New Zealand Research Articles

Feel the Fear and Do It Anyway-Beliefs About Compassion Predict Care and Motivation to Help Among Healthcare Professionals.

To develop and preliminarily validate a measure of beliefs about compassion in health care and assess whether and which beliefs may predict compassion. Pre-registered cross-sectional online survey study with a repeated-measures vignette component. Exploratory and Confirmatory Factor analyses were performed on a split sample of 890 healthcare professionals in Aotearoa New Zealand (NZ). Links with fears of compassion for others, burnout, trait compassion, compassion competency and ability and self-efficacy were used to assess convergent and divergent validity. Linear mixed model regression analyses were used to assess relationships between beliefs and compassion. In writing this report, we adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Four-factor structure featuring three negative (compassion as harmful, not useful, draining) and one positive (compassion is important) type of beliefs was established. Confirmatory factor analysis indicated a good fit and subscales indicated good measures of validity. Internal consistency was achieved for the subset of beliefs (harmful, not useful). Regression analyses indicated negative effects of the belief that compassion is draining on caring, motivation to help and compassion overall; negative effects of the belief that compassion is not useful on the motivation to help and a positive effect of the belief that compassion is important on caring and compassion overall. There was no effect of beliefs that compassion is harmful on compassion measures. This report extends prior qualitative studies of beliefs about compassion in a large healthcare sample, offering a way to measure these potentially malleable factors that might be targeted in education, interventions and future research. The study was designed in consultation with healthcare and compassion research professionals, including substantial input from Indigenous Māori healthcare professionals.

Internationalisation at home: Creating an equitable virtual space for language learning

ABSTRACT This study investigates the impact of telecollaborative practices grounded in internationalisation at home (IaH) on foreign or additional language learning and intercultural understanding. Two higher education institutions (HEIs) from Taiwan and Aotearoa New Zealand (NZ) collaboratively re-innovate a virtual learning space to facilitate equitable access to intercultural communication experiences for first-year university language learners. Using a qualitative approach, data were collected through student e-portfolios, social networking sites, and reflections to evaluate the effectiveness of the telecollaborative learning design in achieving its goals. Findings demonstrated that the telecollaborative practices not only afforded students opportunities to practice with peers from native-language countries but also prompted them to strengthen their sense of belonging and identity as their intercultural knowledge broadened and deepened. Future research is suggested to explore the potential impact of IaH initiatives on a broader range of tertiary students.

Impact of <i>Botrytis cinerea</i> on γ-Nonalactone concentration: analysis of New Zealand white wines using SIDA-SPE-GC-MS

Noble rot, caused by infection of grapes with the fungus Botrytis cinerea, is commonly used in the production of dessert-style white wines, imparting desirable aroma descriptors, including dried fruit, honey, and stone fruit. γ-Nonalactone is an aroma compound that is ubiquitous in wine yet has been overlooked in literature for some time. Previously, this compound has been found in higher concentrations in noble rot wines. New Zealand (NZ) is world-renowned for its high-quality white wines, particularly Sauvignon blanc; however, limited research has been carried out on the aroma features of wines produced in lower volumes, such as botrytised dessert styles, and those produced from aromatic grape varieties such as Riesling. Therefore, this work quantified γ-Nonalactone concentrations in 38 NZ commercial white wines, representing botrytised (18) and non-botrytised (20) styles, using SIDA-SPE-GC-MS. These wines were selected to represent a cross-section of NZ white wines, made from Sauvignon blanc, Riesling, and Sauvignon-Sémillon blends, and derived across a range of vintages (2014–2021), and NZ wine regions (Central Otago, Gisborne, Hawke’s Bay, Marlborough, Waiheke Island, Waipara Valley, and Wairarapa). Multivariate data analyses were carried out using vitivinicultural data from wine producers, wine, and measured technical parameters and γ-Nonalactone concentrations. Analyses revealed that γ-Nonalactone concentration was significantly higher in botrytised wines (p-value = 3 × 10-8), with a maximum of 43.5 µg L-1, compared to a maximum of 8.7 µg L-1 in the non-botrytised samples. No significant associations were found between γ-Nonalactone concentration and region or grape variety, suggesting that the precursors to γ-Nonalactone are produced by B. cinerea itself, or through alterations in grape metabolism induced by B. cinerea. Additional research is needed to elucidate the mechanism(s) by which noble rot leads to higher γ-Nonalactone concentrations in wines.

