Kaupapa Maori research framework which addresses issues of research for Maori. The research process revealed that focus group methodology can be adapted into a Kaupapa Maori research framework and that this research approach could be an important tool when conducting research with Maori Rangatahi, including in educational contexts.

year: 2002

title: A systems engineering approach to supply chain auditing

authors: Childerhouse, Paul

subjects: supply chain management

abstract: Purpose – The purpose of this paper is to discuss the theoretical foundations, development, and application of the quick scan audit methodology (QSAM) for comparative evaluation of supply chains via uncertainty codification and material flow assessment.
Design/methodology/approach – Charts the evolution of QSAM via the Parnaby concept of a manufacturing system leading to a control model representation of a value stream. Monitoring in process and critical interface material and information flows provide the substantive data to evaluate supply chain health. The authors show how QSAM satisfies the six desirable attributes previously established as advantageous when value stream auditing.
Findings – Basing QSAM on this particular systems approach readily leads to transferability of approach to new market sectors and new companies within the same sector. It ensures comparability via uncertainty levels to be established. Hence, using statistical cluster analysis “best practice” may be identified and annotated.
Research limitations/implications – There may yet be specific supply chain regimens where uncertainty codification is insufficient to reach a definitive conclusion. However, QSAM is now sufficiently mature that it has been applied successfully and widely beyond its original systems-friendly European automotive sector.
Practical implications – A systematic, non-industry-specific audit method based on systems modelling builds confidence into comparability studies and identification of “exemplars” exhibiting best practice. The importance of understanding and satisfying the expectations of the four “players” in the QSAM balanced scorecard is discussed and exemplified.
Originality/value – QSAM is an original contribution which fits well into the spectrum of excellence measurement techniques. The two established extremes are vertical case studies (European style) and horizontal surveys (US style). QSAM brings together certain strengths of each so that the whole is greater than the sum of the parts.

text: A systems engineering approach to supply chain auditing Purpose – The purpose of this paper is to discuss the theoretical foundations, development, and application of the quick scan audit methodology (QSAM) for comparative evaluation of supply chains via uncertainty codification and material flow assessment.
Design/methodology/approach – Charts the evolution of QSAM via the Parnaby concept of a manufacturing system leading to a control model representation of a value stream. Monitoring in process and critical interface material and information flows provide the substantive data to evaluate supply chain health. The authors show how QSAM satisfies the six desirable attributes previously established as advantageous when value stream auditing.
Findings – Basing QSAM on this particular systems approach readily leads to transferability of approach to new market sectors and new companies within the same sector. It ensures comparability via uncertainty levels to be established. Hence, using statistical cluster analysis “best practice” may be identified and annotated.
Research limitations/implications – There may yet be specific supply chain regimens where uncertainty codification is insufficient to reach a definitive conclusion. However, QSAM is now sufficiently mature that it has been applied successfully and widely beyond its original systems-friendly European automotive sector.
Practical implications – A systematic, non-industry-specific audit method based on systems modelling builds confidence into comparability studies and identification of “exemplars” exhibiting best practice. The importance of understanding and satisfying the expectations of the four “players” in the QSAM balanced scorecard is discussed and exemplified.
Originality/value – QSAM is an original contribution which fits well into the spectrum of excellence measurement techniques. The two established extremes are vertical case studies (European style) and horizontal surveys (US style). QSAM brings together certain strengths of each so that the whole is greater than the sum of the parts.

year: 2010