Academic literature on the topic 'Kupu whakarite'

This paper considers the dangerous and heated issues that often underlie outwardly happy relationships. Just as the earth can be unpredictable and smouldering under its calm surface, many relationships between couples have deep fissures that bubble up with unexpected force, often in the consulting room. I present a case study of one such couple and consider the parts played by unrealistic expectation, idealisation, denigration, previous hurts and fractures, and cultural background. I also illustrate the paper with snippets from the American TV series Mad Men, looking particularly at Don and Betty Draper’s marriage. Don has a false identity, both literally and metaphorically, and the facts of his earlier life, including his name, are completely unknown to his wife. My premise is that when most couples become attached, it can be an attachment based on primarily unconscious needs and expectations of each other, especially when they have explored and divulged very little. Our role as psychotherapists is to help each member of a couple begin to share their inner lives while maintaining hope that their partner will not use the information shared as a weapon against them.
 Waitara
 E aro ana tēnei tuhinga ki ngā kaupapa morearea, hahana hūnaia ai e te whakaatanga manahau i rō noho tahitanga a te tokorua. Pērā i te matawhatiwhati o Papatuanuku, he maha ngā whakararu noho puku nohonga ā tokorua pahū ake ai i roto i te rūma akoako. E horaina atu ana he mātai takitahi o tētahi tokorua rite ki tēnei ka whakaaro i ngā wāhanga whai wāhi atu ki ngā autāia rerekē, monoa, pēhitanga, mamae inamata me te ahurea. Ka whakaatahia hoki i roto i te tuhinga ētahi maramara kōrero o te Pouaka Whakaata Amerikana Mad Men, aronui atu ki te noho moehanga o Don rāua ko Betty Draper. Ā tuhi, ā kupu whakarite he teka te tuakiri o Don, ā kore kore ana i mōhiotia ngā meka o tōna whakatipuranga, me tōna ingoa e tōna hoa wahine. E kī ana au, inā piritahi he tokorua, he whakapiringa pupū ake ai tēnei mai i ngā wawata me ngā hiahia rehu tētahi ki tētahi, inarā kāre nei e taki mōhio pai ki a rāua anō, ā, taki noho puku ai. Ko tā tātou, tātou ngā kaiwhakaora hinengaro mahi, he āwhina i ngā tokorua nei ki te taki whakaatu i ō rāua kare ā roto ki a rāua anō me te mau whakaaro kāre te hoa rangatira e whakamahi i ēnei kōrero hai werohanga atu.

My passion for dreamwork arose from discovering the power of dreams as a multi-level spiritual process within me and others in 1985 when I joined a group of therapists meeting regularly to explore our dreams. For several years we laughed and cried together as we discovered new insights, challenges, affirmations, and healing. I was inspired by a “big dream” of my own about embarking on a journey of the soul. I studied to learn more about dreams and began leading workshops, seeing with awe how dreams opened windows into everyone’s inner experience, from post-trauma nightmares to perceptive feedback on personal issues to unforgettable mystical visions. I learned to ask simple questions of dreamers and I take continuing delight in seeing the “Aha” in the eyes of clients, students, and colleagues as they make connections and discover new perspectives. From the beginning of psychotherapy, dreamwork in one form or another has been of its essence.
 Waitara
 I pupū ake taku ngākaunui ki te whakarehu i te kitenga i te awe o te moemoeā pēnei ki tētahi paparanga hātepe wairua i roto i a au me ētahi atu, i te tau 1985, i tōku piringa ki tētahi rōpū kaihaumanu tūtakitaki ai ki te hōpara i ā mātou moemoeā. He maha ngā tau kata tahi, tangi tahi ai mātou ia wā kitea he tirohanga hou, he takinga, he whakakoihanga, he tumahuhanga. Whakahiringa ngākauhia ahau i tētahi pekerangi nui āku. Ka whakawhānuihia ake e au aku akoranga mō tēnei mea te moemoeā ka tīmata ki te taki awheawhe me te kite kaiora i te mahi a te moemoeā ki te whakatuwhera huarahi wheako whakaroto o te katoa, mai i ngā kuku i muri pāmamae ki ngā whakautu hōhonu whakapā ki ngā take whearo ki ngā kitenga māminga. I mōhio au kia noho mahuki ngā pātai, ā, e haere tonu ana te harikoa ki te kite i te taka o te māramatanga ki ngā kanohi o ngā kiritaki, ākonga me ngā hoamahi ia wā puta mai ngā hononga me ngā kitenga hou. Mai i te tīmatanga o te whakaoranga hinengaro, ko te whakarehu me ōna āhua tōna iho.