Editorial

This issue of RERM includes four papers that boldly attempt to propose ways in which educational research practices, traditions and methods might be enacted differently. They take seemingly foundational research methods (reviewing literature, ethnographic observation, walking methodologies) and transform them in to something less familiar that invite our readers to stutter and reappraise how else research might be done and with what outcomes. Firstly, researching from Danish inner cities, Staunæs and Vertelyte draw on affect theory and a concern with moods and felt pedagogies in education to explore how hopes and anxieties are woven through school objects and architecture. Through minor interventions the authors propose that there are abundant possibilities to improve the inclusion of racialized students in the inbetween, and often pathologised spaces of school. This holds the potential to radically shift perceptions, prejudices and behaviours that are not always identifiable but that can be sensed through the minor gesture. The authors attend to the significance of language and what happens through translation and diffractive readings. They stress that concepts that travel require careful consideration when transposed into alternative geopolitical contexts. They take Ahmed’s ‘happy objects’ as a case in point to make visible the specificities of local context and what that means for advancing theory that can pay closer attention to time and space. The next two papers address ways in which literature reviews – a staple element to any research project – can be up-ended and reimagined when post-foundational theories and practices are put to work. Naomi Pears-Scown makes use of Baradian theoretical concepts to think-with literature rather than merely review what is already known and organize a corpus of knowledge into useful categories. Through literature cartographies, Pears-Scown develops a mapping strategy that makes visible her affective engagement with literature through the crafting of found-poems which tell stories of the ways in which place shapes approaches to arts therapy in various geopolitical contexts. This novel approach to engaging with and encountering literature disrupts received wisdom about how literature should be reviewed and instead invites the reader to sit with the discomforts of expanding how literature stories can be told. In resonance with Pears-Scown, the next paper written by co-authors Boks-Vlemmix and Aspfors, offers a similar challenge to orthodoxies surrounding what a literature review is and how it should be undertaken. In their experimental piece the authors offer glimpses into what gets generated when the emphasis concerns processes and practices of doing a literature review rather than what it represents. Like the previous paper, the authors are inspired by a cartographic approach that holds the potential to map the processes involved in becoming deeply immersed and affect with a body of literature. They take literature on Teacher Educator Professional Learning as a case in point to explore how mapping and tracing entangled concepts can generate unanticipated insights and present new lines of thought. Finally, Louisa Allen explores the potential of smell, with all the senses and beyond the human, for educational research. She takes the reader on ‘smellwalks’ which presented themselves as an unlikely research method during pandemic lockdown. Allen provides detailed accounts of the ways in which smellwalks came into being in a small coastal town in Aotearoa-New Zealand and enabled a deep exploration of pandemic-transformed life at a daily and local level. The paper offers a theoretical examination of smellwalk methodology as a means to consider smell through multisensory conceptualisations where human senses are understood as distinct but overlapping. Further, the paper theorises the act of smelling as unbounded and ultimately, always more-than-human. A series of research moments are examined to demonstrate how smelling involves a multisensory experience that emerges with/through the material landscape. Together these papers offer important ways to reappraise approaches to research methodology in education that have become so deeply embedded that they unwittingly shape conventional expectations of how research should be done, has always be done. Each of these papers offer exciting invitations to interrupt this routine way of thinking. Respond to the invitation to pause, to ask, must we do it that way? The way it has always been done? What happens if we question and dare to experiment with alternative approaches? When theory is mobilized through research that seeks to pursue alternative lines of inquiry, what then? When theoretical concepts are taken up in/to ‘foreign’ spaces what happens to them? How do they travel? What do they agitate? What do they make possible? Aligned with the aims of this journal, these papers individually and collectively, invite a pause to business-as-usual in educational research. Jayne Osgood Camilla Andersen Mona-Lisa Angell Ann Merete Otterstad Editors

