
Dr. Jan Dewar Ngāi Tahu
RN, DHSc
Auckland University of Technology, New Zealand
Waikura Kamo Ngāti Mutunga, Nga Puhi Te Raroa, Te Atiawa o Taranaki, Ngāti Kahungunu
Nursing Council of New Zealand, New Zealand
An Indigenous Approach: Developing national standards of nursing competence reflecting indigenous knowledge and practice
Dewar, J., Kamo, W., Byrne, C., MacGeorge, J.
15-minute Oral Presentation
Wednesday 11 December, 2:10pm
Purpose: The scope and competencies for the registered nurse and enrolled nurse required review in 2022. The nursing council of New Zealand aimed to develop, define and implement renewed scopes and competencies reflecting the current practice environment, including meeting the council’s obligations under Te Tiriti o Waitangi (Aotearoa New Zealand’s foundation document).
Methods: Beginning with Awhitanga, a two-year process of consultation was undertaken to develop and define scope of practice and standards of nursing competence for registered nurses and enrolled nurses practicing in Aotearoa New Zealand. The process was iterative, supported by active design groups, diverse governance and strategic leadership by indigenous leaders.
Results: The scope of practice for registered nurses and enrolled nurse has been clarified and defined. The process has resulted in standards of nursing competence for each scope. The new standards reflect and prioritise the values and aspirations of Māori, the first people of New Zealand. The use of Te Reo (Māori language) and Māori worldview is prioritised along with scientific knowledge to inform practice. The collaborative process of consultation, development, and governance undertaken is innovative in supporting Te Tiriti models.
Conclusion: Requirements for registration and practice of registered and enrolled nurses in New Zealand now reflect the modern health context and prioritise equity for all.