nurses tool kit - handbook - huarahi whakatū

Professional Development Recognition Programme

Tool Kit for Nurses

Huarahi Whakatū PDRP Tool Kit for Nurses is to assist the Nurse in the following way:

• Inform the Nurse of the requirements within the programme • To assist with completing these requirements

This Toolkit is to be read in conjunction with the:

• Te Rau Ora – Huarahi Whakatū PDRP website portal • Huarahi Whakatū PDRP templates

Ngā kōrero mō tohu o Huarahi Whakatū

The shades of kahurangi (blue) are reminiscent of Ranginui (sky) and the moana (sea) that

promote tranquillity, calm and hauora.

At the base of the tohu the deep blue emphasises mātauranga (knowledge), promotes

stability and integrity. Toward the apex of the tohu kahurangi lightens promoting

understanding, intuition and advancement.

The awhiowhio represent the three puna (whakato, whakatau and rahi) within the Huarahi

Whakatū PDRP programme. With each awhio extending from a side panel or koiri invokes

development. The side panels of the tohu are kōwhaiwhai patterns that represent the

pathways within the professional development and advancement of dual competencies

encompassed within Huarahi Whakatū.

The collation of colour is demonstrated through the paua appearance in the background

which reminds us of the gifts granted to us and of the diversities of being Māori.

Table of Contents

Introduction 5

Huarahi Whakatū Professional Development and Recognition Programme 6

Definitions of Puna within Huarahi Whakatū PDRP programme 7 Puna Whakato - Competent Nurse 7

Puna Whakatau - Proficient Nurse 8

Puna Rahi - Expert Nurse 9

The Huarahi Whakatū PDRP Framework 10 Pukenga Māori Motuhake 10

Pukenga Māori Motuhake 1 : Wairuatanga 10

Pukenga Māori Motuhake 2 : Pupuri ki te Arikitanga 11

Pukenga Māori Motuhake 3 : Tuakiri 11

Pukenga Māori Motuhake 4 : Te Reo me ōna Tikanga 12

Pukenga Māori Motuhake 5 : Whanaungatanga 12

Pukenga Māori Motuhake 6 : Hauora Māori 13

Pukenga Haumanu 14 Domain 1 : Professional Responsibility 14

Domain 2 : Management of Nursing Care 15

Domain 3 : Interpersonal relationships 18

Domain 4: Interprofessional health care and quality improvement 19

Expectations 20 Evidence Based Practice 22

Huarahi Whakatū PDRP Nurses Declaration 26

Huarahi Whakatū PDRP Privacy and Confidentiality Statement 27

Section A 29 Using the Huarahi Whakatū Framework as a Reflective Tool 29

Pukenga Māori Motuhake – Wairuatanga 31

Pukenga Māori Motuhake – Pupuri ki te Arikitanga 32

Pukenga Māori Motuhake – Tuakiri 33

Pukenga Māori Motuhake – Te Reo me ōna Tikanga 34

Pukenga Māori Motuhake – Whanaungatanga 35

Pukenga Māori Motuhake – Hauora Māori 36

Pukenga Haumanu – Domain 1 37

Pukenga Haumanu – Domain 2 (1 - 3) 38

Pukenga Haumanu – Domain 2 (4 – 7) 39

Pukenga Haumanu – Domain 2 (8 – 11) 40



Section B 43 Preparing for a Peer Review & Performance Appraisal 43

The Peer 43

Performance Appraisal by a Senior Nurse or a Manager 44

Section C 45 Narratives & Other Evidence 45

Portfolio Tips 45

Section D 47 Assessment 47

Assessment Panel 47

Moderation 47

Assessment Process 48

Mahi Tuhituhi 48

Oral assessment (Hui Whakamatautau) 48

Summary 50

Huarahi Whakatū Nurses Template Guide 51

Maintenance – Relevant only to nurses to maintain Puna of practice 52

PDRP Website Access 53

Glossary 57

© Te Rau Ora 2007 Huarahi Whakatū PDRP Huarahi Whakatū Tool Kit for Nurses

Authorised by He Roopu Korowai o Huarahi Whakatū

Issue date: Aug 09 Reviewed: Nov 09,

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Introduction

The Huarahi Whakatū is a practice based Professional Development and Recognition programme (PDRP) developed for Māori nurses with an emphasis upon dual competencies (that is cultural and clinical aspects).

Figure1. Interwoven approach to the Huarahi Whakatū Professional Development & Recognition programme

Aims

The aims of the Huarahi Whakatū PDRP programme are to:

1. Enhance responsiveness to tangata whaiora1 and whānau health needs.

2. Recognise and reward cultural and clinical excellence.

3. Strengthen best practice standards of Māori nursing care.

4. Provide a framework for professional growth and development.

5. Identify skill levels of Māori nurses.

6. Improve job satisfaction, recruitment and retention of Māori nurses; and

7. Raise the professional profile of Māori nursing practice.

1 Person seeking wellness; client or turoro




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Huarahi Whakatū Professional Development and Recognition Programme

The Huarahi Whakatū PDRP framework contains three levels of practice: Puna Whakato,

Puna Whakatau and Puna Rahi. The framework is competency based, containing dual

cultural and clinical core competencies across these levels.

Dual competencies are a combination of attributes including knowledge, skill, experience

and attitude benchmarks that are required for the Māori nurse to practice effectively to a

standard which is responsive to tangata whaiora and whānau health needs.

The PDRP programme portrays two pou, these are Pukenga Māori Motuhake and Pukenga

Haumanu which sit side by side, the competencies are inter-linked and an inclusion of

competencies in one domain (pukenga haumanu or pukenga Māori motuhake) may also be

intepreted as existing in the other.

To acknowledge the diversities amongst Māori nurses, the Huarahi Whakatū framework

enables a Māori nurse to co-exist at a different clinical competency level (Pukenga

Haumanu) to a Pukenga Māori Motuhake level. However, it is important that the nurse

maintains consistent with one puna in the Pukenga Haumanu and may vary within puna in

the Pukenga Māori Motuhake.

E.g.: a nurse may be assessed as puna Whakatau at Pukenga Māori Motuhake yet be Puna

Rahi at Pukenga Haumanu or a nurse may apply themselves as Puna Whakatau with

Pukenga Haumanu and Puna Whakato with Te Reo me ōna Tikanga, Puna Whakatau with

the other - competencies in Pukenga Māori Motuhake.

Programme Statement

Māori nursing is a specialised expression of nursing that deliberately integrates traditional and contemporary Māori Health frameworks and western bodies of knowledge across the

caring, ill health and recovery domains.

(Huarahi Whakatū Reference Group, 2007)




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Definitions of Puna within Huarahi Whakatū PDRP programme

The term Puna represent levels or stages.

