Dianne Wepa* and Denise Wilson
Aim: Explain the processes that whÃ„Ânau MÃ„Âori used when engaging with healthcare services from an interprofessional approach. Methods: A qualitative design using kaupapa MÃ„Âori methodology and constructivist grounded theory. The researchers were a registered social worker and registered nurse from New Zealand. We used semi-structured interviews with 20 MÃ„Âori whÃ„Ânau (74 people aged 18-70 years) living in rural and urban areas in New Zealand about their engagement with healthcare services. The data analysis used constant comparative analysis to develop a substantive grounded theory to explain the processes MÃ„Âori whÃ„Ânau use when engaging with healthcare services. Results: MÃ„Âori whÃ„Ânau faced discrimination and constant struggles whilst engaging in health services to improve the health of their whÃ„Ânau member. Despite the many negative experiences, the collective orientation and the obligations of whÃ„Ânau contributed to their imperative to achieve the best healthcare for their whÃ„Ânau member. Struggling to be involvedexplains how MÃ„Âori whÃ„Ânau experience and navigate healthcare services amid surviving the experience and being MÃ„Âori, which together with a range of strategies that paradoxically assisted them to manage and survive their healthcare experience. Conclusion: Current healthcare interventions do not appear to work for MÃ„Âori whÃ„Ânau in our study. Struggling to be involvedcontributes new knowledge about nature of MÃ„Âori whÃ„Ânau engagement with healthcare services and signals areas where interprofessionals can assist with reducing health inequities for MÃ„Âori.