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Ngā Pae o te Māramatanga’s Te Arotahi series provides expert thought, research and focus to a specific critical topic area to support discussion, policy and positive action. Te Arotahi is delivered as an occasional paper series. 1 te Arotahi Series Paper DECEMBER 2019 - 04 I INTRODUCTION ForMāori, as the Indigenous peoples of AotearoaNewZealand, the care of those who are unwell has always been the concern of whānau (family) and community. Māori have established knowledge systems relating to health and wellbeing, and long-standing practices for both promoting good health and responding to illness (Taskforce onWhānau Centred Initiatives [hereafter referred to as the Taskforce], 2009; Waitangi Tribunal, 2001). These systems recognise the importance of relationships between peoples and broader environments to health and wellbeing (Mark & Lyons, 2010; Taskforce, 2009), something which has been more recently acknowledged in Māori health strategy and policy by government (Ministry of Health, 2014b). In contrast, prevailing health service models, including hospitals, still largely reflect the imported health system that was imposed in Aotearoa New Zealand through colonisation. Our research on hospital transfers found that whānau often wanted to meaningfully participate and become or remain active decision-makers in away-from-home hospitalisations for their whānau member (Masters-Awatere et al., 2017). However, hospital policies and practices did not always facilitate engagement. While whānau-centred care is acknowledged as an aspiration for Māori (Ministry of Health, 2002; Taskforce, 2009), significant shifts to the ways in which hospitals are organised and resourced are necessary to create environments that foster whānau involvement in the care of their loved one during a hospital admission. The Hospital Transfers team sought to explore facilitators and barriers to whānau engagement in the process of a hospital transfer or an away-from-home hospitalisation. Drawing attention to the relationship between Māori cultural Whānau support is vital during hospitalisations, particularly for patients transferred or hospitalised away from home. A significant reorientation of the health system is required to facilitate the active engagement of Māori whānau in the healthcare of a whānau member. THE HOSPITAL TRANSFERS PROJECT: Supporting whānau engagement during hospitalisations Poipoia te kākano, kia puawai Nurture the seed and it will blossom Bridgette Masters-Awatere (Te Rarawa, Ngai Te Rangi, Tūwharetoa ki Kawerau) University of Waikato Donna Cormack (Kāi Tahu, Kāti Mamoe) University of Auckland Rachel Brown (Te Ātiawa, Kāi Tahu) Whakauae Research Services Amohia Boulton (Ngāti Ranginui, Ngai Te Rangi, Ngāti Pukenga, Ngāti Mutunga) Whakauae Research Services Makarita Ngapine Tangitu-Joseph (Te Arawa, Ngāti Maniapoto) University of Waikato Arama Rata (Ngāti Maniapoto, Taranaki, Ngāruahine) University of Waikato Re-vising should include a re-imagining and re-membering of Indigenous health systems for transformed hospital systems

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