Indigenous hospital experiences: a New Zealand case study.

摘要: Aims and objectives.  To explore Māori (Indigenous people of New Zealand) experiences hospitalisation in surgical or medical settings how these might influence length stay. Background.  Globally Indigenous peoples with histories colonisation suffer health disparities compared other groups. They experience higher levels morbidity, premature mortality, lower life expectancies differential access, use quality services. In communities’ negative anecdotal accounts hospital indicate more research is needed about their experiences. Design.  A (Indigenous) centered approach using case study methodology three data sources: medical-surgical discharge data, interviews a literature review. Method.  Using statistical from the Zealand Health Information Service 1989–2006, retrospective interrupted time series design was used to examine stay for patients settings. Semi-structured 11 participants identifying as who had experienced setting were transcribed thematically analysed. structured review on also These analysed individually, triangulated interpreted. Results.  consistently have shorter average than non-Māori public hospitals Zealand. Marginalisation evident both undertaken reviewed. Participants believed not conducive healing contributed decisions seek an early discharge. Conclusions.  Given status, professionals can address by attending care delivered nature environment. Relevance cinical practice.  Nurses play important role improving outcome linked service delivery, especially delivery culturally responsive nursing care.