A Qualitative Study of Indian Patients’ Experiences of Fundamental Care Delivery in an Acute hospital.

This study aimed to understand the inpatient experiences of people accessing healthcare who identify as Indian in an acute care hospital in Aotearoa New Zealand, using the Fundamentals of Care Framework as a point of care theory. Specifically, the study aimed to explore their experiences of communication, respect, personal care, and self-care, four areas identified for improvement in a previous internal organisational review of care. The study used a qualitative descriptive approach which aligns with critical theory aiming to understand how different participants perceive reality within dynamic contexts. The study was conducted with ten participants who identified as Indian and had been patients in an acute care hospital. Directed content analysis was applied to the data from the interviews using the four previously identified categories. These categories included communication, respect, personal, and self-care. Content drawn from within these categories was then analysed using relational caregiver (nurse) actions as described in the Fundamentals of Care Framework. The results demonstrated that nurses’ actions lacked a relational approach in many of the care episodes particularly concerning communication, respect, and self-care. However, this approach aligned with the participant’s expectations of what nurses can deliver due to the busyness of their work; they seemingly picked up this burden of nursing busyness. Participants did not express any perceived differences in care relating to their culture or ethnicity. The diversity of the workforce reflective of themselves, was a welcoming factor, highlighting the benefits of a globally mobile workforce. Te Reo Māori Translation He rangahau ine kounga o ngā wheako o ngā tūroro Īnia mō te horanga taurima taketake i tētahi hōhipera māuiui tārūrū Ngā Ariā Matua Ko te aronga o tēnei rangahau he whai kia mārama ki ngā wheako o ngā tāngata e kī nei he Īnia rātou ina urutomo ki ngā tautiakitanga hauora i tētahi hōhipera taurima māuiui tārūrū i Aotearoa, mā te whakamahi i te Anga Tikanga Taurima Taketake hei pūtahi mō ngā ariā taurima. Inarā, ko te whai a te uiuinga kia tūhuratia ō rātou wheako mō te whakawhiti kōrero, mō te whakarangatira i te tangata, te tiaki whaiaro, me te tiaki i a rātou anō, ēnei katoa i tautohutia i tētahi arotake taurima whakaroto o te whakahaere. Ka whakamahia e tēnei rangahau tētahi ara ine kounga whakamārama e hāngai ana ki ngā ariā tātari e whai nei kia mārama he pēhea te kite a tēnā tangata whai wāhi, a tēnā tangata whai wāhi, i ngā horopaki rerekē. I kawea tēnei uiuinga i te taha o ētahi tāngata whai wāhi tekau i kī he Īnia rātou, ā, kua noho hei tūroro i tētahi hōhipera taurima māuiui tārūrū. I hoatu he tātari whakawhāiti aronga ki ngā mōhiotanga i tāpaetia mai i roto i ngā uiui. I tātaritia ngā kitenga mā te whakamahi kāwai i takea mai i tētahi arotake tō mua o ngā wheako o ngā tūroro o te taurima taketake i taua wāhi tonu o te rangahau mā te whakamahi i ngā kāwai e whā kua whakamāmatia ake nei. Ka uru ki tēnei kāwai ko te whakawhiti, ko te whakaute, ko te āhua whaiaro, me te taurima a te tangata i te tangata anō. I tātaritia ngā kai i takea mai i ēnei kāwai nā te whakamahi i ngā mahi a te kaitaurima (tapuhi) tūtata, e ai ki tōna tūtohutanga i roto i te Anga Tikanga Taurima Taketake. Kei ngā hua ka kitea i te ngaro tētahi tatanga tūturu i roto i ngā tūponotanga taurima maha, otirā mō te whakawhiti kōrero, mō te whakaute, me te taurima a te tangata i te tangata anō, i tino kitea. Ahakoa tērā, i hāngai tēnei ara ki ngā tūmanako o ngā tāngata whai wāhi mō ngā mea ka taea te hora e ngā tapuhi nā te waipuke mai o ngā mahi; i rongo rā rātou i te taumahatanga o te waipuke o te mahi tapuhi. Kāore ngā tāngata whai wāhi mai i tino kōrero mō tētahi makihuhunu, nā tō rātou ahurea, tō rātou momo iwi rānei. I mihi anō rātou ki te āhua o te noho mai o ētahi tapuhi nō tō rātou ao anō, me te mihi ki te āhua o te rere noa o ngā tapuhi ki ngā wāhi maha o te ao, mahi ai.