Nurse staffing is paramount to patients’ safety. Currently, there is no agreement in the literature on what constitutes safe nurse staffing levels in the perioperative setting. Models guiding staffing decisions vary. Understanding decision-making processes for perioperative nurse staffing may help managers identify staffing and skill-mix requirements. A qualitative descriptive approach using thematic analysis was used to identify key factors that perioperative nurses considered when making decisions about nurse staffing and skill-mix. Semi-structured interviews were conducted with seven senior operating room nurses responsible for staffing decisions in elective and acute care operating rooms in two large publicly funded hospitals in Aotearoa New Zealand. Four themes describing operating room nurse staffing decision-making processes were generated from interview data: 1) safety: team-based, person-centred care; 2) the importance of skill-mix; 3) safe staffing: ‘Not just about the numbers’; and 4) the complexity of staffing decisions. Themes were interdependent, multidimensional and intertwined. Collectively, these themes provided insight into, and evidence of, the complexity of safely staffing operating rooms in Aotearoa New Zealand. Our findings support nurses in expressing the unique variables associated with appropriate nurse staffing allocation in this unique context. The traditional ‘numbers’ approach to operating room nurse staffing is questioned. A nursing knowledge framework for person-centred, safe nurse staffing in the operating room is proposed for guiding future work in this area. Te reo Māori translation Ngā Whakaaro o Ngā Tapuhi Mātāmua mō ngā Take e Pā ana ki ngā Taumata Kaimahi Haumaru i roto i ngā Taiwhanga Poka Tinana i Aotearoa: He Rangahau Whakaahua Inekounga Ngā Ariā Matua He mea taketake ngā taumata kaimahi tapuhi mō te haumaru o te tūroro. I tēnei wā, kāore he whakaaetanga i roto i ngā pukapuka he aha rawa tētahi taumata kaimahi tapuhi haumaru i roto i te horopaki i te wā o te poka tinana, i mua, i muri hoki. Ka rerekē ngā tauira tūtohu i ngā whakatau taumata kaimahi. Mā te noho mārama ki ngā hātepe whakatau take mō ngā taumata kaimahi tapuhi i te wā o te poka tinana, i mua, i muri hoki, e taea ai e ngā kaiwhakahaere te tautuhi i ngā hiahia kāhui kaimahi, momo pūkenga hoki. I whāia ētahi tikanga whakamārama inenkounga i whakamahi i te tātari tāhuhu hei tautohu i ngā āhuatanga taketake i whakaarotia e ngā tapuhi poka tinana ina whakatau take mō ngā taumata tapuhi me ngā momo pūkenga. I kawea ētahi uiuinga āhua māhorahora ki ētahi tapuhi rūma poka tinana mātāmua tokowhitu e kawe haepapa nei mō ngā whakatau taumata kaimahi i ngā rūma poka tinana kōwhiri, tiaki tārū hoki i ētahi hōhipera nunui e rua nā ngā pūtea tūmatanui i whāngai, i Aotearoa. E whā ngā tāhuhu whakamārama i ngā hātepe whakatau take taumata kaimahi tapuhi i ngā rūma poka tinana, mai i ngā raraunga uiuinga: 1) te haumaru: te taurimatanga ā-tira, anga ki te tangata; 2) te hira o ngā momo pūkenga; 3) ngā taumata kaimahi tapuhi haumaru : ‘Not just about the numbers’; ā 4) ko te matatini o ngā whakatau mō ngā taumata kaimahi. He tauawhiawhi, he tapatini, he whīwhiwhi hoki ngā tāhuhu. Ina huia mai, nā ēnei tāhuhu ka puta he māramatanga mō te matatini o te whakanoho kāhui kaimahi ki ngā rūma poka tinana i Aotearoa. Ka tautoko ā mātou kitenga i ngā kōrero a ngā tapuhi e whakaputa nei i ngā āhuatanga ahurei e pā ana ki ngā whakaritenga taumata kaimahi tapuhi tika i tēnei horopaki ahurei. Kei te werohia te ara ‘te tokomaha’ tuku iho mō te whakarite ngā taumata kaimahi tapuhi ruma poka tinana. E marohitia ana tētahi anga mātauranga tapuhi mō te whakarite taumata kaimahi tapuhi anga ki te tangata, haumaru hoki hei ārahi i ngā mahi i tēnei wāhanga, ā ngā rā e tū mai nei. Ngā kupu matua te whakatau take; ngā rūma poka tinana; te haumaru tūroro; te tapuhi i te wā o te poka tinana; ngā taumata kaimahi haumaru