Smell of Sunshine

This paper explores the experience of trialling smellwalks during the pandemic for use in educational contexts. It details how these walks were designed and mobilised in a small coastal town in Aotearoa-New Zealand to explore how the pandemic transformed life at a daily and local level. The paper has two aims which entail a theoretical examination of smellwalk methodology. Firstly, to rethink a multisensory conceptualisation of smell where human senses are understood as distinct but overlapping. And secondly, to theorise the act of smelling as unbounded and involving non-humans. A series of research moments are examined to demonstrate how smelling involves a multisensory experience that emerges with/through the material landscape. Barad’s (2007) notion of intra-action is drawn upon to re-conceptualise the idea of smell as led by the nose and reconfigure it as an indeterminate bodily experience.

Identifying and classifying broader scale of disaster impacts to better inform disaster management policies and practice

AbstractDisasters are often assessed by factors such as their magnitude, severity and impact on affected communities. Typically, disaster management policies are largely informed by learnings from large-scale disasters. Many studies, however, have shown that cumulative smaller scale disaster impacts have similar outcomes comparable to larger scale disasters. This indirectly contributes to a lack of consistency in and paucity of data related to both smaller-scale disasters and their associated cumulative impacts. This paper argues that greater attention needs to be paid to collecting disaster impact data on a range of disaster-scale events along with their cumulative impacts to better inform disaster management policies and practice. The paper aims to test the hypothesis that a better understanding of a wide range of disaster scale types and their impacts on communities, including small-scale disasters, enables the development of more just, consistent and equitable disaster management policies and practice. Analysing economic costs, evacuation and rainfall data from past flood events that affected Aotearoa-New Zealand over the last three decades, the paper found discrepancies and lack of coherence in disaster data collection and reporting, along with a predominant reliance on rainfall intensity data for disaster risk reduction and planning. The findings also confirmed the importance of identifying economic damages for a range of disaster scales, including those from small-scale disasters. This highlights the need for developing a spectrum to better classify and identify disaster impacts based on various spatial and temporal contexts. The paper concludes by affirming that such database would provide much needed evidence for developing a methodology that enables the identification of the level of disaster impacts; thereby guiding the implementation of more just, consistent and equitable disaster management policies and practice.

Predictive validity of the Psychopathy Checklist: Screening Version (PCL:SV) in a sample of New Zealand Māori and European male prisoners.

Numerous studies have investigated the predictive validity of the Hare Psychopathy Checklist (PCL), but the majority have used samples from North America. The PCL may inform important decisions about people's futures; recognition has been growing of the importance of ensuring that its psychometric properties are established in each jurisdiction where it is used, especially for Indigenous and non-European populations. The present study examined the predictive properties of the Hare Psychopathy Checklist: Screening Version (PCL:SV; Hart et al., 1995) in 371 New Zealand (NZ) male prisoners, including NZ European and NZ Māori subsamples. Discrimination analyses showed that PCL:SV total scores had moderate predictive accuracy for any new conviction within 5 years of release; no significant differences were detected for Māori versus NZ European on this outcome. PCL:SV Factor 2 (Lifestyle/Antisocial) scores were moderately predictive of violent recidivism within 5 years of release. In a second, independent sample of male prisoners (n = 102), both PCL:SV total and Factor 2 scores showed moderate predictive accuracy for serious institutional violence. Additionally, PCL:SV Facets 1 (Interpersonal) and 2 (Affective) scores were uniquely associated with time to sexual and violent recidivism, respectively. Understanding the predictive performance of clinical risk measures across diverse ethnic groups is an important step toward identifying and addressing ethnic disparities in criminal justice outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The effectiveness of secondary-school based interventions on the future physical activity of adolescents in Aotearoa New Zealand: a modelling study.

