title: Ko ngōku maumaharatanga i ahau i Te Whare Wānanga o Waikato

authors: Papesch, Te Rita

subjects: Tohu maumahara

abstract: Kua huri te rima ngahuru o ngā tau kua tū Te Whare Wānanga hei whakaruruhau mō rātou ka kuhu ki ngōna kuaha. Ko taku tāne tuatahi me taku tungāne pakeke ake i ahau ngētehi o ngā akonga tuatahi, ā, e maumahara ana ahau i tētehi wā i tae atu ahau ki reira ki te tiki i a rāua i waho tonu i te whare pukapuka. I taua wā ko A Block tērā, te wāhi e tū nei Te Puawānanga-ki-te Ao ināianei. Ko te Cowshed tonu te wāhi whakahaere i Te Whare Wānanga. Ka mīharo i tōna rerekētanga i ngēnei wā!

text: Ko ngōku maumaharatanga i ahau i Te Whare Wānanga o Waikato Kua huri te rima ngahuru o ngā tau kua tū Te Whare Wānanga hei whakaruruhau mō rātou ka kuhu ki ngōna kuaha. Ko taku tāne tuatahi me taku tungāne pakeke ake i ahau ngētehi o ngā akonga tuatahi, ā, e maumahara ana ahau i tētehi wā i tae atu ahau ki reira ki te tiki i a rāua i waho tonu i te whare pukapuka. I taua wā ko A Block tērā, te wāhi e tū nei Te Puawānanga-ki-te Ao ināianei. Ko te Cowshed tonu te wāhi whakahaere i Te Whare Wānanga. Ka mīharo i tōna rerekētanga i ngēnei wā!

year: 2016

title: Barriers and facilitators to colorectal cancer diagnosis in New Zealand: a qualitative study

authors: Blackmore, Tania Louise

subjects: Science & Technology

abstract: Background: New Zealand (NZ) has high rates of colorectal cancer but low rates of early diagnosis. Due to a lack of understanding of the pre-diagnostic experience from the patient’s perspective, it is necessary to investigate potential patient and health system factors that contribute to longer diagnostic intervals. Previous qualitative studies have discussed delays using The Model of Pathways to Treatment, but this has not been explored in the NZ context. This study aimed to understand the patient experience and perception of their general practitioner (GP) through the diagnostic process in the Waikato region of NZ. In particular, we sought to investigate potential barriers and facilitators that contribute to longer diagnostic intervals. 
Methods: Ethical approval for this study was granted by the New Zealand Health and Disability Ethics Committee. Twenty-eight participants, diagnosed with colorectal cancer, were interviewed about their experience. Semi-structured interviews were audio recorded, transcribed verbatim and analysed thematically using The Model of Pathways to Treatment framework (intervals: appraisal, help-seeking, diagnostic). 
Results: Participant appraisal of symptoms was a barrier to prompt diagnosis, particularly if symptoms were normalised, intermittent, or isolated in occurrence. Successful self-management techniques also resulted in delayed help-seeking. However if symptoms worsened, disruption to work and daily routines were important facilitators to seeking a GP consultation. Participants positively appraised GPs if they showed good technical competence and were proactive in investigating symptoms. Negative GP appraisals were associated with a lack of physical examinations and misdiagnosis, and left participants feeling dehumanised during the diagnostic process. However high levels of GP interpersonal competence could override poor technical competence, resulting in an overall positive experience, even if the cancer was diagnosed at an advanced stage. Māori participants often appraised symptoms inclusive of their sociocultural environment and considered the impact of their symptoms in relation to family. 
Conclusions: The findings of this study highlight the importance of tailored colorectal cancer symptom communication in health campaigns, and indicate the significance of the interpersonal competence aspect of GP-patient interactions. These findings suggest that interpersonal competence be overtly displayed in all GP interactions to ensure a higher likelihood of a positive experience for the patient.