Puna Whakato - Competent Nurse

Puna Whakato may also be interpreted as a competent Māori nurse who is expected to be

able to integrate theoretical knowledge and research with practice experience. There is an

increasing awareness of issues represented by tangata whaiora and whānau responses in

recurrent situations. Māori nurses practicing at this level should demonstrate sound ability in

relevant technical skills and Pukenga Māori Motuhake. They should be very familiar with

supporting situations with a dedicated tangata whaiora and whānau focus and are expected

to be able to identify significant problems in a holistic way utilising both clinical and cultural

models of practice and understandings.

They will:

• effectively support tangata whaiora and whānau with predictable needs;

• be able to place presenting symptoms and issues within a broader context;

• seek assistance on aspects of care from more experienced colleagues;

• be able to plan and decide which aspects of care are more important and which are less relevant. The planning will begin to be based on prior knowledge and experience;

• demonstrate Pukenga Māori Motuhake daily in practice, increasing clinical

understanding, enhanced technical skills, improved organisational ability, and a feeling of confidence;

• understand the relationship between nursing care and tangata whaiora and whānau responses and the wider determinants of Māori health;

• develop effective time management skills and begin to prioritise tangata whaiora and whānau work appropriately; and

• actively participate in supporting student nurses.




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Puna Whakatau - Proficient Nurse

Puna Whakatau may also be interpreted as a proficient Māori nurse, who is expected to have

in-depth knowledge of dual-competency-based nursing practice and perceive situations as a

whole. Comprehension of significant concepts is based on previous experience. Māori

nurses at this level should be able to demonstrate the ability to recognise situational changes

that require unplanned or unanticipated interventions. They should also be able to provide

leadership within a health care team, to assist in formulating integrated approaches to care.

They will:

• demonstrate competency in a wide range of clinical skills and Pukenga Māori motuhake;

• apply knowledge of theory and practice to endorse and challenge appropriateness of care;

• realise the impact that life events and health status changes have on tangata whaiora/whānau, and are able to offer support and guidance based on their knowledge

and experience of practice;

• work from a variety of perspectives, having learnt from experience what typical events to

expect in a given situation and how plans need to be modified in response to these

events;

• communicate clearly and effectively in rapidly changing situations, and recognising the important aspects of a situation and deal appropriately; and

• be recognised as role models and actively participate as preceptors for less experienced registered Māori nurses.




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Puna Rahi - Expert Nurse

Puna Rahi may also be interpreted as the expert Māori nurse, who is expected to have

intuition and skill arising from a broad dual competency-based knowledge base, grounded in

experience and enhanced by ongoing education and, clinical and cultural professional

development. Delivery of practice is guided by a flexible, innovative and confident approach

to tangata whaiora/whānau care.

The expert Māori nurse operates from a deep understanding of a holistic situation. They

demonstrate collaborative practice with other members of the health care team to co-ordinate

resources and maximise advocacy for tangata whaiora/whānau. Establishment of a trusting

relationship with tangata whaiora/whānau is founded in a philosophy of partnership and tino

rangatiratanga. The Māori nurse is recognised within the health care team as a leader and

educator, and works proactively to promote Māori models of practice as recognised, utilised

and valued by the discipline of nursing and services.

They will:

• assess and plan care in a holistic manner;

• treat the actual concerns and needs of tangata whaiora and whānau as of utmost importance, even if this means planning and negotiating for a change in the plan of care;

• be extremely competent in a wide range of dual competency based skills and techniques;

• use in depth clinically and culturally appropriate assessment processes;

• consistently act as pro-active role models for Māori nurses;

• accept responsibility for mentorship of Māori colleagues;

• have an intuitive grasp of the situation and are able to rapidly and accurately identify relevant factors to initiate appropriate responses;

• have a clear vision of how situations could potentially develop; and

• actively participate in the decision-making processes for planning and managing resources.




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The Huarahi Whakatū PDRP Framework

Pukenga Māori Motuhake

Pukenga Māori Motuhake demonstrates the required Māori specific competencies to assist

the Māori nurse in their delivery of care based upon Māori methods and knowledge.

Pukenga Māori Motuhake 1 : Wairuatanga

Wairuatanga influences the way people relate to each other and to the surrounding

environment. Wairuatanga is more than just karakia; although karakia aims to strengthen

taha wairua, taha whānau, taha hinengaro and taha tinana. The Māori nurse demonstrates

an understanding and incorporation of taha wairua as an integral part of practice.

Puna Whakato Puna Whakatau Puna Rahi 1.1 Acknowledges that

concepts and perceptions of

Māori wairua differ from one

person to another and actively

seek guidance on the nature of

the experience.

Utilises knowledge and

processes that enhance a

person’s wairua inclusive of

their environment.

Facilitates access to

appropriate resources for the

wairua needs of tangata

whaiora and their whānau.

1.2 Expresses self-

awareness of own wairua

including needs amongst

colleagues.

Participates in tikanga Māori

activities and contributes to

wairuatanga.

Integrates wairuatanga into

practice.

1.3 Understands the place

of different karakia and

accesses appropriate persons

to lead karakia.

Ensures hui and processes are

led with karakia.

Recognises a range of specific

karakia and participates within

healing rituals where necessary.




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Pukenga Māori Motuhake 2 : Pupuri ki te Arikitanga

It is important the Māori nurse understands and practices in adherance to Māori beliefs and

values that maintain a balance and minimise risk.

Puna Whakato Puna Whakatau Puna Rahi 2.1 Understands the

concepts of tapu and noa, tika,

pono and aroha and how these

impact on practice with tangata


With guidance from others,

applies knowledge of these

concepts to practice.

Guides others on their practice

and knowledge of tapu and noa;

tika, pono and aroha to practice

with guidance from

knowledgeable others.

Pukenga Māori Motuhake 3 : Tuakiri

The Māori nurse recognises the importance of a sense of belonging and identity; and

incorporates these principles into practice.

Puna Whakato Puna Whakatau Puna Rahi 3.1 Demonstrates self

awareness through pepeha and

whakapapa.

Utilises pepeha and whakapapa

to engage and connect with

tangata whaiora and their

whānau.

Facilitates and incorporates

wider networks for tangata





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Pukenga Māori Motuhake 4 : Te Reo me ōna Tikanga

Māori nursing requires a high level of communication skills; advantageous are a knowledge

of te reo and tikanga. These enable the Māori nurse to relate to tangata whaiora and

whānau within a Māori context.

Puna Whakato Puna Whakatau Puna Rahi 4.1 Acknowledges the

significance of te reo Māori in

practice and uses correct

pronunciation.

Participates in formal mihimihi

and demonstrates ability to

whaikōrero.

Demonstrates ability to kōrero

Māori in diverse situations

including tuhinga Māori.

4.2 Understands tikanga

Māori and is able to validate this

with knowledgeable others.

