title: Nga taonga o Te Urewera

authors: Te Awekotuku, Ngahuia

subjects: Maori

abstract: This report sets out to establish that Te Urewera and Tuhoe - the place, the people -
are synonymous. It is argued by two discrete approaches - cultural property and the
significance of place. These are both enmeshed in the Tuhoe concept of
matemateaone, which is defined and demonstrated throughout the text. Issues of
Tuhoe heritage and cultural property are positioned within the international
indigenous context, and considered in detail with reference to the United Nations
Report on the Protection of the Heritage of Indigenous Peoples tabled in June 1995.
A Tuhoe response to the nine sections of this document form the basis of this
submission, as they clearly reflect the intentions and principles that configure the
articles of the Treaty of Waitangi.

text: Nga taonga o Te Urewera This report sets out to establish that Te Urewera and Tuhoe - the place, the people -
are synonymous. It is argued by two discrete approaches - cultural property and the
significance of place. These are both enmeshed in the Tuhoe concept of
matemateaone, which is defined and demonstrated throughout the text. Issues of
Tuhoe heritage and cultural property are positioned within the international
indigenous context, and considered in detail with reference to the United Nations
Report on the Protection of the Heritage of Indigenous Peoples tabled in June 1995.
A Tuhoe response to the nine sections of this document form the basis of this
submission, as they clearly reflect the intentions and principles that configure the
articles of the Treaty of Waitangi.

year: 2003-08

title: Exploring patient experiences and power dynamics in an acute general surgical ward: A mixed methods study exploring patient and staff
perceptions of the inpatient experience at Waikato Hospital

authors: Drake, Emma Rose

subjects: Nursing

abstract: Background: Alongside health outcomes, patient experiences are considered crucial in identifying the quality of a health care setting. General surgery comprise the largest range of pathologies and accounts for the highest number of patient discharges of any surgical specialty. As a way to address the power imbalance between healthcare staff and patients, patient-centred models of care are increasingly being adopted and implemented within hospitals including surgery. This study aims to investigate the current experiences of acutely admitted patients in a general surgical ward at Waikato Hospital, including opportunities for and challenges to improvement initiatives. Furthermore, the study examines relevant staff members perspectives of the inpatient experience and seeks to determine the efficacy of a proposed intervention focusing on empowering patients and their families.
Methods: The study was a mixed method design involving two phases. Phase I obtained qualitative data from semi-structured interviews with six patients and twelve staff members. Themes which emerged from the qualitative data in phase I were used to inform the development of phase II, as well as to inform a proposed patient self- assessment intervention. Phase II obtained quantitative data through Likert scale response surveys provided to acute patients on, or near to, their day of discharge from the surgical ward over a two month period.
Results: A total of six patients and 12 healthcare staff (senior registered nurses, n=3; surgical registered nurse managers, n=2; surgical fellows, n=2; surgical registrar, n=1; dietitian, n=1; social worker, n=1; occupational therapist, n=1; and physiotherapist n=1) were involved in phase I. A total of 53 surveys were returned from patients in Phase II (63.1% response rate). Qualitative data from phase I was analysed using a general inductive approach. This revealed three themes including power and control concerns for patients, the hierarchy of the health care team and the surrounding stressors of the organisation and environment. Analysis of the quantitative data collected descriptive statistics and calculated chi-squares. Of note were the statistically significant differences particularly between patients of Māori ethnicity comparatively to non-Māori, and according to gender and reason in hospital. There were no statistically significant differences for patients according to age group.
Conclusion: This study identified both the experiences of patients and staff in an acute general surgical context. The study found that the proposed patient self- assessment intervention was not immediately recommended. This was due to the current recommendations from patients who identified their strong preference was for face-to-face communication with staff. It was also due to staff members identification of a perceived inability to consistently provide person-centred care which corresponded with the patient self-assessment data. Acute general surgical care needs of patients were perceived by staff as taking precedent and current workplace stressors, including staffing and skill mix deficits and perceived lack of staff wellbeing supports, were strong inhibitors for staff to provide their preferred capacity of patient-centred care.