Secondary schools are important settings for promoting varied physical activity (PA) opportunities for adolescents to promote PA throughout life. However, research on the effect of secondary school-based interventions on future PA is limited. This study examined the potential impact of secondary school-based interventions on the determinants of future PA participation of Aotearoa New Zealand (NZ) adolescents using simulated modelling. We used data from a nationally representative sample of secondary school students (n = 5035) aged 12-17 between 2017 and 2020 in NZ. We modelled four secondary school-based interventions and their projected impact on five determinants of future PA. Modelled interventions were the technological augmentation of physical education (TAPE), a peer-led PA mentoring programme (PL), physically active learning (PAL) and the inclusion of a natural environment play area (NE). Total weekly PA increased the most from the NE intervention (+ 0.2h/week), followed by TAPE (+ 0.08h/week), PAL (+ 0.05h/week) and PL (-0.06h/week). Current number of PA settings increased the most in NE (+ 1.75 settings/week), followed by TAPE (+ 1.29 settings/week), PAL (+ 1.21 settings/week) and PL (+ 0.73 settings/week). Current number of PA types increased the most in NE (+ 1.57 types/week), followed by PL (+ 1.05 types/week), TAPE (+ 0.34 types/week) and PAL (+ 0.15 types/week). Physical literacy scores increased the most from PL (+ 3.6%), followed by PAL (+ 3.3%), TAPE (+ 0.43%) and NE (+ 0.12%). Social support scores increased the most from PAL (+ 5%), followed by PL (+ 1.9%), TAPE (+ 1.46%) and NE (+ 0.57%). On average, all interventions benefitted determinants of future PA participation to a small degree. Results show differing magnitudes of the intervention effect by determinant, indicating the complexities surrounding the promotion of PA adherence. Future interventions could be improved through detailed consultation alongside, and involving, adolescents and stakeholders within schools. Researchers should also prioritise the collection of longitudinal PA data and explore its connection with sociodemographic differences between adolescents.

Motivations for political donations in Aotearoa New Zealand

This research explores motivations for political party donations in Aotearoa New Zealand (NZ). Drawing on interview data from 29 political ‘insiders,’ we utilize McMenamin and Power’s theoretical framework to assess the pragmatic, partisan and social motivations for donations. We extend the original framework beyond business donations, incorporating a broader range of donor and non-donor insights. We observe strong social motivations for donating and a general agreement among political actors that donations provide access to politicians. The theoretical lens is expanded by NZ-specific factors, notably a strong concern for democracy and the potential for adverse impacts from donating. The latter brings negative motivations into the theoretical lens. We offer an amended framework that more closely reflects donation motivations in the NZ environment, which is dominated by a small pool of large donors, close connections between political actors and a desire for adequately funded political parties to enhance democratic outcomes.

Sociodemographic, mental health, education, employment and income characteristics of adults with obsessive–compulsive disorder who accessed secondary health services in Aotearoa | New Zealand