Demonstrates knowledge of

local kawa and tikanga and the

ability to differentiate across

rohe and practices accordingly.

Facilitates tikanga across

different environments that are

conducive to Māori.

Pukenga Māori Motuhake 5 : Whanaungatanga

Whakawhanaungatanga is viewed as a Māori process of building a relationship through the

strengthening of kinship ties. This deliberate process promotes a connectedness and

foundation for the culturally therapeutic relationship. The Māori nurse understands this

process and purposely utilises processes to work in partnership with tangata whaiora and

whānau.

Puna Whakato Puna Whakatau Puna Rahi 5.1 Recognises the Adapts whanaungatanga Facilitates and guides others to

diversity of Māori whānau. practices to reflect the needs of reflect whanaungatanga tangata whaiora and their practices that meet the needs of whānau. tangata whaiora and their whānau.

5.2 Demonstrates a Utilises whakapapa links in Demonstrates the ability to

whakapapa awareness of networking. move across iwi and rohe

tangata whaiora and their boundaries when accessing

whānau; colleagues and networks to enable best




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manuhiri. practice.

5.3 Understands the roles

of tuakana and teina;

mataamua and potiki;

kaumātua; whāngai and other

roles specific to whānau.

Consults with whānau and

facilitates awhi from wider

whānau to support tangata

whaiora and whānau.

Demonstrates the ability to

support and advocate for

tangata whaiora in complex

situations.

Pukenga Māori Motuhake 6 : Hauora Māori

Hauora Māori relies upon a number of approaches that address tangata whaiora needs in a

comprehensive way. The Māori nurse will utilise Māori models of practice placing Hauora in

a broad and holistic context.

Puna Whakato Puna Whakatau Puna Rahi 6.1 Recognises Māori

models of practice in the

assessment, planning,

implementation and evaluation

of care in partnership with

tangata whaiora.

Utilises and coaches others in

recognised Māori models of

practice in the assessment

planning, implementation and

evaluation of care in partnership

with tangata whaiora.

Facilitates recognised Māori

models of practice in the

assessment planning,

implementation and evaluation

of care in partnership with

tangata whaiora, incorporating:

- advanced assessment

- evaluation to validate and or

modify care as appropriate.




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Pukenga Haumanu

Pukenga Haumanu demonstrates the required clinical competencies to assist the Māori

nurse in their delivery of care based upon Nursing Council and Te Ao Maramatanga

standards of practice.

Domain 1 : Professional Responsibility

This domain contains competencies that relate to professional, legal and ethical

responsibilities and cultural safety. These include being able to demonstrate knowledge and

judgment and being accountable for own actions and decisions, while promoting an

environment that maximises tangata whaiora safety, independence, quality of life and health.

Puna Whakato Puna Whakatau Puna Rahi

1.1 Accepts responsibility

for ensuring that her/his

nursing practice and conduct

meet the standards of the

professional, ethical and

relevant legislated

requirements.

Guides others to and accepts

responsibility for ensuring that

her/his nursing practice and

conduct meet the standards of the

professional, ethical and relevant

legislated requirements.

Takes lead role to and accepts

responsibility for ensuring that

her/his nursing practice and

conduct meet the standards of

the professional, ethical and

relevant legislated requirements

and guides others.

1.2 Demonstrates the

ability to apply the principles

of Te Tiriti o Waitangi to

nursing practice.

Contributes to and advocates care

that recognises and protects the

rights and needs of tangata

whenua.

Facilitates and fosters education

networks & initiatives that

recognise and protect the rights

and needs of tangata whenua at

all service levels.




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1.3 Demonstrates

accountability for directing,

monitoring and evaluating

nursing care that is provided

by nurse assistants, enrolled

nurses and others.

Demonstrates accountability for

directing, monitoring and

evaluating nursing care that is

provided by nurse assistants,

enrolled nurses and others.

Demonstrates accountability for

directing, monitoring and

evaluating nursing care that is

provided by nurse assistants,

enrolled nurses and others.

1.4 Promotes an

environment that enables

tangata whaiora safety,

independence, quality of life

and health.

Guides others and contributes to

a health care environment that

enables tangata whaiora &

whānau safety, independence,

quality of life and health.

Role models and ensures that

the health care environment

enables tangata whaiora &

whānau safety, independence,

quality of life and health.

1.5 Practises nursing in a

manner that tangata whaiora

determine as being culturally

safe.

Guides others to provide culturally

safe care that is responsive to the

rights, needs, interests of tangata


Role models and facilitates

culturally safe care that is

responsive to the rights, needs,

interests of tangata whaiora and

whānau.

Domain 2 : Management of Nursing Care

This domain contains competencies related to tangata whaiora assessment and managing

tangata whaiora care, which is responsive to tangata whaiora needs, and which is supported

by nursing knowledge and evidence based research.

Puna Whakato Puna Whakatau Puna Rahi 2.1 Achieves competency

in area specific clinical skills

and practice.

Achieves and maintains

proficiency in area specific

clinical skills and practice.

Achieves and maintains

expertise in area specific clinical

skills and practice.

2.2 Provides planned

nursing care to achieve

identified outcomes.

Utilises and supports others in

the use of therapeutic

interventions to achieve health

outcomes.

Acts as a resource and

facilitates access to a range of

effective therapeutic

interventions to optimise health

outcomes.




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2.3 Promotes the use of

Recovery principles in the

planning and evaluation of

health care; in collaboration with

tangata whaiora and whānau.

Utilises and supports others to

use Recovery principles in the

planning and evaluation of

health care; in collaboration with


Acts as a resource and

facilitates the use of Recovery

principles in the planning and

evaluation of health care in

collaboration with tangata


2.4 Undertakes a

comprehensive and accurate

nursing assessment of tangata

whaiora in a variety of settings

Undertakes and supports others

to utilise assessment processes

that consider physical, mental,

spiritual, whānau, social

dimensions in collaboration with


Undertakes and acts as a

resource to ensure assessment

processes consider physical,

mental, spiritual, whānau, social

dimensions in collaboration with


2.5 Ensures documentation

is accurate and maintains

confidentiality.

Demonstrates and supports

others to document accurately

and confidentially; that

demonstrates tangata whaiora

and whānau involvement.

Role models and monitors

documentation that is accurate,

confidential and demonstrates

tangata whaiora and whānau

involvement.

2.6 Ensures tangata whaiora

has adequate explanation of the

effects, consequences and

alternatives of proposed

treatment options.

Demonstrates and guides

others to ensure tangata

whaiora have adequate

explanation of the effects,

consequences and alternatives

of proposed treatment options.

Demonstrates and acts as a

resource to ensure tangata

whaiora has adequate

explanation of the effects,

consequences and alternatives

of proposed treatment options.

2.7 Acts appropriately to

protect oneself and others when

faced with unexpected tangata

whaiora responses,

confrontation, personal threat or

other crisis situations.

