'On paper, you're normal': narratives of unseen health needs among women who have had children removed from their care.
'On paper, you're normal': narratives of unseen health needs among women who have had children removed from their care.
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DOI：
10.1093/pubmed/fdad137
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发表时间：
2023-11-29
影响因子：
4.4
通讯作者：
Woodman, Jenny
中科院分区：
文献类型：
--
作者：
Grant, Claire;Powell, Claire;Philip, Georgia;Blackburn, Ruth;Lacey, Rebecca;Woodman, Jenny
失去孩子照顾的母亲往往有复杂的需求。这些妇女的健康状况不佳，死于可预防和可治愈的原因的时间比同龄人早。然而，人们对医疗保健服务如何减轻这些风险知之甚少。这项研究的目的是倾听那些没有孩子照顾的妇女的声音，以了解她们的健康和医疗保健经历。我们使用了叙事的方法来收集和分析访谈数据与六个母亲谁经历了孩子在英格兰删除。每个参与者都被要求反思他们的生活和主要健康挑战。开发了三个叙事子情节，以巩固未满足的健康需求的经验：（一）“在纸上你是正常的”：叙述复杂的需求，（二）“在我的家庭，每个人都有问题”：叙述整个家庭的需要和（三）“我仍然是木乃伊，无论他们在哪里”：叙述产妇的身份和健康。调查结果突出了现有支助系统的局限性，包括不信任文化和妇女处于服务差距之间。妇女的叙述说明了保健干预的机会，特别是在儿童被带走后立即采取保健干预的机会。
Mothers who have children removed from their care often have complex needs. These women have poor health outcomes and are dying earlier than their peers from preventable and amenable causes. Yet there is little known about how health care services might mitigate these risks. This study aimed to listen to the voices of women who had children removed from their care to understand their experiences of health and healthcare. We used a narrative approach to collect and analyse interview data with six mothers who had experienced child removal in England. Each participant was asked to reflect on their life and main health challenges. Three narrative subplots were developed to consolidate experiences of unmet health need: (i) ‘on paper you’re normal’: narratives of complex need, (ii) ‘in my family, everyone had issues’: narratives of whole family need and (iii) ‘I’m still mummy, no matter where they are’: narratives of maternal identity and health. Findings highlight limitations within current systems of support, including a culture of distrust and women falling between the gaps of services. Women’s narratives illustrate opportunities for health intervention, especially immediately following child removal.
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影响因子：
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作者：
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DOI：
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DOI：
10.1177/0706743717748885
发表时间：
2018-05-01
影响因子：
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作者：
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通讯作者：
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