text: Exploring patient experiences and power dynamics in an acute general surgical ward: A mixed methods study exploring patient and staff
perceptions of the inpatient experience at Waikato Hospital Background: Alongside health outcomes, patient experiences are considered crucial in identifying the quality of a health care setting. General surgery comprise the largest range of pathologies and accounts for the highest number of patient discharges of any surgical specialty. As a way to address the power imbalance between healthcare staff and patients, patient-centred models of care are increasingly being adopted and implemented within hospitals including surgery. This study aims to investigate the current experiences of acutely admitted patients in a general surgical ward at Waikato Hospital, including opportunities for and challenges to improvement initiatives. Furthermore, the study examines relevant staff members perspectives of the inpatient experience and seeks to determine the efficacy of a proposed intervention focusing on empowering patients and their families.
Methods: The study was a mixed method design involving two phases. Phase I obtained qualitative data from semi-structured interviews with six patients and twelve staff members. Themes which emerged from the qualitative data in phase I were used to inform the development of phase II, as well as to inform a proposed patient self- assessment intervention. Phase II obtained quantitative data through Likert scale response surveys provided to acute patients on, or near to, their day of discharge from the surgical ward over a two month period.
Results: A total of six patients and 12 healthcare staff (senior registered nurses, n=3; surgical registered nurse managers, n=2; surgical fellows, n=2; surgical registrar, n=1; dietitian, n=1; social worker, n=1; occupational therapist, n=1; and physiotherapist n=1) were involved in phase I. A total of 53 surveys were returned from patients in Phase II (63.1% response rate). Qualitative data from phase I was analysed using a general inductive approach. This revealed three themes including power and control concerns for patients, the hierarchy of the health care team and the surrounding stressors of the organisation and environment. Analysis of the quantitative data collected descriptive statistics and calculated chi-squares. Of note were the statistically significant differences particularly between patients of Māori ethnicity comparatively to non-Māori, and according to gender and reason in hospital. There were no statistically significant differences for patients according to age group.
Conclusion: This study identified both the experiences of patients and staff in an acute general surgical context. The study found that the proposed patient self- assessment intervention was not immediately recommended. This was due to the current recommendations from patients who identified their strong preference was for face-to-face communication with staff. It was also due to staff members identification of a perceived inability to consistently provide person-centred care which corresponded with the patient self-assessment data. Acute general surgical care needs of patients were perceived by staff as taking precedent and current workplace stressors, including staffing and skill mix deficits and perceived lack of staff wellbeing supports, were strong inhibitors for staff to provide their preferred capacity of patient-centred care.

year: 2022

title: Aeroconservation – Challenges for law and policy

authors: Wallace, Philippa Jane

abstract: Airspace conservation (aeroconservation) is a relative latecomer to ecosystem management, despite intensifying threats to birds, bats and invertebrates in the habitat. This article demonstrates the geographies of threats and examines gaps in law and policy responses. Commonly treated at law, and in fact, as an extension of terrestrial or marine spaces, recognition of air as habitat and related conservation protection is rare. In addition, management is confounded by the dynamic, three-dimensional and indivisible nature of airspace, by wildlife and aircraft mobility, and by temporal features. Regulation of airspace and patterns of spatial activity are dominated by aircraft traffic control and related transport imperatives to the exclusion of wildlife protection. Where strategic planning mechanisms are applied, they are often tied to amorphous definitions of habitat, rely upon terrestrial habitat protection for their expression or are reflected as two-dimensional notations on a map. Recommendations to enhance protection for co-existence include transforming the approach to airspace and adopting integrated, strategic and three-dimensional approaches.

text: Aeroconservation – Challenges for law and policy Airspace conservation (aeroconservation) is a relative latecomer to ecosystem management, despite intensifying threats to birds, bats and invertebrates in the habitat. This article demonstrates the geographies of threats and examines gaps in law and policy responses. Commonly treated at law, and in fact, as an extension of terrestrial or marine spaces, recognition of air as habitat and related conservation protection is rare. In addition, management is confounded by the dynamic, three-dimensional and indivisible nature of airspace, by wildlife and aircraft mobility, and by temporal features. Regulation of airspace and patterns of spatial activity are dominated by aircraft traffic control and related transport imperatives to the exclusion of wildlife protection. Where strategic planning mechanisms are applied, they are often tied to amorphous definitions of habitat, rely upon terrestrial habitat protection for their expression or are reflected as two-dimensional notations on a map. Recommendations to enhance protection for co-existence include transforming the approach to airspace and adopting integrated, strategic and three-dimensional approaches.

year: 2019