Māori child health, Te Tiriti and culturally safe care — formative SAQs

SAQ 1 (10 marks)

A 4-week-old Māori pēpē attends clinic with māmā. Enrolment is incomplete, immunisations are due, māmā smokes, and the baby sometimes sleeps in the adult bed after night feeds. ^{[9] [17]}

1. Define cultural safety and contrast it with cultural competence theatre. (3) ^[1]
2. Outline the Hui Process steps you will use in this visit. (3) ^[2]
3. Give four concrete equity actions for enrolment, immunisation, smoke and safe sleep (including culturally designed options where relevant). (4) ^{[7] [9] [11]}

Model answer

Cultural safety is defined by whether the child and whānau experience care as safe. It examines power, racism and equity. Competence theatre is clinician-centred self-rating and custom checklists that can still stereotype and leave outcomes unequal. ^[1]

Hui Process: mihi (greet/engage) → whakawhānaungatanga (connection) → kaupapa (purpose/agenda of the visit) → poroaki (closing and next steps). ^[2]

Actions: actively complete primary-care enrolment; offer indicated immunisation same day if valid; counsel smoke-free home/car and smoking cessation supports; teach room-share with firm flat bare sleep surface and discuss wahakura/pēpi-pod style options where available while addressing bed-sharing hazards without shame. Name a follow-up owner. ^{[7] [9] [11]}