Women from migrant and refugee backgrounds' perceptions and experiences of the continuum of maternity care in Australia: A qualitative evidence synthesis
Women from migrant and refugee backgrounds' perceptions and experiences of the continuum of maternity care in Australia: A qualitative evidence synthesis
复制标题
DOI：
10.1016/j.wombi.2021.08.005
复制
发表时间：
2022-06-09
期刊：
影响因子：
3.8
通讯作者：
Bohren, Meghan A.
中科院分区：
文献类型：
--
作者：
Billett, Hannah;Corona, Martha Vazquez;Bohren, Meghan A.
背景：在澳大利亚医疗保健系统中分娩的女性中，在海外出生的女性所占比例越来越大。问题：来自移民和难民背景的女性怀孕和分娩结果不佳的风险增加，包括护理经历。目的：了解来自移民和难民背景的女性如何看待和经历澳大利亚连续的产妇护理（怀孕、分娩、产后）。方法：我们进行了定性证据综合，搜索了 MEDLINE、CIHAHL 和 PsycInfo 中从开始到发表的研究。 2020 年 5 月 23 日。我们纳入了使用定性方法进行数据收集和分析的研究，这些研究探讨了澳大利亚移民/难民妇女对产妇护理的经历或看法。我们使用主题综合方法，评估纳入研究的方法学局限性，并使用 GRADE-CERQual 评估定性审查结果的可信度。结果：27 项研究符合纳入标准，代表来自 42 个国家的澳大利亚女性。关键主题形成了 24 项调查结果，包括口译员的获取、服务利用的结构性障碍、卫生工作者的经历、对医疗保健的信任、歧视的经历、护理偏好以及传统文化期望与澳大利亚医疗系统之间的冲突。结论：本次审查可以帮助为移民和难民背景的妇女提供护理的政策制定者和组织改善她们的产妇护理体验。它强调了与负面护理经历相关的因素以及与更积极的经历相关的因素，以确定可能受到该人群欢迎的做法和政策的潜在变化。 (c) 2021 年作者。由爱思唯尔有限公司代表澳大利亚助产士学院出版。这是一篇遵循 CC BY-NC-ND 许可证 (http://creativecommons.org/licenses/by-nc-nd/4.0/) 的开放获取文章。
Background: Women who were born overseas represent an increasing proportion of women giving birth in the Australian healthcare system.Problem: Women from migrant and refugee backgrounds have an increased risk of poor pregnancy and birth outcomes, including experiences of care.Aim: To understand how women from migrant and refugee backgrounds perceive and experience the continuum of maternity care (pregnancy, birth, postnatal) in Australia.Methodology: We conducted a qualitative evidence synthesis, searching MEDLINE, CIHAHL, and PsycInfo for studies published from inception to 23/05/2020. We included studies that used qualitative methods for data collection and analysis, that explored migrant/refugee women's experiences or perceptions of maternity care in Australia. We used a thematic synthesis approach, assessed the methodological limitations of included studies, and used GRADE-CERQual to assess confidence in qualitative review findings.Results: 27 studies met the inclusion criteria, representing women in Australia from 42 countries. Key themes were developed into 24 findings, including access to interpreters, structural barriers to service utilisation, experiences with health workers, trust in healthcare, experiences of discrimination, preferences for care, and conflicts between traditional cultural expectations and the Australian medical system.Conclusion: This review can help policy makers and organisations who provide care to women from migrant and refugee backgrounds to improve their experiences with maternity care. It highlights factors linked to negative experiences of care as well as factors associated with more positive experiences to identify potential changes to practices and policies that would be well received by this population. (c) 2021 The Authors. Published by Elsevier Ltd on behalf of Australian College of Midwives. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).