ABSTRACT Little is known about New Zealanders who experience obsessive–compulsive disorder (OCD). Using population-level data for people aged 18–64 years, we identified a cohort of 5559 people who accessed secondary health services and had a diagnosis of OCD. We explored their characteristics in comparison to people without OCD. The rate of OCD per 10,000 people differed by ethnicity (European, 24.7; Māori, 13.4; Pacific Peoples, 5.6; Asian, 5.9). We observed variation in OCD rates by the geographic divisions of the public healthcare provider Health NZ which persisted following standardisation for age, sex, ethnicity and urban vs rural residence (Northern, 14.5; 95% confidence interval (CI) 13.7–15.2; Te Manawa Taki, 10.9; CI 10.0–11.8; Central, 19.7, CI 18.5–20.8; Te Waipounamu, 27.4, CI 26.2–28.7). These disparities suggest inequity of access to healthcare. Individuals in this cohort typically had at least one co-occurring mental health or related condition (78.8%) and were less likely to have at least level 4 educational qualifications (equivalent to first year of an undergraduate degree) (adjusted rate ratio (ARR) 0.94; CI 0.90–0.97), to be employed (ARR 0.69; CI 0.66–0.72) and to belong to a higher income bracket ($40,000 or higher, ARR 0.57; CI 0.53–0.62). These findings suggest wider support needs. What we already know Obsessive–compulsive disorder (OCD) is a mental health condition that is characterised by repetitive intrusive thoughts and compulsive behaviours and has a twelve-month prevalence of around 1–2% in adults. In clinic-based studies, most individuals with OCD have other mental health and related conditions and, to a lesser degree, this is also observed in community surveys. OCD is typically first experienced as a child, adolescent or young adult and can severely impact an individual’s ability to engage in education and employment. What this article adds Using the Integrated Data Infrastructure (IDI), a national collection of linked health and non-health data, we explored the characteristics of working-age adults with OCD who had accessed public secondary health services in Aotearoa | New Zealand (NZ). There were marked differences in the rates of OCD for geographic areas corresponding to the regional divisions of Health NZ | Te Whatu Ora, and, as previously described, by ethnicity. These findings suggest inequity of access to healthcare and merit further investigation. In comparison to other working-age adults, people in the study cohort were moderately less likely to have achieved higher level educational qualifications, and they were markedly less likely to be employed and to belong to a higher income bracket. Accessing public secondary health services is likely to be a proxy for more severe and/or complex psychological disability and many people in this cohort had other mental health and related conditions. Therefore, the characteristics of this cohort cannot be generalised to the entire group of people who experience OCD in NZ.

Anthropogenic influence on precipitation in Aotearoa New Zealand with differing circulation types

This study quantifies the influences of anthropogenic forcing to date on precipitation over Aotearoa New Zealand (ANZ). Large ensembles of simulations from the weather@home regional climate model experiments are analysed under two scenarios, a natural (NAT) or counter-factual scenario which excludes human-induced changes to the climate system and an anthropogenic (ANT) or factual scenario. The impacts of anthropogenic forcing on precipitation are analysed in the context of large-scale circulation types characterized using an existing Self Organizing Map classification. The combined effect of both thermodynamics and dynamics are compared with values expected from the Clausius–Clapeyron (C–C) relation. Changes in the precipitation intensity due to greenhouse gas-forced temperature rise are lower than the expected C–C value. However extreme precipitation changes approach the C–C value for some circulation types. Specifically westerly flows enhance precipitation change across ANZ relative to the C–C rate, particularly over the West Coast. Conversely, northwesterly flows reduce the change over the North Island relative to the C–C value. Moreover, the wet day frequency generally reduces in the ANT scenario relative to NAT, reductions are largest on the West Coast of the South Island for westerly flows. Additionally, the frequency of days with extreme precipitation rises over ANZ for most circulation patterns, except in Northland and for northwesterly flows. This underscores the combined influence of dynamics and thermodynamics in shaping both precipitation intensity and frequency patterns across ANZ.

The impact of non-structured PSA testing on prostate cancer-specific mortality on New Zealand Māori men

ObjectivesTo assess the impact of differences in Prostate-Specific Antigen (PSA) testing rates on prostate cancer (PCa) diagnosis and PCa-specific mortality among Māori men in a New Zealand (NZ) population.Patients and MethodsMāori men aged 40 years or older, without a history of PCa, with a PSA test between 2006 and 2018 were included. The cohort was divided into two groups; the “screened group” (ScG) consisting of men who had at least one PSA test every four years or less, and the “non-screened group” (non-SG). We measured the rate of cancer diagnoses and used competing risk analysis to assess survival.ResultsThe study cohort included 63,939 Māori men, with 37,048 (58%) in the ScG. PCa was more frequently diagnosed in the ScG (3.7% vs. 3.0%, P < 0.001). A higher proportion of high-grade cancers were found in the non-SG (32.7% vs. 25.6%, P = 0.001). The 10-year cancer-specific survival was significantly higher in the ScG (99.4% vs. 98.5%, P < 0.001). In a multivariable risk model, PSA testing frequency was an independent predictor of PCa mortality. (HR 2.43, [95% CI 1.97–3.01], P < 0.001).ConclusionsIn a cohort of only Māori men, lower PSA testing rates were associated with a higher risk of PCa-related death. Therefore, regular PSA testing for Māori could improve cancer-specific survival among Māori men. Regular PSA testing should be considered a priority area for improving PCa survival in this population.

