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Keynote presentation: Leading from a Māori perspective

Wednesday, July 17, 2024
3:05 PM - 3:50 PM
Waterfront Rooms 1, 2, and 3

Speaker

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Ms Nadine Gray
Chief Nursing Officer Te Aka Whaiora
Te Aka Whai Ora Māori Health Authority

Leading from a Māori perspective

Abstract

“Whāia te iti kahurangi ki te tūohu koe me he maunga teitei”
Seek the treasure you value most dearly; if you bow your head, let it be to a lofty mountain
Te Tiriti o Waitangi (te Tiriti), is the foundational document for Aotearoa New Zealand, signed in 1840 between the indigenous Māori people and the British Crown. It is well established that the Aotearoa New Zealand health system needs to perform better for Māori, in every sphere, for every condition, through every service and interaction. A health system that is focused on inclusiveness seeks to address better health outcomes for all. The stark and enduring nature of the inequalities in Māori health outcomes reflect deep system failure. Like all inequalities, Māori health inequalities are preventable.
In July 2022, Aotearoa New Zealand established a national health system, Te Whatu Ora-Health NZ in partnership with Te Aka Whai Ora-Māori Health Authority under the Pae Ora (Healthy Futures) Act 2022 (the Pae Ora Act) to provide for the public funding and provision of services to protect, promote, and improve the health of all New Zealanders. The Pae Ora Act aspires for the health system to be fair and equitable for all New Zealanders and to uphold the principles of Te Tiriti o Waitangi.
Te Aka Whai Ora-Māori Health Authority has been charged, like a kaitiaki (guardian), with bringing transformational change to the health system, particularly to address intergenerational inequities in Māori health. The singular focus on Māori health enables Te Aka Whai Ora to represent the health needs, views, and aspirations of Māori.
The ambitious large-scale transition to a national health system brings challenges but also the opportunity for change, which includes the creation of purposeful and strategic Māori nursing leadership. In March 2023, I was appointed in to the first national role of Akatū Aki Hauora Matua: Tapuhi - Chief Nursing Officer for Te Aka Whai Ora. My haerenga (journey) in leading from a Māori perspective and learning to be the difference I want to see in the world, is both freeing and challenging at the same time. Freeing in that I have had a part of my self-identity in the work context, and challenging as I began to explore the process of leadership in an emerging future.

Biography

Akatū Aki Hauora Matua: Tapuhi | Te Aka Whai Ora Ko Matītī te Maunga Ko Waiōweka te Awa Ko Ngāti Ira te Hapū Ko Ōpeke te Marae Ko Te Whakatōhea te Iwi Ko Nadine Gray tōku ingoa Nadine Gray hails from the small coastal town of Ōpōtiki in the Eastern Bay of Plenty, Aotearoa New Zealand. She grew up amongst a whānau (family) of nurses and teachers, including her mother who was the first Māori Nurse Practitioner in Aotearoa, Janet Maloney-Moni. Nadine is a registered comprehensive nurse of more than 20 years with advanced practice in adult emergency nursing, and most recently clinical nurse specialist supporting whānau Māori in cancer care pathways. Her nursing career also includes nursing education, Māori health strategy and policy in central Government, and Māori nursing workforce development. Nadine was appointed to the new role of Chief Nursing Officer Te Aka Whai Ora (Māori Health Authority) in March 2023. Te Aka Whai Ora, an independent statutory entity, was established on July 1 2022 as part of the New Zealand health system reforms. Te Aka Whai Ora works with Iwi (tribal)-Māori Partnership Boards, Māori health providers and professionals, iwi, hapū (sub-tribes) and Māori communities to understand Māori health needs and aspirations across New Zealand. It then ensures this is reflected in the priorities and plans of the health system, and how services are designed and delivered to meet those needs, including through the use of kaupapa Māori models and the application of mātauranga (knowledge and practices) Māori in the system. Prior to commencing this role, Nadine was Clinical Chief Advisor Nursing at Manatū Hauora (Ministry of Health). Nadine is passionate about enabling strategies and quality initiatives that prioritise and lead change towards future-focused models of care that ensure Māori health needs are met. Further, to grow the capacity and capability of advanced nursing practice led by Māori nurses.

Chairperson

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Julia Slark
Head of School
University of Auckland

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