{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T08:50:56Z","timestamp":1785919856429,"version":"3.56.0"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["24\/1104\/A"],"award-info":[{"award-number":["24\/1104\/A"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["23\/818"],"award-info":[{"award-number":["23\/818"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp; Dietetics"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to explore the experiences of M\u0101ori dietitians and students in Aotearoa New Zealand, with a focus on how racism, marginalism and tokenism affect their training, workplaces and wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A kaupapa M\u0101ori community research approach was undertaken in partnership with Te K\u0101hui Manukura o Kai Ora (M\u0101ori Dietitians Association). A focus group was held with M\u0101ori dietitians and students in March 2024. Data were analysed using reflexive thematic analysis, guided by kaupapa M\u0101ori research principles. Candidate themes were then shared with participants in March 2025, and a dissemination strategy was co\u2010designed to protect anonymity. Composite narratives were then developed to illustrate how individual experiences connect to systemic issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three composite narratives were developed to highlight shared experiences of racism, tokenism and marginalism across the dietetic journey. Participants described culturally unsafe training environments where deficit stereotypes and staff silence placed additional burdens on M\u0101ori students. In workplaces, participants observed M\u0101ori patients being subject to inequitable care shaped by racialised assumptions, while M\u0101ori dietitians often carried the cultural load of being positioned as \u2018the M\u0101ori voice\u2019 without adequate support. These pressures contributed to isolation, burnout and challenges to professional identity, belonging and wellbeing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Systemic racism underpins these experiences, creating culturally unsafe environments and unsustainable cultural loading for M\u0101ori dietitians and students. Addressing these issues requires profession\u2010wide action to strengthen cultural safety, support the retention and wellbeing of M\u0101ori within dietetics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1747-0080.70088","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T08:27:56Z","timestamp":1785918476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Marginalism, racism and tokenism: A composite narrative of Indigenous M\u0101ori dietitian experiences"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4366-9671","authenticated-orcid":false,"given":"Hannah","family":"Rapata","sequence":"first","affiliation":[{"name":"Te K\u0101hui Manukura o Kai Ora M\u0101ori Dietitians Association  Auckland New Zealand"},{"name":"Te Manawahoukura Te W\u0101nanga o Aotearoa  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2471-9581","authenticated-orcid":false,"given":"Rhiannon","family":"Jones","sequence":"additional","affiliation":[{"name":"Te K\u0101hui Manukura o Kai Ora M\u0101ori Dietitians Association  Auckland New Zealand"},{"name":"Te R\u014dp\u016b Rangahau Hauora a Eru P\u014dmare, Department of Public Health University of Otago  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daena","family":"Moller","sequence":"additional","affiliation":[{"name":"Te K\u0101hui Manukura o Kai Ora M\u0101ori Dietitians Association  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9594-1844","authenticated-orcid":false,"given":"Nikki","family":"Renall","sequence":"additional","affiliation":[{"name":"Te K\u0101hui Manukura o Kai Ora M\u0101ori Dietitians Association  Auckland New Zealand"},{"name":"Research Centre for M\u0101ori Health and Development Massey University  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.19373"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12800"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.13080"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","DOI":"10.1177\/23333936241273256","article-title":"\u201cSometimes I get so extremely tired\u201d: S\u00e1mi healthcare staff experiences of cultural load in practice","volume":"11","author":"Ness TM","year":"2024","journal-title":"Glob Qual Nurs Res"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/03036758.2022.2097710"},{"issue":"1","key":"e_1_2_10_7_1","first-page":"41","article-title":"Fixing the pakaru pipeline: some recommendations for change","volume":"79","author":"Naepi S","year":"2024","journal-title":"N Z Sci Rev"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/978\u2010981\u201010\u20103899\u20100_69"},{"key":"e_1_2_10_9_1","volume-title":"Hauora: Report on Stage One of the Health Services and Outcomes Kaupapa Inquiry. 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