Anticipates and responds to

changes in health

status/situations when

unexpected tangata whaiora

responses, confrontation,

personal threat or other crisis

situations maybe possible.

Role models the ability to

anticipate changes in health

status/situations and assists

with decision making inclusive

of interagency communication

where necessary; to resolve

and respond to the situation.




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2.8 Evaluates tangata

whaiora progress toward

expected outcomes in

partnership with tangata

whaiora.

Implements and evaluates

holistic care to tangata whaiora

with complex needs in

partnership with tangata


Provides and coaches others to

implement and evaluate holistic

care to tangata whaiora with

complex needs in partnership

with tangata whaiora and

whānau.

2.9 Provides health

education appropriate to the

needs of tangata whaiora within

a nursing framework.

Anticipates and accesses

resources appropriate to the

health educational needs of


Role models and advises a

range of health educational

resources; approaches

appropriate to the needs of the


Assists others to utilise effective

strategies to provide health

education appropriate to the

needs of tangata whaiora and

whānau.

Assists others to evaluate

health educational strategies

delivered to tangata whaiora

and whānau.

2.10 Reflects upon, and

evaluates with peers and

experienced nurses, the

effectiveness of nursing care.


use reflective processes to

explore decisions, actions and

practice.

Utilises and facilitates reflective

forums and processes to

explore decisions, actions and

practice.

2.11 Maintains professional

development.

Promotes and contributes to the

continual development of

nursing practice.

Role models continual

development of nursing

practice.




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Domain 3 : Interpersonal relationships

This domain contains competencies related to interpersonal and therapeutic communication

with tangata whaiora, other nursing staff and interprofessional communication and

documentation.

Puna Whakato Puna Whakatau Puna Rahi 3.1 Establishes, maintains

and concludes therapeutic

interpersonal relationships with

tangata whaiora and their

whānau.

Utilises therapeutic use of self

and supports others to

establish, maintain and

conclude therapeutic

relationships with tangata


Role models therapeutic use of

self and coaches others to

establish, maintain and

conclude therapeutic

relationships with tangata


3.2 Practises nursing in a

negotiated partnership with

tangata whaiora and whānau

where and when possible.

Demonstrates and guides

others to work in partnership

with tangata whaiora and

whānau.

Demonstrates and role models

effective partnerships with


3.3 Communicates

effectively with tangata whaiora;

whānau and members of the

health care team.


use a variety of effective

communication techniques with

tangata whaiora; whānau and

members of the health care

team.

Utilises and role models the use

of a variety of effective

communication techniques in

complex situations with tangata

whaiora; whānau and members

of the health care team.




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Domain 4: Interprofessional health care and quality improvement

This domain contains competencies to demonstrate that, as a member of the health care

team; the nurse evaluates the effectiveness of care and promotes a nursing perspective

within the interprofessional activities of the team.

Puna Whakato Puna Whakatau Puna Rahi 4.1 Collaborates and

participates with colleagues and

members of the heath care

team to facilitate and coordinate

care.

Works in partnership with other

agencies and contributes a

nursing perspective to the

health care team to facilitate

and coordinate care.

Role models a nursing

perspective and leads

collaborative approaches

amongst health care team

members and other agencies to

facilitate and coordinate care.

4.2 Recognises and values

the roles and skills of all

members of the health care

team in the delivery of care.

Incorporates other disciplines of

care into care planning to meet

the needs of tangata whaiora

and whānau.

As above

4.3 Participates in quality

improvement activities to

monitor and improve standards

of nursing.

Guides and promotes quality

improvement activities that

monitor and improve nursing

and health care standards.

Facilitates and role models

quality improvement activities

that monitor and improve:

- Nursing and health care

standards;

- Collaborative initiatives.

4.4 Recognises the

importance of tangata whaiora,

whānau and Māori participation

in quality improvement

activities.

Advocates for tangata whaiora,

whānau and Māori participation

in quality improvement

activities.

Facilitates and ensures active

tangata whaiora, whānau and

Māori participation in quality

improvement activities.




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Expectations

To participate within this programme requires the nurse to undertake a sequence of activities

that shall contribute to a variety of evidence to be compiled into a written professional

portfolio.

This section has been divided into four subsections, designed to help you to think about your

nursing practice and to commence compiling evidence for your professional portfolio. Please

note, that the Huarahi Whakatū PDRP Templates are located on the Te Rau Ora website

which will support this toolkit and assist your compilation of evidence and participation within

the Huarahi Whakatū PDRP programme – www.matatini.co.nz

The competencies and performance criteria within the Huarahi Whakatū Professional

Development and Recognition Programme framework will offer criteria for you, to assist

Peers (colleagues) and Managers to critique your nursing practice against.

By utilising the Huarahi Whakatū framework as a reflective tool, will assist you to analyse

your nursing practice, the identification of current skills and strengths, a reflection of past

practice and to consider areas where there is scope for improvement.

Within Pukenga Māori Motuhake you are supported to identify a variety of puna and criteria

as appropriate to your nursing practice.

Within Pukenga Haumanu, you are encouraged to identify and remain with one puna

consistently throughout Pukenga Haumanu part of the framework. (Such as puna whakato,

puna whakatau or puna rahi only).

The evidence will consist of one self assessment; two peer reviews; two narrative writings,

one performance appraisal, one Curriculum Vitae (CV) and other information.




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Evidence Based Practice

You will be utilising models of practice, techniques, theories and clinical /cultural guidelines

during your daily nursing practice. By acknowledging adequately the information that you use

in your practice will:

• Support your ideas and practice,

• Demonstrate the range and quality of your knowledge base,

• Demonstrate that you understand and keep up to date with practice trends, policies, nursing standards of practice and key literature associated with your area of practice,

• Direct assessors to sources of information that you have used, if they want further information.

The expectation is for nurses to support their practice examples of written work (e.g.

narratives) with current evidence based practice.

Here are two examples that portray evidence based practice

Example 1

I work as a Tamariki Ora Nurse in a small community, I find my role rewarding as I get to visit

whānau at their homes. It takes some time to engage with new whānau, and this particular

situation I was out visiting a new person recently referred to me. Similar to other young

whānau, I always need to ensure that there is enough time available so that the

whanaungatanga process can be initiated. Māori prefer to meet people face to face as this

establishes an important relationship between myself, as a nurse, and the whānau. If not,

what follows can result in Māori patients not engaging at all with health providers. This kōrero

is also supported by the ACC Summary Guidelines on Māori cultural competencies for

providers (2004).




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Example 2

I had been visiting Tame (not his real name) for a month; he had been diagnosed with

Depression after being discharged from hospital (after losing his leg in a motor vehicle

accident). Tame had undergone some radical changes in a short amount of time; losing a

leg and learning to cope with a new prosthesis; not being able to work and being inactive at

home. Understandably Tame was frustrated and I wondered about whether the medication

and type of support provided thus far to him at home was adequate to assist him to pick

himself up emotionally and to assist him with adapting with his current physical situation.