Recognition of under-provision in critical care beds across Aotearoa New Zealand resulted in substantial three-year government funding to increase bed numbers by 2024. This required significant staff recruitment and onboarding. To support this, a 15 month nurse-led project to develop a national eLearning induction programme for Critical Care was funded by Health New Zealand Te Whatu Ora. A core project team of critical care nurses and learning designers based at Wellington Regional Hospital developed the programme. An extensive communication strategy was used to engage with critical care units nationally, consulting with cultural and equity experts and service users. 102 orientation documents from critical care areas across the country informed development of the modules. Six week sprint cycles (three weeks writing content, three weeks module build) were used to develop each module. Modules were designed using a multi-media approach and built using Articulate Rise 360© and Storyline©. Three national stakeholder events were held together with monthly e-drop in sessions for feedback on module content. The Elearning Programme (Induction) in Critical Care New Zealand (EPICCNZ) was launched on 22 April 2024. Nine modules were made available to staff through the three national Learning Management Systems. In the first month, there were 1193 module enrolments with positive feedback from module users. Key to the success of EPICCNZ was central funding for dedicated project resource, strong yet flexible project management and design, informed training software selection and motivated, supportive stakeholder engagement. ##Te Reo Māori Translation #Te whakawhanake kōkiri ā-motu ā-ipurangi mō ngā akoranga tuatahi mō te kaimahi hou (EPICCNZ): ētahi ritenga taketake mō te eke o te whakatinana ki te taumata Ngā Ariā Matua Nā te mārama kua kore e whakaritea te rahi e tika ana o ngā moenga tiakinga mate taumaha puta noa i Aotearoa, i hua ake ai ētahi pūtea kāwanatanga rahi hei whakapiki i te maha o aua moenga i te takanga o te tau 2024. I hiahiatia ētahi rapunga kaimahi, whakangungutanga kaimahi nui mō tēnei mahi. Hei tautoko i tēnei āhua, i whāngaia tētahi kōkiri whakangungu kaimahi hou ā-motu ā-ipurangi 15 marama te roa, ki ngā pūtea e tika ana e Te Whatu Ora. Nā tētahi tira tapuhi tiaki tūroro kōkiri mātāmua i Te Hōhipera ā-Rohe o Te Whanga-nui-a-Tara i hautū te kōkiri. I whakamahia tētahi rautaki whakawhiti kōrero hei whakapā atu ki ngā wāhanga taurima tautiaki mate taumaha puta noa i te motu, me te kōrero tahi ki ētahi mātanga ahurea, mātanga tautika hoki, me ētahi kaiwhakamahi ratonga. Nā ētahi tuhinga arataki kaimahi hou 102 mai i ētahi wāhi tautiaki mate taumaha puta noa i te motu i āwhina te tāreinga o ngā kōwae. I whakamahia ētahi hurihanga whakaterenga e ono wiki te roa (e toru ngā wiki ki te tuhi i ngā akoranga, e toru wiki ki te hanga i te kōwae) hei hanga i ia kōwae. I hoahoatia ngā kōwae mā te whakamahi ara rongorau, ā, i hangaia mā te whakamahi i Articulate Rise 360© me Storyline©. E toru ngā rā nunui mō ngā kaipupuru pānga ā-motu i whakatūria, me ētahi wātū peka mai ā-marama mō te tuku urupare mō ngā kai o ngā kōwae. I whakarewaina te Elearning Programme (Induction) in Critical Care New Zealand (EPICCNZ) i te 22 Āperira 2024. E iwa ngā kōwae i whakawāteatia ki ngā kaimahi mā ētahi Pūnaha Akoranga ā-Motu e toru. I te marama tuatahi, 1193 ngā tomokanga kōwae, me te hokinga mai o ngā kupu whakapai a ngā kaiwhakamahi kōwae. Ko tētahi take matua o te ekenga taumata o EPICCNZ ko te whāinga pūtea matua mō te rawa kaupapa takitahi, he whakahaere pakari, tāwariwari hoki, te kōwhiri pūmanawa whakangungu i runga i te mārama, me te tuituinga o ngā kaipupuru pānga kaha ki te tautoko. Ngā Kupu Matua Tiaki mate taumaha, akoranga tuatahi mō te whakangungu kaimahi hou, me te arataki kaimahi hou, te akoranga tuihono, te whakawhanake kāhui kaimahi, akoranga tapuhi