The health of cultural values and mahinga kai in the Te Wairoa-Hōpūpū-Hōnengenenge-Mātangirau, Wairoa river catchment and the impacts of sediment

ABSTRACT Te Wairoa Hōpūpū Hōnengenenge Mātangirau (Wairoa River) and its tributaries are significant to the iwi and hapū of Te Rohe o Te Wairoa in Wairoa, an area spanning northern Hawke’s Bay and southern Gisborne located on the Eastern side of Aotearoa-New Zealand’s (A-NZ) North Island. The Wairoa River is valued ecologically and for recreation and mahinga kai (food and resource gathering). The river is also affected by excess sediments. In this paper we present a cultural values framework developed in Wairoa and adapted to focus on the awa (river). Ninety two cultural value assessments were conducted with 55 people along reaches of the Wairoa river and the Waiau, its principal tributary. The data reveal considerable spatial and temporal variability in cultural health and add to knowledge of the direct and indirect impacts of sediment on cultural values. Furthermore, the data highlight the resiliency of cultural values of connectedness despite degradation to the environment, and that a range of methods can be employed to support or enhance the health of cultural values to complement water quality improvements. The use of this framework responds to the increasingly recognised need to include diverse perspectives in monitoring programmes and demonstrates that Māori-led cultural monitoring is a means to produce credible, relevant and legitimate information to support policy and planning.

Provision and outcomes of publicly funded bariatric surgery in a metropolitan versus a provincial population of New Zealand.

Obesity is an important health problem worldwide. The prevalence of obesity in Aotearoa New Zealand (AoNZ) is the third highest amongst OECD countries. Previous studies have demonstrated inequity in the provision of bariatric and metabolic surgery (BMS) across AoNZ, but detailed data regarding patients and surgical outcomes is lacking. The aim of this study is to examine the rates and outcomes of BMS between patients domiciled in a metropolitan versus provincial area in AoNZ. A 5-year retrospective observational cohort study of all patients who received BMS domiciled in a metropolitan or a provincial area in the Northern region of AoNZ was performed. Interrogation of patient electronic medical records and clinical notes was performed to collect the required baseline characteristics, secondary outcome measure data and confirm domicile. The rate of BMS was 6.1 times higher in the population with class III obesity domiciled in the metropolitan versus the provincial population. Patients in the metropolitan area were less obese, had lower rates of diabetes and had a wider range of procedures performed. Māori were underrepresented in both cohorts. There was a higher resolution of diabetes in the provincial patients. This study has highlighted significant differences in the rate, type and outcomes of BMS between a metropolitan and provincial area in the Northern region of AoNZ. This represents a significant health inequity. Changes in national and regional policies are needed to ensure equitable care for patients with obesity in AoNZ.

Interpreting and evaluating digital soil mapping prediction uncertainty: A case study using texture from SoilGrids

