Tatau p Equality and Talanoa Tongan Oral Culture Tatau p
Equality and Talanoa Tongan Oral Culture Dr Amelia
AfuhaamngoTuipulotu Supervisors: A/Professor Maureen Boughton
Professor Jill White The University of Sydney
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1.Background 2.Global and Tongan Contexts 3.The Research
Approach 4.Research in Process 5.3 Foundational Elements for
Nursing Practice: Challenges and Enablers 6.Tatau p Equality and
Talanoa Tongan Oral Culture 7.The Future of Nursing and Midwifery
Practice- Where to from here? Kanoi Lea Content Overview
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1.Personal Philosophical Stance Socrates Philosophy I only know
that I know Nothing I know Nothing Holomui ki mua Background 2. a.
Contrasting Nursing Experiences b. Externally driven Projects
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Holomui ki mua Background Purpose of the Study To explore and
identify collaboratively with Tongan nurses the foundational
elements that will underpin the implementation of standards for
nursing practice in Tonga
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Holomui ki mua Background Significance of the Study 1.Gaining
insights and understanding: enablers and challenges
2.Identification of Context-specific foundational elements for
standards: to inform future development of standards 3.Bottom up
Approach
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Competency Standards in the Global Context Western World
a.Challenges b.Why competency standards (CS) emerged? c.Other
Conceptualisations surrounding CS d.Analysis of Professional CS
e.Critiques of CS f.Gaps in the Literature
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The Tongan Context The Four Strands for Development: The Kafa
Pekepeka a.Cultural Influences b.Economic situation c.Political
Influence d.Geographical Influence
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The Research Approach a.Constructivism Paradigm: multiples,
constructed, context-specific b.Influences from Action Research
Perspective: participation, collaboration, reflection,
investigation, reflective cycles c.Data Analysis Frameworks: Thorne
(1997), Sandelowski (2000)-Braun & Clarke (2006): 6
Phases-1.familiarizing, 2.coding, 3.searching for themes,
4.reviewing themes, 5.defining themes, 6.reporting
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Research Process Community Clinical Group meeting 1 Group
meeting 2 Group meeting 3 Group meeting 4 Community Clinical
Community Clinical Focus Group (10 co-researchers) Focus Group (10
co-researchers) Final meeting with group of co- researchers Nursing
Profession 4 focus groups with all 10 co- researchers 10
co-researchers divided into two groups 6 focus groups with 5 co-
researchers in each Nursing leaders Community nurses School of
Nursing Clinical nurses Retired nurses Nurses in the outer islands
List of Broad Themes Emerged Endorsement Cycles
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3 Foundational Elements: Challenges and Enablers 3 Ike wooden
mallet 1.Patient Care Management 2.Professional Comportment and
Development 3.Resource Management
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a. Communication: Patients, Leaders, Doctors b. Quality and
Safety: Practice, Workforce adequacy, Supervision, Competence
Assessment 1. Tokangaekina a e Moui a e Kakai Patient Care
Management 1.Nurses Level of Knowledge 2.Attitudes of all 3.Work
overload 4.Supervision of Practice
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1UlungaangaAttitudes2 Ngaahi Vaa Relationships3 Tupulekina
Professional Development 2. Ulungaanga moe Tupulekina
Fakapolofesinale Professional Comportment and Development 1.Nurses
Level of Knowledge 2.Nurses willingness to listen and show restrain
3.Lack of ongoing development, supervision, structure 4.Attitudes
of all
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3. Tokangaekina o e Ngaahi Naunau Fakangaue Resource Management
1. Understanding Scarcity of basic Resources a Reality 2.
Fakapotopoto mo Fakamaopoopo Tongan economic strategy economic
strategy 3. Fetokoniaki mo Fevahevaheaki Tongan Communal sharing
1.Lack of understanding 2.Nurses level of knowledge 3.Lack of
maintenance 4.Attitudes of all
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Ngaahi Poupou Enablers for Nursing Practice 1. Encouraging
Talanoa Tongan oral culture 2. Ongoing development 3. Embracing
good attitudes 4. Building Va Relationships 5. Empowering one
another 6. Structures in Place 7. Safe Nurse-Patient Workload 8.
Ensuring Basic Resources are Place 9. Kau Katoa Everyone Caring for
Resources
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Tatau pe Equality & Talanoa Tongan Oral Culture: The two
Strands
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Patients Nurses Leaders Respect Inclusiveness Recognition
Empowerment Equal treatment Tatau p Equality All stakeholders;
patients, nurses and leaders are equal in relation to respect,
inclusiveness, recognition, empowerment and treatment despite their
individual status within the Tongan hierarchical society. Tongan
Hierarchical Society
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Talanoa Tongan Oral Culture AB Increasing Talanoa Patients
Leaders Nurses Patients Nurses Leaders Increasing Talanoa from A to
B will lead to stakeholders coming closer together
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Koe Luva atu Our Meaofa Gift
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Siueli o Tonga Motua Tongan Concepts 1.Pukepuke a Fufula
Nurturing the Priceless 2.Hoko e Fau moe Fau Excellence woven into
Excellence 3.Alai-sia-alai-Kolonga Ambidextrousness of Talent and
Performance
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The Future of Nursing and Midwifery- where are we heading?
1.Leadership 2.Regulation (and Accreditation) 3.Workforce
Development 4.Innovation/ Relevance in Education and Practice
5.Working Together: The Responsibility of All-Local, Regional and
Global Contexts
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Sosaieti mauiui matala alaha i Onopooni A fertile society
blossoming into the Modern World
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First International Conference for Tongan Nurses, 2010