text: Barriers and facilitators to colorectal cancer diagnosis in New Zealand: a qualitative study Background: New Zealand (NZ) has high rates of colorectal cancer but low rates of early diagnosis. Due to a lack of understanding of the pre-diagnostic experience from the patient’s perspective, it is necessary to investigate potential patient and health system factors that contribute to longer diagnostic intervals. Previous qualitative studies have discussed delays using The Model of Pathways to Treatment, but this has not been explored in the NZ context. This study aimed to understand the patient experience and perception of their general practitioner (GP) through the diagnostic process in the Waikato region of NZ. In particular, we sought to investigate potential barriers and facilitators that contribute to longer diagnostic intervals. 
Methods: Ethical approval for this study was granted by the New Zealand Health and Disability Ethics Committee. Twenty-eight participants, diagnosed with colorectal cancer, were interviewed about their experience. Semi-structured interviews were audio recorded, transcribed verbatim and analysed thematically using The Model of Pathways to Treatment framework (intervals: appraisal, help-seeking, diagnostic). 
Results: Participant appraisal of symptoms was a barrier to prompt diagnosis, particularly if symptoms were normalised, intermittent, or isolated in occurrence. Successful self-management techniques also resulted in delayed help-seeking. However if symptoms worsened, disruption to work and daily routines were important facilitators to seeking a GP consultation. Participants positively appraised GPs if they showed good technical competence and were proactive in investigating symptoms. Negative GP appraisals were associated with a lack of physical examinations and misdiagnosis, and left participants feeling dehumanised during the diagnostic process. However high levels of GP interpersonal competence could override poor technical competence, resulting in an overall positive experience, even if the cancer was diagnosed at an advanced stage. Māori participants often appraised symptoms inclusive of their sociocultural environment and considered the impact of their symptoms in relation to family. 
Conclusions: The findings of this study highlight the importance of tailored colorectal cancer symptom communication in health campaigns, and indicate the significance of the interpersonal competence aspect of GP-patient interactions. These findings suggest that interpersonal competence be overtly displayed in all GP interactions to ensure a higher likelihood of a positive experience for the patient.

year: 2020-10-01

title: Narrative persuasiveness without a narrative essence: A rejoinder to Talbi’s “Recognizing Something Human”

authors: Ulatowski, Joseph W.

subjects: disagreement

abstract: Merel Talbi’s (2024a) main article, “The Epistemic Import of Narratives,” concerns how narratives of personal experience can be persuasive in reaching across a significant social or political divide. A primary goal of the article was to defend their role and value against the assumption that our form of argument must be based on logic and science. At the same time, she alerts us to some dangers associated with the use of such narratives, which she develops in her response (2024b) to us (2024b), a theme that we shall discuss, recognising the political context in which these situations occur. What she identifies as the main difference between us about the persuasiveness of narratives of personal experience may be framed as a question: what are the relative contributions of the narrative form and the personal quality? 

We shall return to that question by way of a reframing which avoids the assumption that there is an essence of narrative structure. En route to that topic we shall look at ideas about how narratives may mesh well with the structure of the human mind. That will include Schechtman’s (2024) ideas about fiction as a process which mirrors the way human memory works. It will also include the thought that the self is a product of narrative self-creation. This may suggest that narratives can be persuasive given that they mesh well with our makeup. However our makeup is described, we hold that there is no essence of narrative structure that explains persuasiveness, for it comes down to the particularities of the situation. Narratives can occur in a variety of situations and a variety of forms; accounting narratives represent one kind of narrative with a distinct form and function. While there is no essence of a narrative that is linked to persuasiveness, narratives in particular situations certainly can be persuasive, as indeed they are designed to be.

text: Narrative persuasiveness without a narrative essence: A rejoinder to Talbi’s “Recognizing Something Human” Merel Talbi’s (2024a) main article, “The Epistemic Import of Narratives,” concerns how narratives of personal experience can be persuasive in reaching across a significant social or political divide. A primary goal of the article was to defend their role and value against the assumption that our form of argument must be based on logic and science. At the same time, she alerts us to some dangers associated with the use of such narratives, which she develops in her response (2024b) to us (2024b), a theme that we shall discuss, recognising the political context in which these situations occur. What she identifies as the main difference between us about the persuasiveness of narratives of personal experience may be framed as a question: what are the relative contributions of the narrative form and the personal quality? 

We shall return to that question by way of a reframing which avoids the assumption that there is an essence of narrative structure. En route to that topic we shall look at ideas about how narratives may mesh well with the structure of the human mind. That will include Schechtman’s (2024) ideas about fiction as a process which mirrors the way human memory works. It will also include the thought that the self is a product of narrative self-creation. This may suggest that narratives can be persuasive given that they mesh well with our makeup. However our makeup is described, we hold that there is no essence of narrative structure that explains persuasiveness, for it comes down to the particularities of the situation. Narratives can occur in a variety of situations and a variety of forms; accounting narratives represent one kind of narrative with a distinct form and function. While there is no essence of a narrative that is linked to persuasiveness, narratives in particular situations certainly can be persuasive, as indeed they are designed to be.

year: 2025