Tame had been taking a prescribed antidepressant combination for a 3 to a 4 week period

with a partial response. I referred to the NZGG guidelines; Tame had no premorbid medical

condition that I knew of. There was no self harm intent or unusual thought patterns so no

urgency of intervention was required but Tame was pretty miserable and I really wanted to

see if there was more that I could do for him.

So we sat together and I facilitated a problem solving session, which prompted a few options

(a) planned review with the GP in a week if the mood did not improve; (b) link to a local Māori

male counsellor to talk through issues associated with the accident; (c) an exploration of

activities that Tame could cope with minimal supervision.

This was the plan that we agreed to work together on in the next fortnight, and I gave him my

work phone number should he feel the need to talk to someone.

A month passed on and Tame’s medication regime had been reviewed by the GP who also

gave Tame a full physical examination (with bloods) to rule out any underlying condition.

Tame had started counselling and was just about to start learning to carve bone one day a

week.

Evidence of References:

New Zealand Guidelines Group. Identification of Common Mental Disorders and Management of Depression in Primary Care.

An Evidence-based Best Practice Guideline. Published by New Zealand Guidelines Group; Wellington: 2008.

The Certificate of Completion – Auckland University Problem Solving Course (in portfolio)




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Once the portfolio has been completed you will participate within an assessment process

that will have two stages:

1. Mahi tuhituhi phase (written component) will involve a critical analysis of the submitted

professional portfolio (and evidence within).

2. Hui Whakamatautau will involve input from you and your support group [roopu tautoko]

with an Assessment panel (consisting of two Māori Nurses, a Kaumatua and/or Kuia with

relevant experience within Māori health and have whānau, hapu support, tangata

whaiora and whānau representatives).

The following figure (2) describes how you may proceed with commencing the Huarahi

Whakatū PDRP programme and establishing a system to gather the necessary evidence for

your professional portfolio.

Section A has been compiled to assist you with reflecting upon your nursing practice by

utilsing the Huarahi Whakatū framework.

Section B has been compiled to assist you with preparing for the completion of peer reviews

and a performance appraisal.

Section C has been compiled to prompt thoughts about compiling narratives and other

support evidence.

Section D has been compiled to guide and prepare you for the assessment components of

Huarahi Whakatū PDRP programme.




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Figure 2 : A process to compiling evidence

Nurse enrols onto Huarahi Whakatū PDRP programme

Nurse reads and orientates to the Huarahi Whakatū PDRP framework

Nurse commences Self Assessment 1st Nurse reflects, analyses and critiques nursing practice (knowledge, skills) against puna within

Pukeanga Māori Motuhake & Pukenga Haumanu. This takes time and should not be rushed. (This may involve peer, PDRP co-ordinator, Supervisor, Kaumātua support to facilitate reflections about

practice and best puna).

Nurse is certain about which puna she or he is applying for and identifies this (these) and begins to consider the commencement of a written portfolio.

Nurse completes the self assessment portion of the Combined Appraisal Template supported by statements of practice / evidence to endorse the behavioural statement(s). (This may involve peer,

PDRP Co-ordinator, Supervisor, Kaumātua support to endorse best puna).

Nurse prepares for peer reviews and performance appraisal by communicating to colleagues and Manager about requesting they complete such activities.

(Indicating what puna the Nurse is applying for).

Nurse commences writing about nursing practice to reflect the puna that one is applying for.

Nurse follows up with peers of completion of peer reviews.

Nurse follows up with Manager About a performance appraisal.

Nurse compiles other evidence to support application (e.g. professional development hours, CV, certificates, supervision record etc.) Nurse completes and includes Corresponding Assessment Guides.

1st – Self Assessment 2nd – Peer review 3rd – Performance Appraisal

To be placed on Combined Appraisal Template

2 reflective or narratives must meet the puna of which the Nurse is applying for.




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Huarahi Whakatū PDRP Nurses Declaration This is to accompany any Huarahi Whakatū PDRP Nurse’s documents

Nurse’s name Registration no.

Employer Contacts:

Before submitting your portfolio or any relevant documentation check that it meets the following requirements:

Declaration by the Nurse

1. I declare that the attached portfolio or documentation contains my own work.

2. Where there has been collaborative or joint work I have clearly and accurately described my

personal contribution.

3. I understand that my portfolio or documentation maybe audited for purposes of authentication.

4. I understand that as a part of the Huarahi Whakatū PDRP programmes quality improvement processes that my documentation maybe required for internal moderation by Te Rau Ora or as directed by Nursing Council of New Zealand.

5. I understand that the Nursing Council of New Zealand will be forwarded information of my

participation on the Huarahi Whakatū PDRP programme (this will entail my name, APC no. and assessment date).

6. I understand that my work will not be used for any other purpose unless with my specific

consent.

7. I have made sure that my portfolio or documentation reflects evidence based practice.

8. I have made sure that I have respected the privacy of any client, whānau or colleague discussed in my portfolio or documentation and have made all efforts to maintain confidentiality.

9. I understand that if there are concerns about any aspects of my portfolio or documentation,

this will be discussed with me.

10. I understand that the assessment process will entail both written and oral components, the time and location will be duly negotiated with me.

By signing this declaration, I declare that all the above statements are truthful.

Signature: Name

Date:

Place this form to the front of the portfolio or documentation for the Huarahi Whakatū PDRP Co- ordinator.




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Huarahi Whakatū PDRP Privacy and Confidentiality Statement

Purpose

Information relating to individuals will be collected, stored and used according to current legislative requirements.2

Scope

The purpose of the Huarahi Whakatū PDRP programme privacy and confidentiality statement is to promote the protection of information belonging to and being used by nurses that participate in the Huarahi Whakatū PDRP programme.

Principles

1. Confidentiality and privacy of information will be of upmost importance.

2. Any personal information given or received in confidence for one purpose may not be

used for a different purpose or passed on to anyone else without the consent of the individual.

3. Identifiable information is stored in an appropriate area when in use, out of casual sight

and not left unattended.

4. Identifiable information when not in use is stored appropriately.

− Paper copies – under lock with access restricted to appropriate persons. − Electronic – in password protected computer, all database to e secured.

Nurses Expectations

A Registered Nurse is obliged to adhere to the Privacy Act (1993) and the Health Information Privacy Code in practice. In accordance with these, no information contained within portfolios or relevant documentation will identify clients, whānau, communities as well as colleagues. Ideally, the Registered Nurse will have sought consent from clients, whānau and others when the evidence compiled demonstrates the nurse’s nursing experiences with them.

Confidentiality requires not only protecting the name of individuals and groups, but also their locality and specific unique situation, e.g. a high profile media case which could lead to their identity or particular community being identified within the context of the reflection.