Soil information is critical for a wide range of land resource and environmental decisions. These decisions will be compromised when the soil information quality is unsatisfactory. Thus, users of soil information need to understand and consider the uncertainty of the available soil information and be able to judge whether it is fit for purpose. The uncertainty information provided with the SoilGrids2.0 product was examined in a case study. We hypothesised that the soil property predictions for the Netherlands (NL) might be less uncertain than those of New Zealand (NZ) because there were more relevant training data for NL than for NZ. The study objectives were to: 1)understand whether the provided uncertainty information is correct for both countries; 2)explore spatial patterns and relationships in the prediction error and uncertainty information using quantitative tools and new graphical analyses; 3)analyse whether these patterns and relations can be explained; and 4)explore how the uncertainty information and insights derived from graphical analyses might assist an end user to determine whether a map is suitable for their purpose. The study focused on soil texture.Independent datasets showed that the SoilGrids 2.0 uncertainty information was too optimistic for sand and too pessimistic for clay for both countries. The graphical analyses confirmed the initial assumption that NL predictions were more accurate than those for NZ, but they also indicated that some locations in NL have high uncertainty. The graphical analyses allowed only a limited identification of the four sources of uncertainty in digital soil maps, but were quite insightful in helping us to better understand the reliability of the information. A set of recommendations was developed for both producers and consumers of digital soil mapping (DSM) products. This includes the provision of a summary map of accuracy classes. We suggest that more research and educational effort is needed to ensure that digital soil maps are used appropriately.

Paediatric Laryngeal Ultrasound: A Retrospective CohortStudy in Aotearoa New Zealand and anInternational Survey.

Vocal fold immobility (VFI) is a cause of significant morbidity and mortality in the paediatric population. Laryngoscopy is the current first-line investigation for patients with suspected VFI. Laryngeal ultrasound (LUS) has recently emerged as an alternative method of identifying VFI. Compared to laryngoscopy, LUS is less invasive, does not require anaesthesia, and can be performed by non-otolaryngologists. The objectives of this study are to evaluate LUS as a diagnostic method for the identification of VFI in a cohort of paediatric patients in Aotearoa New Zealand (NZ) and to estimate the frequency of use of LUS in the paediatric population by clinicians around the world. A retrospective, single-centre cohort study was performed on all paediatric patients who had undergone laryngoscopy and LUS at Starship Children's Health in Auckland, NZ, between 2020 and 2023. An eight-question survey was also developed and distributed to better understand clinicians' use of LUS in their clinical practice to diagnose paediatric VFI globally. Twenty-nine paediatric patients met the inclusion criteria. LUS demonstrated good sensitivity (80.95%) for detecting VFI and increased to 93.33% for the detection of unilateral VFI. Of the 87 respondents to the survey, 41.38% utilise LUS in their clinical practice in the paediatric population. The main barriers to implementation of LUS as identified by non-users were lack of equipment, expertise, and training. These findings support the use of LUS as an accurate diagnostic tool for the detection of unilateral VFI. Further studies in non-surgical populations and in patients with bilateral VFI, as well as standardised guidelines for LUS technique and reporting, are required.

Geographical and Spatial Inclusion in Language Teaching During the COVID-19 Pandemic

This article presents a duoethnographic study by two lecturers of German in a B.A. program at Waipapa Taumata Rau – The University of Auckland (UoA) in Aotearoa New Zealand (NZ). With an abrupt change to online teaching in March 2020, we had to redesign our language acquisition courses at different levels. Retrospectively, we conducted a duoethnography to investigate our development of courses that are inclusive for onshore as well as offshore students and lecturers. Our personal experiences across different courses are the main data sources, and include our e-mail exchanges, written narrative reflections, and dialogic oral reflections. They served to interrogate and critically reflect our unique experiences while attempting to foster location-based inclusivity. We used thematic analysis to interpret the data into emerging themes. This analysis provided us with a better understanding of the development of our course designs and the role of spatial and geographical inclusion in these courses. Informed by the collaborative reflection of our experiences, as the main finding, we identified three setups and four variations of these for location-based inclusive course designs. In our reflections we illustrate how these designs provided multiple opportunities for contributing to a place-sensitive teacher and learner autonomy.

