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Educating a culturally competent health workforce for Pasifika communities: A Wintec/K'aute Pasifika clinical partnership project

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Abstract

Introduction
The connection between Wintec and K’aute Pasifika is long standing through health and education and the time is right for collaboration that lifts both organisations is the strongest possible partnership. Significant opportunity exists for Wintec’s CHASP/CSSHP and K’aute Pasifika to work together in developing innovative strategies to enhance opportunities for student engagement in the delivery of services offered through K’aute Pasifika and to evaluate these.

Literature review
Pacific Islanders typically have lower health status and life expectancy than other New Zealanders. Implementation of Māori initiatives are not always appropriate for Pasifika peoples and there is a need to develop Pacific-specific initiatives. Evidence suggests tailored teaching and learning interventions may be required to promote participation and academic success of underrepresented minority groups in New Zealand, such as Pasifika. However, the focus needs to be on more than just Pasifika students and also on increasing non-Pasifika student capacity to work with the Pasifika community in a culturally acceptable and competent manner. There is a consistent shortage of Pacific primary health care workers in New Zealand and Pasifika are underrepresented across all health occupations. The literature identifies a complex range of factors that may contribute to this including high levels of mobilization in the skilled professional workforce and blurring of boundaries. Student-led placements with Indigenous populations have been identified as a feasible and meaningful way of developing a workforce ready to serve Indigenous and minority populations.

Method
A mixed method study design incorporating Talanoa was implemented to address the following key objectives:
1. Map current Wintec student placement provision within K’aute Pasifika against regional population health needs
2. Identify educational opportunities available at K’aute Pasifika through consultation with K’aute Pasifika staff
3. In collaboration between Wintec and K’aute Pasifika, develop a 5-year strategic plan for enhancement of cultural competence of Wintec staff and students in working with Pasifika people

Findings
Our Talanoa identified three major themes through which current and potential student placements could be better understood: the student experience, vā/relationships, and transformation. The first theme, student experience, was divided into subthemes, which expressed how students are valued, quality experiences for students are important to K’aute Pasifika staff, cultural practices are significant in placements at K’aute Pasifika, authentic experiences and interprofessional practices are essential and readily occur at K’aute Pasifika. The second theme, vā/relationships, was conceptualised as a network, with K’aute Pasifika at the centre, surrounded by the relevant partnerships. Equally as important as who those partners were, was the connections and space - or vā - between them. The third theme, transformation, was divided into three sub-themes: growth, capacity for more, and workforce development. These themes were understood in the context of the health data to create a clearer picture of the health needs for the Pasifika community in Kirikiriroa/Hamilton.

Recommendations
A clear action plan for 2021 is outlined which was co-constructed and agreed between K’aute Pasifika and Wintec and derived from the Strategic Plan.

Item Type: Report
Uncontrolled Keywords: education, health education, heath sector, Pasifika
Subjects: R Medicine > RZ Other systems of medicine
Divisions: Schools > Centre for Health & Social Practice
Depositing User: Ema Tokolahi
Date Deposited: 14 Jul 2021 01:25
Last Modified: 21 Jul 2023 09:17
URI: http://researcharchive.wintec.ac.nz/id/eprint/7759

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