Breaches of confidentiality will require a portfolio to be returned to the nurse for amendment.

2 Privacy Act (1993) Health Information Privacy Code (1994)




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Assessors

The portfolio is a personal document and the information it contains is private and confidential. All assessors are required to respect this expectation.

Te Rau Ora Staff

The safe handling and co-ordination of portfolios, documents and information belonging to nurses enrolled upon the Huarahi Whakatū PDRP programme will have all due care taken to ensure confidentiality and protection at all times.

Portfolios, documents and nurses information will be held in a locked cabinet within the office of Te Rau Ora with only Huarahi Whakatū PRP having staff access.

Secure database management systems will be operated and monitored by Huarahi Whakatū PDRP staff only.

References

Privacy Act, 1993 Health Information Privacy Code, 1994

Appendix 1 Associated Documents

Huarahi Whakatū PDRP Nurses declaration form

Huarahi Whakatū PDRP programme Toolkit for Nurses

Huarahi Whakatū Portfolio guide and assessment templates




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Section A

Self assessment is a skill and a professional responsibility that encourages a nurse to

critically look at one’s own performance and nursing practice. Self assessment aims to

promote insight, expertise and evaluate competency.

Self Assessment is the first component of reflective practice for the Huarahi Whakatū PDRP

programme. You are encouraged to reflect upon your nursing practice by utilising the Huarahi

Whakatū PDRP framework as a guide to compare your practice against.

The first activity to commence in the Huarahi Whakatū PDRP programme is to read and

orientate thoroughly to the Huarahi Whakatū PDRP framework – Pukenga Māori Motuhake

and Pukenga Haumanu.

The Pukenga Māori Motuhake provides cultural competencies across three puna in each

domain of practice. You are encouraged to work across these to best identify where you

currently practice. Think about practice examples that may endorse where you think you are

practicing currently.

The Pukenga Māori Motuhake supports you to make a choice of where best you view your

practice with the most appropriate puna within one domain. This may involve a variety of

puna within the one domain of practice.

whakato whakatau rahi

✓

✓

✓

Figure 3: Range of puna options in Pukenga Māori Motuhake

Using the Huarahi Whakatū Framework as a Reflective Tool




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The Pukenga Haumanu provides the expected Nursing competencies as certified by Nursing

Council of New Zealand (2005). You are encouraged to think about one puna (e.g. puna

whakato or puna whakatau or puna rahi) across all four domains of practice. Think about

practice examples that will endorse where you think you are practicing currently.

whakato whakatau rahi

✓

✓

✓

Figure 4: Consistent puna option in Pukenga Haumanu

Once you have identified where best you believe your nursing practice is sited upon the

Huarahi Whakatū PDRP framework; these will contribute to your chosen puna within the

Huarahi Whakatū PDRP programme. Once you are certain about the best puna for you,

place this information in the combined appraisal template.

NB: This is the most crucial phase of the programme, as this will inform how the remainder

of your required evidence will be formulated.

The following has been provided as a resource to assist you with reflections. It is not necessary to

include in your portfolio, but it may assist you to critically think about current nursing practice and

potential areas for development.




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Identify the most suitable puna and criteria that you believe you meet within Wairuatanga.

Reflect upon example (s) that will meet these criteria. Consider areas for future development.

Puna / Criteria Evidence (examples of practice)

Areas for Development

Pukenga Māori Motuhake – Wairuatanga




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Identify the most suitable puna and criteria that you believe you meet within Pupuri ki te

Arikitanga. Reflect upon example(s) that will meet these criteria. Consider areas for future

development.



Pukenga Māori Motuhake – Pupuri ki te Arikitanga




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Identify the most suitable puna and criteria that you believe you meet within Tuakiri. Reflect

upon example(s) that will meet these criteria. Consider areas for future development.



Pukenga Māori Motuhake – Tuakiri




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Identify the most suitable puna and criteria that you believe you meet within Te Reo me ōna

Tikanga. Reflect upon example(s) that will meet these criteria. Consider areas for future

development.



Pukenga Māori Motuhake – Te Reo me ōna Tikanga




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Identify the most suitable puna and criteria that you believe you meet within

Whanaungatanga. Reflect upon example(s) that will meet these criteria. Consider areas for

future development.



Pukenga Māori Motuhake – Whanaungatanga




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Identify the most suitable puna and criteria that you believe you meet within Hauora Māori.

Reflect upon example(s) that will meet these criteria. Consider areas for future development.



Pukenga Māori Motuhake – Hauora Māori




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Identify most suitable puna and criteria that you believe you meet. Remember that it must be

one puna across all 4 domains of practice that you associate your practice with in Pukenga

Haumanu (i.e. whakato or whakatau or rahi). Reflect upon practice example(s) you believe

meet these criteria. Consider areas for future development.



Pukenga Haumanu – Domain 1

Pukenga Haumanu – Domain 2 (1 - 3)



Haumanu (i.e. whakato or whakatau or rahi). Reflect upon practice example(s) you

believe meet these criteria. Consider areas for future development.




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Pukenga Haumanu – Domain 2 (4 – 7)



Haumanu (i.e. whakato or whakatau or rahi). Reflect upon practice example(s) you

believe meet these criteria. Consider areas for future development.




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Pukenga Haumanu – Domain 2 (8 – 11)





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Section B

A peer review is a process where a nurse may systematically assess, monitor and make

judgment about the quality of nursing care of a fellow peer.

By utilising the Huarahi Whakatū PDRP framework as a guide, performance criteria are

presented within each domain of practice within the Huarahi Whakatū PDRP framework.

These performance criteria can be used to identify statements recognising selected

behaviours or practice, which can be used to illustrate how the nurse demonstrates the

achievement of each competency and puna. The Peer and or Manager can view these as

performance indicators or statements of outcomes of a Nurses behaviour or practice.

Please ensure that your peer or/and Manager is fully oriented to the Huarahi Whakatū PDRP

programme, its frameworks performance criteria and what puna you have applied for.

The Peer

A nursing peer will either be in an equitable or senior role to you. You will ask your peer to

review your nursing practice utilising the Huarahi Whakatū PDRP framework as a guide. The

peer will be expected to document comments or statements against each competency within

the puna that you have chosen. The peer will place comments in the combined appraisal

template against the Huarahi Whakatū domains of practice in parallel with your chosen puna;

the peer must describe his or her position and provide contact details with a date and be

signed by the person completing the peer review.

Preparing for a Peer Review & Performance Appraisal




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Performance Appraisal by a Senior Nurse or a Manager

It is preferred that an appraisal is completed by a senior nurse; however if this is not possible

a performance appraisal [completed within the year] from your manager will suffice. The aim

of a performance appraisal is to provide support from a senior colleague who can endorse

that you are practicing at your chosen puna within Huarahi Whakatū. That nurse or and

Manager will place comments in the combined appraisal template against the Huarahi

Whakatū domains of practice in parallel with your chosen puna, they must describe his or

her position and provide contact details with a date.

