Adjustment to chronic illness as informed by Māori. A qualitative synthesis of studies and best practice guidelines

Abstract

Supporting equitable healthcare outcomes in Aotearoa New Zealand requires urgent attention. Several models of Māori health and wellbeing introduce elements and strategies that may be central to adjustment to chronic illness. This article conducts a literature review of Māori health and wellbeing models and best practice guidelines to identify what Māori see as central to illness adjustment and determine practical strategies to inform better practice in the context of chronic illness. Two overarching themes were identified as central to the adjustment process: dimensions of health and wellbeing, and whanaungatanga. In addition, five strategies to support adjustment to chronic illness were identified: developing culturally safe practices, involving a patient in their care, involving whānau in care, developing trusting relationships and collective responsibility. By acknowledging elements that Māori see as important to illness adjustment and committing to aligned strategies, healthcare practitioners can better support Māori in the context of chronic illness.