Publications & Resources Quality improvement projects Whānau Māori experiences of major trauma Publications & Resources Annual reports & strategic plans Quality improvement projects Major trauma rehabilitation project Whānau Māori experiences of major trauma Serious traumatic brain injury (sTBI) project National critical haemorrhage project Trauma patient reported outcomes Trauma resources Out-of-hospital Trauma Nursing Framework Clinical guidelines Other publications Podcasts and Conference videos Podcasts Conference videos Whānau Māori experiences of major trauma All publications relating to this project are as follows available for download. They include: the full report executive summary Two resources for clinicians: Whakawhanaungatanga with whānau Māori who experience trauma events How to support whānau Māori who experience major trauma (editable MS Word format so health providers can choose what to use according to their service). Engaging with Māori major trauma patients and their whānau is a key part of improving the national trauma system and delivering on the Commission and Network’s overarching programme objectives. The data collected via the New Zealand Trauma Registry tells us that the incidence of major trauma is 30 percent higher in Māori than in non-Māori. The overall rate for Māori over the last two years is 56 per 100,000, while the rate for non-Māori is 43 per 100,000. Also, Māori men have the greatest burden of major trauma than any other group. Māori women are also disproportionately burdened when compared to females from other ethnic groups. The disproportionate burden of injury starts from the youngest ages and continues across all age groups until the 80+ age group.[1] The aim of this project is to increase our understanding of how, in their own words, Māori major trauma patients and their whānau experience trauma rehabilitation. A second aim is to use findings to identify pragmatic initiatives and approaches that can be implemented to support Māori who are injured to achieve the best possible experiences and outcomes (implementation is out of scope for this project). The key deliverable for the project is the completion of approximately 20 interviews and/or focus groups with Māori major trauma patients and their whānau, from across North Island, South Island, and rural and urban areas. This project will play a key role in refining the Commission and the Network’s overall approach to improving major trauma care in New Zealand in that its findings/outputs will be used to ensure that programme scoping and planning adequately considers and addresses the Māori world view and improves their experiences of and outcomes from their major trauma rehabilitation. The network’s clinical lead and programme manager are also involved in the project. If you have any questions, please contact the project lead, Sharon Pihema at: help@majortrauma.nz. 1. Source: National Trauma Network Annual Report 2018-19. Recommendations and actions 1. Whakawhanaungatanga must be a priority for all health and social service providers Action: All trauma clinicians practise whakawhanaungatanga with Māori patients and whānau. 2. All trauma clinicians must adopt and be accountable for a culturally effective approach Action: All large trauma centres make kaiāwhina (assistants) available to be an integral part of trauma teams. Action: Where available, and patients agree to it, routinely refer Māori trauma patients to the hospital’s Māori support service. Action: All hospital trauma clinicians receive training in cultural competency and are encouraged to learn te reo Māori. 3. Health and social service providers must assess, monitor and support the psychological and emotional wellbeing of the patient and whānau Action: Providers routinely screen all Māori major trauma patients for clinical signs of pain, post-traumatic stress disorder (PTSD) and concussion, with whānau engagement and referral as appropriate. Action: All health and social service providers, where feasible, assess the wellbeing of the patient and whānau using a hauora Māori (Māori health) model. 4. Agencies must involve and provide supports for whānau Māori Action: All agencies working with major trauma patients and whānau, including regional trauma networks, use a consumer/whānau panel to inform service improvement. Action: The Accident Compensation Corporation (ACC) and the National Trauma Network develop patient and whānau information resources specifically for Māori and actively distribute them across trauma teams and contracted provider services. 5. Agencies must invest in kaupapa Māori service providers and support their use Action: ACC and trauma services facilitate options for routinely referring Māori patients to kaupapa Māori (Māori-themed) or rongoā māori (natural medicine) services. Action: ACC strengthens mechanisms to liaise with other agencies on complex social cases through identifying need early. Action: All health and social service agencies invest in training staff, including ACC case managers and hospital Māori support service staff, to effectively communicate with rangatahi (youth). 6. Agencies must measure what matters to Māori Action: The Health Quality & Safety Commission continues to rework in-hospital patient experience survey tools so they include cultural competence of providers. Action: The National Trauma Network routinely measures patient-reported outcomes for Māori. 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