The combined appraisal template is available on the Te Rau Ora – Huarahi Whakatū PDRP

website. It has been created to encourage you to complete your self assessment first, followed

by your two peer reviews and lastly by your performance appraisal.

This systematic method is encouraged to support your reflective practice and gathering

supporting evidence by people that will know your practice, thus consolidating your chosen

puna in the Huarahi Whakatū PDRP programme.




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Section C

Writing two sets of narratives or reflective pieces of writing for the Huarahi Whakatū portfolio

aim to assist the nurse to describe and reflect upon ones nursing practice. A reflective

practice prompter is available on the Te Rau Ora – Huarahi Whakatū PDRP website to assist

your writing.

You maybe familiar with exemplars, these are the same as narratives.

You are expected to provide two narratives that provide practice examples or occasions that

demonstrate your nursing practice in action. These narratives shall provide further evidence

to further support your chosen puna that you are in quest of. Think about the puna that you

have chosen and consider what nursing example you can write about that incorporates the

essence of the puna and statements within such. Remember that this is about your nursing

practice not a clinical case study, so write yourself in the narrative.

Other forms of evidence add value to a professional portfolio.

Remember that evidence should demonstrate accurate support that is 3 years retrospective.

Evidence should consist of a Curriculum Vitae, professional development hours and

evidence of the receipt or and provision of professional supervision.

Optional evidence may consist of teaching, journal and conference presentations; preceptor

evaluation, developed resources and policies, certificates, attestations, evaluation forms.

The decision to include additional evidence will depend upon its relevancy and ability to

support your chosen puna.

Portfolio Tips

- Your portfolio should be presented and kept in a folder or something similar.

- The first section of your portfolio should contain a cover sheet which includes your

personal and contact details.

Narratives & Other Evidence




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- A contents page should be included next. This is very helpful particularly where you have

extensive documentation.

- An introduction page (about yourself, nursing practice and key attributes you wish to

communicate to others).

- It is suggested that each section of your portfolio should be appropriately named and

numbered, under which, the corresponding documentation should be placed. This makes

for easy reading and acts as a quick form of reference.

- Summary of professional development hours over the past 3 years.

- Copy of current practicing certificate.

- Employer confirmation of practice hours.

- Ensure that you always have a copy of all that is contained in your portfolio, to decrease

the chances of original material being lost or misplaced.

- Try to keep all evidential documentation in as pristine condition as possible; and

- Confidentiality is important to be maintained throughout the PDRP process. You are recommended not to include any details within your portfolio or discussion to the Assessment panel that may potentially identify tangata whaiora or their whānau.

Once all of your evidence has been compiled, complete one Pukenga Māori Motuhake and one Pukenga Haumanu Assessment guide to inform the Assessors where your evidence is located within your portfolio. These must be included within your portfolio.




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Section D

There are two components of assessment within the Huarahi Whakatū PDRP programme,

these consist of an assessment of the written portfolio and the invitation of the nurse to a

face to face hui with an assessment panel to discuss or and to present upon the submitted

written evidence (within the portfolio).

Assessment Panel

Assessors will be suitably recruited and trained to assess the nurses written portfolio and to

participate within an assessment panel and process inclusive of an oral presentation within

the Huarahi Whakatū PDRP programme.

It is recommended that the assessment panel consist of:

- two Māori nurses advanced in their practice;

- kaumātua or kuia with whānau, hapu support;

- a tangata whaiora representative; and

- a whānau representative 3

Role descriptions for assessment panel members will ensure that expectations and roles are

clarified. All assessors shall complete a purposefully designed pre-assessor training which,

upon completion, will ensure assessors have a sound understanding of the Huarahi Whakatū

PDRP, the underlying philosophies, relevant standards and guidelines, and assessment

processes at all stages. A toolkit for assessors has been developed to support and enhance

the assessor role and function.

Moderation

Ongoing quality improvement measures such as internal and external moderation activities

are integrated within the Huarahi Whakatū PDRP programme. Should your portfolio be

chosen for moderation, your permission will be sought if external moderation of your portfolio

is required.

3 Te Rau Ora (2004). Huarahi Whakatū Māori Mental Health Nursing Career Pathway

Assessment




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Assessment Process

Mahi Tuhituhi

Your written portfolio will be assessed by a panel of assessors (as coordinated by the Huarahi

Whakatū PDRP programme coordinator). Each assessor will read and thoroughly critique

the portfolio against the Huarahi Whakatū PDRP framework.

Assessment guides, a toolkit and prior training assist the Assessor to critique the written

portfolio of each nurse against the Huarahi Whakatū PDRP framework.

This activity is undertaken prior to the assessment panel meeting together and the Hui

Whakamatautau proper with you and your support(s).

Oral assessment (Hui Whakamatautau)

The oral assessment or Hui Whakamatautau will provide an opportunity for you and your

support (s) to meet face to face with the Assessment panel. You will be well informed about

what to expect prior to the Hui Whakamatautau (assessment hui). You can bring whānau

tautoko to this also. Prior to the actual hui, you are encouraged to provide your support(s)

with information about the Huarahi Whakatū PDRP programme and puna / competencies

that you applying for. This will enable your support(s) to carefully consider, from an informed

perspective, what they can contribute.

The Hui Whakamatautau will be held locally, to ensure nurses and key supports are able to

attend. This might include:

• tangata whaiora and whānau;

• Kaumātua; and

• team leaders, managers, supervisors and colleagues.

The hui will be facilitated in accordance with the importance of whakatau, manaakitanga and

whanaungatanga. Once the whakatau has been completed, the ground rules and agenda

will be established before the hui progresses.




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Possible agenda will entail:

• Explanation / introduction of the Hui Whakamatautau (including introduction to the assessment panel).

• Each panel member will ask you questions based on the evidence submitted in your

written portfolio. (Questions and discussion will reflect the domains of practice and the competency standards for the Registered Nurse as per your submission).

• Verbal feedback of achievement or area’s for improvement will be provided followed by written formalisation of the decision.

• The timeframe for the Hui Whakamatautau (oral assessment) will be a maximum of 1.5hrs.

• If there is a disagreement of the decision (s), an appeals process is available; and

• Guidance and support will be provided by the PDRP Coordinator.

