A descriptive phenomenology study of newcomers' experience of maternity care services: Chinese women's perspectives.
A descriptive phenomenology study of newcomers' experience of maternity care services: Chinese women's perspectives.
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DOI：
10.1186/1472-6963-14-114
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发表时间：
2014-03-07
影响因子：
2.8
通讯作者：
Li CC
中科院分区：
文献类型：
--
作者：
Lee TY;Landy CK;Wahoush O;Khanlou N;Liu YC;Li CC
加拿大现有的产妇保健以在加拿大出生的妇女的需要为基础，往往缺乏灵活性来满足移民妇女的需要。本研究旨在探讨华裔移民妇女在获得孕产保健服务方面的经验、对孕产保健服务的利用，以及她们在加拿大感受到的障碍。这项描述性现象学研究使用深入的半结构访谈来考察移民华裔女性的经历。采用有目的抽样的方法，从加拿大多伦多华人社区招募了15名被试。采访被数字化录制，并逐字转录成中文。采用Colaizzi(1978)的现象学方法对文本进行分析。从访谈中提取了六个主题：(1)优先选择语言和文化上有能力的保健提供者，产科医生优先于助产士，(2)处理加拿大保健系统不便的战略，(3)获得怀孕信息的多种资源，(4)加拿大保健系统的优点，(5)对文化敏感的护理的需要，以及(6)出现替代支助和使用私人服务。这一发现为移民中国妇女在加拿大大都市获得产科保健服务的经历提供了新的知识和理解。与会者描述了主题中的两个独特经历：偏爱语言和文化上有能力的医疗保健提供者，产科医生多于助产士，以及出现替代支助和使用私人服务。很少有关于移民获得产妇服务的研究确定这些经验可能与文化差异有关。需要对来自不同文化背景的妇女进行进一步调查，以全面了解移民妇女在产妇护理方面的经验。
Maternity health care available in Canada is based on the needs of women born in Canada and often lacks the flexibility to meet the needs of immigrant women. The purpose of this study was to explore immigrant Chinese women’s experiences in accessing maternity care, the utilization of maternity health services, and the obstacles they perceived in Canada. This descriptive phenomenology study used in-depth semi-structured interviews to examine immigrant Chinese women’s experiences. Fifteen participants were recruited from the Chinese community in Toronto, Canada by using purposive sampling. The interviews were digitally recorded and transcribed verbatim into written Chinese. The transcripts were analyzed using Colaizzi’s (1978) phenomenological method. Six themes were extracted from the interviews: (1) preference for linguistically and culturally competent healthcare providers, with obstetricians over midwives, (2) strategies to deal with the inconvenience of the Canadian healthcare system (3) multiple resources to obtain pregnancy information, (4) the merits of the Canadian healthcare system, (5) the need for culturally sensitive care, and (6) the emergence of alternative supports and the use of private services. The findings provide new knowledge and understanding of immigrant Chinese women’s experiences in accessing maternity health services within a large metropolitan Canadian city. Participants described two unique experiences within the themes: preference for linguistically and culturally competent healthcare providers, with obstetricians over midwives, and the emergence of alternative supports and the use of private services. Few studies of immigrant maternity service access have identified these experiences which may be linked to cultural difference. Further investigation with women from different cultural backgrounds is needed to develop a comprehensive understanding of immigrant women’s experiences with maternity care.
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影响因子：
2.7
作者：
Cheung, Ngai Fen
通讯作者：
Cheung, Ngai Fen
影响因子：
10.5
作者：
Lee, DTS;Yip, ASK;Chung, TKH
通讯作者：
Chung, TKH
影响因子：
3.2
作者：
Landy, Christine Kurtz;Sword, Wendy;Valaitis, Ruta
通讯作者：
Valaitis, Ruta
DOI：
10.1016/0091-2182(87)90056-5
发表时间：
1987-01-01
期刊：
JOURNAL OF NURSE-MIDWIFERY
影响因子：
--
作者：
LIN, MY
通讯作者：
LIN, MY
影响因子：
2.8
作者：
Lee TY;Landy CK;Wahoush O;Khanlou N;Liu YC;Li CC
通讯作者：
Li CC