Providers' perspectives of barriers experienced in maternal health care among Marshallese women.
Providers' perspectives of barriers experienced in maternal health care among Marshallese women.
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DOI：
10.1016/j.wombi.2017.10.006
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
McElfish PA
中科院分区：
文献类型：
--
作者：
Ayers BL;Hawley NL;Purvis RS;Moore SJ;McElfish PA
问题：太平洋岛屿居民承受着不成比例的产妇保健结果较差的负担，早产率、出生体重低的婴儿、婴儿死亡率较高，产前护理不足或根本没有产前护理。目的：这项研究有两个目的：1）探讨产妇保健提供者对向马绍尔妇女提供保健的障碍的看法和经验，2）提供者认为马绍尔妇女获得保健的障碍。这是第一篇探讨从美国孕产妇保健提供者的角度来看马绍尔社区孕产妇保健的障碍的论文。研究方法：一个现象学的，定性的设计，使用焦点小组和深入访谈20产妇保健提供者居住在西北阿肯色州被选中。调查结果：人们注意到一些明显的障碍，包括交通、缺乏健康保险、沟通和语言，以及社会文化障碍，这些障碍表明传统和西方医疗护理模式之间存在不一致。马绍尔家庭的集体主义文化认同与个人主义的产妇保健制度之间存在着总体不协调，值得进一步研究。讨论内容：这些障碍的解决方案，如增加产妇保健提供者的文化能力培训和纳入社区卫生工作者进行了讨论。
Problem: Pacific Islanders are disproportionately burdened by poorer maternal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care. Purpose: The purpose of this study was twofold: 1) to explore maternal health care providers’ perceptions and experiences of barriers in providing care to Marshallese women, and 2) providers perceived barriers of access to care among Marshallese women. This is the first paper to explore perceived barriers to maternal health care among a Marshallese community from maternal health care providers’ perspectives in the United States. Methods: A phenomenological, qualitative design, using a focus group and in-depth interviews with 20 maternal health care providers residing in northwest Arkansas was chosen. Findings: Several perceived barriers were noted, including transportation, lack of health insurance, communication and language, and socio-cultural barriers that described an incongruence between traditional and Western medical models of care. There was an overall discord between the collectivist cultural identity of Marshallese families and the individualistic maternal health care system that merits further research. Discussion: Solutions to these barriers, such as increased cultural competency training for maternal health care providers and the incorporation of community health workers are discussed.
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影响因子：
1.8
作者：
Dahlem, Chin Hwa Y.;Villarruel, Antonia M.;Ronis, David L.
通讯作者：
Ronis, David L.
影响因子：
3.2
作者：
Charmaz, Kathy
通讯作者：
Charmaz, Kathy
影响因子：
3
作者：
Attanasio, Laura;Kozhimannil, Katy B.
通讯作者：
Kozhimannil, Katy B.
DOI：
10.1177/1043659610387149
发表时间：
2011-01
期刊：
Journal of transcultural nursing : official journal of the Transcultural Nursing Society
影响因子：
--
作者：
Lori JR;Yi CH;Martyn KK
通讯作者：
Martyn KK
影响因子：
2.3
作者：
Johnson, Allan A;Wesley, Barbara D;Laryea, Haziel A
通讯作者：
Laryea, Haziel A