Māori nurse practitioners (NPs) play a crucial role in ensuring patient safety and achieving equitable health outcomes for Māori populations within predominantly westernized healthcare systems. This study aimed to understand Māori NP perspectives on patient safety and how they deliver safe healthcare. Five Māori NPs, working with a Māori nurse researcher, participated in an online hui (focus group) in early 2024. The data, analyzed using kaupapa Māori principles and reflexive thematic analysis, revealed that Māori NPs’ approach to patient safety is deeply rooted in cultural safety. Three themes were developed:
- Te hanga a te mahi: the intersection of cultural and clinical expertise;
- Mātauranga tuku iho: the knowledge from within, where safe practice was strongly informed by traditional knowledge and cultural practice;
- Te Ao hurihuri: walking in two worlds, where Māori NPs navigated the westernized health system’s policies and practices while acting autonomously to advocate for and deliver culturally safe care.
Overall, the findings showed the perspectives of Māori NPs on patient safety are vital for promoting culturally responsive and effective healthcare. By recognizing the unique needs of Māori patients and families and incorporating cultural perspectives into their practice, Māori NPs contribute to a more comprehensive and inclusive approach to patient safety that transcends westernized principles and practices.
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