Sleep as a social and cultural practice in Aotearoa: a scoping review

ABSTRACT Traditionally, sleep science is grounded in biology, physiology, and medicine. But socio-cultural considerations provide a crucial lens into sleep health. Exploring the sociology of sleep in Aotearoa New Zealand (AoNZ) could broaden our understandings and better represent sleep-related practices among our diverse communities. This scoping review represents the pre-existing literature concerning sleep as a social or cultural practice in AoNZ. The initial search (via Discover and Scopus) search yielded 2,442 results. Of these results, 113 manuscripts were characterised of interest, but only 20 were directly related and included in the review. This literature was presented in relation to Meadows’ (2005) modes of ‘sleep embodiment’ including sleep practice norms, the pragmatics of sleep and social roles, individual experiences and feelings related to sleep, and the visceral need for sleep. The findings highlight the progress of sleep literature in AoNZ. This covers diverse sleep practices, perspectives and experiences of sleep and sleeping, as well as the broader socio-cultural factors and unique AoNZ context that influence sleep. However, gaps in the field of local sleep research are also identified. Findings lay the foundation for further research in AoNZ to explore sleep-related discourses and practices that will ultimately broaden existing perspectives.

Situational control and strategic choices during supply chain disruptions: case studies of SME exporters

PurposeMotivated by the severe impact of global supply chain disruptions and the lack of understanding of supply chain resilience from an SME exporter perspective in the international marketing literature, this paper sets out to explore how SME exporters achieve resilience through strategic choices related to sourcing and manufacturing during global disruptions.Design/methodology/approachThe study adopts a qualitative, multiple-case-studies approach to identify the key strategic drivers and contextual factors influencing SME exporters’ supply chain resilience. Our study adopted an SME exporter perspective and featured an unprecedented global supply chain disruption context. New Zealand (NZ) was chosen as the key home country context for the participants of this study. Five NZ SME exporters were selected for our case studies.FindingsThis study redefines buffering, bridging and a mixed strategy for an SME exporter facing global supply chain disruptions. SME exporters with high situational control are likely to pursue a buffering strategy that reduces their resource dependence on foreign suppliers and their reliance on information support from these suppliers. In contrast, when the firm perceives little control over the supply chain, it will decide upon a bridging strategy that aims to build solid relationships with supply chain partners. Exporters opt for a mixed strategy when they do not see themselves clearly in high or low situational control.Research limitations/implicationsAs global disruptions arise and evolve, supply chain uncertainty and exporters’ sense of situational control manifest differently across industries, product lines, markets and sourcing countries. It is essential to understand that firms can choose a mixed strategy based on these supply chain conditions. While our study was fortuitously timed, conducting multi-country studies could provide more comparative insights that transcend national borders. Additionally, our study did not examine organizational and capability-based factors. Future research may benefit from exploring how an SME exporter develops strategic capabilities to achieve resilience over its lifetime.Practical implicationsBusinesses see survival as the most pivotal concern during a global supply chain disruption. Many companies have had to make on-the-spot decisions about whether they should shift or redesign their supply chains in the middle of a global disruption. There is no “best strategy” for an SME exporter to take. Rather, managers should make strategic decisions based on how much control or influence they have over a particular part of their supply chain. The level of control is determined by the SME exporter’s overall resource dependencies and information needs in particular parts of their supply chain.Originality/valueWe adopt resource dependence theory and information processing theory to guide our study and place exporters' situational control in the centre of drivers to firms' strategic choices during global disruptions. We make a novel attempt to incorporate the contextual conditions of the COVID-19 pandemic into the theorization of supply chain resilience. We make managerial recommendations to help SME exporters navigate global supply chain disruption challenges.

The future is bright: artificial intelligence for trainee medical officers in Australia and New Zealand.

Given their frontline role in Australia and Aotearoa New Zealand (ANZ) healthcare, trainee medical officers (TMOs) will play a crucial role in the development and use of artificial intelligence (AI) for clinical care, ongoing medical education and research. As 'digital natives', particularly those with technical expertise in AI, TMOs should also be leaders in informing the safe uptake and governance of AI within ANZ healthcare as they have a practical understanding of its associated risks and benefits. However, this is only possible if a culture of broad collaboration is instilled while the use of AI in ANZ is still in its initial phase.