The incidence of stroke in younger adults is rising, especially among women. This study aims to explore the experiences of younger women who have had a stroke to understand their experience and support needs. This study used a qualitative description approach, recruiting eligible women through a snowball method. A focus group discussion was conducted to collect data, which was then analysed using thematic analysis. The five participants were 18 to 64 years old when they experienced their stroke and six to 18 years post-stroke when they participated in a focus group discussion in 2021. Four themes and 11 sub-themes emerged during the data analysis: 1) impacts of stroke (stroke onset and early experiences, physical and psychosocial effects, and changes to their roles and careers); 2) women’s reproductive health (pregnancy, on the contraceptive pill, and effect of anticoagulants on menstruation); 3) self-management (being a woman, healthcare monitoring, and self-care); and 4) support (internal and external support). The younger woman’s burden after stroke is complex due to their risk factors, symptoms, and recovery needs. Therefore, developing specific long-term rehabilitation strategies for younger women are needed for more effective stroke rehabilitation and recurrent stroke prevention. TE REO MĀORI TRANSLATION Ngā wheako o ngā wāhine taitamariki o te roro ikura: He rangahau whakaahua kounga Ngā Ariā Matua E piki haere ana te pānga o te roro ikura i waenga i ngā pakeke āhua taitamariki, otirā he tino pērā mō te wahine. E whai ana tēnei rangahau kia tūhuratia ngā wheako o ngā wāhine taitamariki kua pāngia e te roro ikura kia mārama kē atu ō rātou wheako me ō rātou hiahia tautoko. I whakamahia e tēnei rangahau tētahi ara whakamārama whakaahua kounga, nā te rapu haere i ngā wāhine āhei mā tētahi huarahi torotoro tangata. I whakahaeretia tētahi hui whakawhiti kōrero hei kohikohi raraunga, ā, ka tātaritia i muri mā te tātari ā-tāhuhu. Ko te pakeke o te hunga whakauru kei waenga i te 18 ki te 64 tau i te pānga o tō rātou roro ikura, ā, e ono ki te tekau mā waru tau i muri i te roro ikura ka whai wāhi ki te hui whakawhiti kōrero, i te tau 2021. E whā ngā tāhuhu, 11 hoki ngā tāhuhu whāiti i puta i roto i te tātaritanga raraunga: 1) ko ngā pānga o te roro ikura (te ekenga mai o te roro ikura me ngā wheako tuatahi, ngā pānga ā-tinana, ā-wairua, ā-hinengaro hoki, ngā panonitanga ki ō rātou tūranga mahi, ara mahi hoki); 2) te hauora whakaputa uri o ngā wāhine (te hapūtanga, te pire ārai hapū, te pānga o ngā rongoā whakakūtere toto ki te ikura wahine); 3) te whakahaere i a ia anō (te noho hei wahine, te aroturuki manaakitanga hauora, te taurima a te tangata i a ia anō); me te 4) tautoko (whakaroto, whakawaho anō hoki). He matatini ngā āhuatanga o ngā kawenga mō te wahine taitamariki i muri i te ikura, nā ngā āhuatanga tūraru, ngā tohu o te mate, me ngā hiahia mātūtū. Nā reira, me whakatupu rautaki whakamātūtū mō te wā roa mō ngā wāhine taitamariki, e kaha ake ai te whai hua o ngā mahi whakaora i muri i te roro ikura, me te ārainga i te pānga anō o te roro ikura. Ngā kupu matua: ngā wheako roro ikura; ngā pānga roro ikura; te whakamātūtūtanga i muri i te roro ikura; ngā tūraru roro ikura; mōrehu nō te roro ikura; ngā wāhine taitamariki

