Creating an Indigenous Māori-centred model of relational health: A literature review of Māori models of health.
Denise Wilson, Eleanor Moloney, Jenny M Parr and 2 others
PMID 34046956WHAT IT FOUND
Nine Māori health models describe relational care as requiring trust, extended family involvement, spiritual beliefs, and awareness of colonisation and racism.
These concepts may guide culturally safe patient and family engagement.
Key findings
01Ten articles describing nine Māori health models met the review's inclusion criteria.
02The review identified four themes: dimensions of health and wellbeing, connectedness, building relationships, and socio-political health context.
03The models describe relational care as requiring face-to-face trust building and inclusion of whānau as a support network.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review did not appraise the quality of the included papers because they were descriptions of models rather than research reports. Only English-language papers were included, which may have lost richness and depth from te reo Māori. Two reviewers worked independently and reached consensus, but potential bias remained. The review did not test whether the proposed Māori-centred relational model improves patient or whānau outcomes. The authors caution that complex cultural concepts can be over-simplified when non-Māori practitioners use them.
Declared interests
No funding was received to prepare this article, including institutional support, non-commercial grants, commercial support, and support-in-kind.
The easy way to misread this
Do not read the four themes as evidence that this relational model improves Māori health outcomes. The review synthesised existing Māori models and did not test the proposed model or measure patient outcomes.