The following figure (5) offers indication of the Assessment process

A completed portfolio is submitted to PDRP Co-ordinator

PDRP Co-ordinator replies to the Nurse to inform of receipt of portfolio

PDRP Co-ordinator informs Nurse of timeframe for Hui Whakamatautau

PDRP Co-ordinator organises Assessment Panel and Hui Whakamatautau arrangements

Hui is held to complete the assessment process

Verbal feedback will be provided




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Figure 5 : Initiating Assessment Process

Summary

In summary, this tool kit has been compiled to assist you to compile your evidence for your

professional portfolio and to prepare for the assessment of such. The Huarahi Whakatū

PDRP templates are available on the Te Rau Ora – Huarahi Whakatū PDRP website for

your perusal which will assist you with this process also.

Your professional portfolio will consist of:

- One Self Assessment.

- One Peer Reviews.

- One Performance Appraisal (completed within the year).

All completed upon the Combined Appraisal Template - Two narrative writings.

- Evidence of professional development hours.

- Employer confirmation of practice hours.

- One curriculum vitae.

- Copy of current practicing certificate.

- There will be optional evidence to support your chosen puna across Pukenga Māori

Motuhake and Pukenga Haumanu (such as, b ut not limited to: Supervision received or

given, preceptor and teaching evaluations, presentations, documentation audit,

resource and policy development).

All evident from three years retrospectively - One Pukenga Māori Motuhake Assessment guide.

- One Pukenga Haumanu Assessment guide.

- Completed Nurse Declaration form.

Each locating your evidence against your chosen puna with your portfolio

We hope that you enjoy the Huarahi Whakatū PDRP programme and if there are any

queries, please contact the Huarahi Whakatū PDRP Co-ordinator at Te Rau Ora.




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Huarahi Whakatū Nurses Template Guide

This guide has been compiled to assist the nurse’s navigation on the Huarahi Whakatū

PDRP website portal when downloading templates to participate in this programme.

Utilise Nurses toolkit as a guide

Read orientation to PDRP framework. (Identify Puna)

Category 1 – PDRP Overview

1. Commence SELF ASSESSMENT (supported by statements that endorse your chosen Puna)

2. Commence PEER REVIEWS – 1 Needed 3. Commence PERFORMANCE APPRAISAL

Category 3 - Optional

Compile evidence pertinent for portfolio, eg. Professional development hours

CV Supervision record

Category 2 – Compulsory Templates

Category 4 – Compulsory Portfolio and Assessment guide

• Check all templates are completed • Confidentiality maintained • Gather information into folder – Print • Submit for assessment

Download 1x – Pukenga Māori Motuhake Portfolio & Assessment Guide

Download 1x – Pukenga Haumanu Portfolio & Assessment Guide

Download Portfolio Guide Category 2 – Compulsory Templates

Narrative Writing can occur anytime – 2 pieces needed. (Reflective Prompter)

Category 2 – Compulsory Templates

Download the combined appraisal template




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Maintenance – Relevant only to nurses to maintain Puna of practice

Maintenance; Category 5

Complete templates

Submit to Huarahi Whakatū PDRP

Maintenance; Category 5

Download 1x – Pukenga Māori Motuhake

Download 1x – Pukenga Haumanu




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PDRP WEBSITE ACCESS

https://huarahi.teraumatatini.com/




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If you have any problems with the Huarahi Whakatū section of the Te Rau Ora website

Please contact us on 04-473-9591




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Glossary

The following descriptions have been formulated from the Huarahi Whakatū PDRP

programme to provide further clarity about their meanings in this programme.

Arikitanga Chiefly ; notable Aroha Compassion, affection. Awhi Embrace, help, aid Assessment Evaluation, judgment.

An assessment where the result counts towards the final result in the programme.

Hauora Health and wellbeing. In traditional korero this was the breath or spirit of life that gave shape and form.

Hinengaro Often viewed as the psychological or mental dimension. In traditional Māori korero Hinengaro is the deep mind or consciousness.

Hui Meeting, gathering Hui Whakamatautau Oral component of the Assessment. This will involve a

face to face meeting amongst the Nurse and the assessment panel.

Kanohi ki te kanohi Face to face [ preferred method of meeting] Karakia Prayer, incantation, blessing. Kaumatua Elder Kaupapa Ground rules; general principles Kawa Protocol and etiquette Kōrero Talk, discuss [ion] Kuia Elder female Mana Often defined as status and standing; Mana is the spiritual

power that maybe accorded a person or group through ancestral descent or because the person or group has certain gifts and or achieved something. Mana is not always about power. Personal Mana can be enhanced through the collective opinion of the people.

Mana Whenua People that belong to the area, location. Mataamua First born child; eldest. Mihimihi greetings Mihi whakatau Welcome greeting Noa Free from Tapu; absence of limitations.

In the negative – Noa is a state of diminished tapu; weakness and powerlessness resulting from violation. In the positive – state of mind and spirit that arrives after being acknowledged; enhanced, restored and healed.




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Pepeha Saying, statement, proverb that cements meaning and interconnectedness between a person and their home place, whānau, hapu, iwi.

Pono True, truth, faithful Pōwhiri Welcoming ceremony Potiki Youngest child Pou A post placed to note its position or standing Pukenga Skilled; skill set. Pukenga Haumanu Skill set that represents the Nursing Council of New

Zealand – Standards of practice for Registered Nurses. Pukenga Māori Motuhake Skill set that represents Māori Nursing attributes

knowledge and practice. Puna Level, stage. [puna] Rahi Expert, Advanced level for the Nurse Pupuri To hold ; holdfast Reo Language; Māori language.

Traditionally language to Māori was the life blood and sustenance of the culture – a gift from the gods.

Tangata Whaiora Person seeking wellness or health Tapu Often defined as restricted or sacred.

Tapu provides the link between the mana of the gods and the spiritual powers of all things derived from the gods. Everything has inherent tapu; because of this they can become tapu through dedication to remain under the influence and protection of the gods. In modern times Tapu has been reframed in a protective sense to encompass secular things (e.g. confidentiality; trespass). Restrictions and prohibitions that protect tapu (wellbeing, dignity & sacredness) from violation.

Teina Younger brother or sister Tika The right way (of doing things) Tikanga Code of conduct; method; plan; custom – the right way of

doing things. Tinana Physical dimension; the body. Tuakana Older brother or sister Tuakiri Person; ones identity. Tuhinga Hand writing Wairua Spiritual dimension. For many the spiritual or inner force

affect how people feel and how they respond. Wairuatanga must be nourished through events and inter relationships with others.

Whakapapa Genealogy, family history [puna] Whakato Competent level for the Nurse [puna] Whakatau Proficient level for the Nurse




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Whānau Often defined as family and birth. Whānau has been proposed as a key component of Māori identity and the healing process. Whānau describes groups interconnected by kinship ties. In modern times; groups use whānau to encompass their common purpose and have adopted whānau values.

Whanaungatanga Recognises wider relationships. Whanaungatanga is kinship in its broadest sense and concerns itself with the process of establishing and maintaining links and relationships.

Whāngai Nourish, care for, adopt Whenua Land; placenta

Land provides security, warmth, nourishment to the people.