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Hope Tupara

Doctor of Philosophy, (Public Health - Maori)
Study Completed: 2010
College of Humanities & Social Sciences


Thesis Title
He urupounamu e whakahaerengia ana e te whanau: Whanau Decision Making

A whanau is more likely to engage in decision making and feel more able to contribute meaningfully to achieving aspirations for their own health if they are familiar with decision processes. Mrs Tupara’s retrospective study investigated the decision experience of three whanau, in the context of their participation in genetic research for more than 10 years to investigate a medical condition affecting their health. Four constructs emerged from her study: hui, manaakitanga, kotahitanga and rangatiratanga. These concepts emphasise the collective nature of decision making, which contrasts to western theoretical knowledge of decision processes and health ethics. Mrs Tupara argues that the New Zealand health sector, health legislation, and policies limit the nature of engagement by whanau in decision making, despite it being an overall objective of government health policy

Professor Chris Cunningham
Dr Maureen Holdaway

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