With many rural health workers approaching retirement age, a local district in Aotearoa New Zealand embarked on a project to identify the current status of the nursing and kaiāwhina (support worker) workforce to develop a visionary plan for the future to match community health needs. There were four-stages to the project: 1) profile the current population and health resources available in the community; 2) profile the current nursing workforce; 3) survey local nurses regarding their current work and future plans; and 4) seek perspectives of local nurses, health managers and community representatives on strategies to sustain a future nursing workforce. This paper focuses on the first two stages of this project. Using postcodes as a geographic locator, the parameters of the health service catchment were established. Local council and census data relating to the catchment were used to build the district’s profile, while websites provided information on current health service availability. Nursing annual practising data linked to postcodes provided the nursing workforce profile. The finalised framework was designed to inform a future match between the nursing workforce and the district’s community’s health needs. Replication of the process, this profiling framework, has the potential to benchmark progress with nursing workforce development over time, as well as benchmark nursing workforce capacity between rural localities. The findings from the profiling allowed us to demonstrate the uniqueness of the district’s population, the health services available, and both the precariousness and potential of a nursing workforce. Te reo Māori translation He hātepe hei kawe whakamua i te whakamaheretanga tapuhi tuawhenua me te whakawhanaketanga Ngā ariā matua Nā runga i te tatanga o te huhua o ngā kaimahi hauora tuawhenua ki te reanga tuku mutunga mahi, i whakarewaina e tētahi rohe whāiti i Aotearoa tētahi kaupapa hei tautuhi i te tūnga o te kāhui kaimahi tapuhi, kaiāwhina hoki, hei tārei i tētahi mahere matawhānui mō āpōpō, kia hāngai ki ngā hiahia hauora o te hapori. E whā ngā kauwhata o te kaupapa: 1) he kawe i tētahi inenga o te kōtaha taupori, me ngā rawa hauora e wātea ana i te hapori; 2) he ine i te kāhui kaimahi tapuhi o nāianei; 3) he uiui i ngā tapuhi o te rohe mō tō tātou mahi o nāianei, me ō rātou mahere mō āpōpō; me te 4) rapu whakaaro o ngā tapuhi o te rohe, ngā kaiwhakahaere hauora me ngā kanohi hapori mō ngā rautaki whakaū i tētahi kāhui tapuhi toitū mō ngā rā e heke mai nei. E anga ana tēnei tuhinga ki ngā kauwhata tuatahi e rua o tēnei kaupapa. Nā te whakamahinga o ngā waehere poutāpeta hei tūtohu takiwā, i tātaitia ngā taupā mō te whānui o te rohe hauora. I whakamahia ngā raraunga kaunihera ā-rohe, ngā raraunga tatauranga hoki mō te rohe, hei whakapūmau i te kōtaha o te takiwā, ā, i whakamahia hoki ngā pae tukutuku hei hora mōhiotanga mō te wāteatanga ratonga hauora o nāianei. Nā ngā raraunga mahi tapuhi ā-tau i paiheretia ki ngā waehere poutāpeta i hora te kōtaha kāhui kaimahi tapuhi. I āta hoahoatia te anga i whakaotingia kia whakamahia hei pou tūtohu mō te whakatairitenga o te kāhui kaimahi tapuhi ki ngā hiahia hauora o te hapori o te takiwā. Ki te tukuruatia tēnei hātepe, mā te whakamahi i te anga ine i te āhua o te takiwā, ka taea pea te tirotiro mehemea kei te eke te whanaketanga kāhui tapuhi ki ngā tohu i whakaritea, waihoki, te tirotiro mehemea kei te eke haere te raukaha kāhui tapuhi ki ngā rohe tuawhenua maha. Nā ngā kitenga o tēnei inenga i āhei ai mātou ki te whakaahua i te āhua motuhake o te taupori o te takiwā, i ngā ratonga hauora hoki e wātea ana, me te tītengi, te pitomata hoki o tētahi kāhui tapuhi. Ngā kupu matua: Aotearoa, te ine i te hapori, te kāhui kaimahi hauora tuawhenua, te tapuhi tuawhenua, ngā ratonga tapuhi tuawhenua, te whakmahere kāhui kaimahi