Evidence map›Paper›PMID 34046956›Full record

ReviewJournal of clinical nursing2021

Creating an Indigenous Māori-centred model of relational health: A literature review of Māori models of health.

Denise Wilson, Eleanor Moloney, Jenny M Parr, Cathleen Aspinall, Julia Slark

Abstract readReview
In one paragraph

Review in Journal of clinical nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Hybrid Leadership for Māori Health: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
  2. Guideline
  3. Trial
  4. Review
  5. Article
  6. Nurse leaders' perceptions of organisational policies, guidelines, and practices that enact children and young people's involvement in hospitals.Journal of child health care : for professionals working with children in the hospital and community · 2026
    Article
  7. Article
  8. Article
  9. Identification of autistic Māori in Aotearoa New Zealand: A national cross-sectional study.Autism : the international journal of research and practice · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Supportive care needs and assessment tools for family caregivers of Indigenous people with cancer: a narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. An Evaluation of Online Resources for Paediatric Tube Feeding in Aotearoa New Zealand: A Document Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  19. Sensationalising Sleep: Perspectives and Protocols for Understanding Discourses of Sleep Health in Aotearoa New Zealand.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Review
  20. Māori Health, Wellbeing, and Disability in Aotearoa New Zealand: A National Survey.International journal of environmental research and public health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Denise WilsonTaupua Waiora Māori Research Centre, Faculty of Health & Environmental Sciences, Auckland University of Technology, Manukau, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-9942-3561
Eleanor MoloneySchool of Nursing, University of Auckland, Grafton, Auckland, New Zealand.
Jenny M ParrCounties Manukau Health District Health Board, Middlemore Hospital, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-2365-1394
Cathleen AspinallSchool of Nursing, University of Auckland, Grafton, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-6682-7770
Julia SlarkSchool of Nursing, University of Auckland, Grafton, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-4261-3254

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesIdentify the key concepts, principles and values embedded within Indigenous Māori models of health and wellbeing; and determine how these could inform the development of a Māori-centred relational model of care.

backgroundImproving health equity for Māori, similar to other colonised Indigenous peoples globally, requires urgent attention. Improving the quality of health practitioners' engagement with Indigenous Māori accessing health services is one area that could support improving Māori health equity. While the Fundamentals of Care framework offers a promising relational approach, it lacks consideration of culture, whānau or family, and spirituality, important for Indigenous health and wellbeing. DESIGN AND

methodsA qualitative literature review on Māori models of health and wellbeing yielded nine models to inform a Māori-centred relational model of care. We followed the PRISMA guidelines for reporting literature reviews.

resultsFour overarching themes were identified that included dimensions of health and wellbeing; whanaungatanga (connectedness); whakawhanaungatanga (building relationships); and socio-political health context (colonisation, urbanisation, racism, and marginalisation). Health and wellbeing for Māori is a holistic and relational concept. Building relationships that include whānau (extended family) is a cultural imperative.

conclusionsThis study highlights the importance and relevance of relational approaches to engaging Māori and their whānau accessing health services. It signals the necessary foundations for health practitioners to build trust-based relationships with Māori. Key elements for a Māori-centred model of relational care include whakawhanaungatanga (the process of building relationships) using tikanga (cultural protocols and processes) informed by cultural values of aroha (compassion and empathy), manaakitanga (kindness and hospitality), mauri (binding energy), wairua (importance of spiritual wellbeing). RELEVANCE TO CLINICAL PRACTICE: Culturally-based models of health and wellbeing provide indicators of important cultural values, concepts and practices and processes. These can then inform the development of a Māori-centred relational model of care to address inequity.

Indexed as

Indigenous PeoplesHumansNew ZealandSpiritualitycultural competencycultural safetyfundamental careIndigenousliterature reviewnurse-patient relationship

Identifiers

PMID34046956
PMCPMC8597078

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.