Cultural safety and midwifery care for Aboriginal women - A phenomenological study
Cultural safety and midwifery care for Aboriginal women - A phenomenological study
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DOI：
10.1016/j.wombi.2015.10.013
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发表时间：
2016-04-01
期刊：
影响因子：
3.8
通讯作者：
Pincombe, Jan I.
中科院分区：
文献类型：
--
作者：
Brown, Angela E.;Middleton, Philippa F.;Pincombe, Jan I.
背景资料：与非土著妇女相比，土著妇女和托雷斯海峡岛民（1）妇女在孕产保健结果方面面临相当大的健康差距。文化和文化上适当的护理有助于土著妇女取得积极的健康成果。如何助产士提供文化上适当的照顾和照顾是如何经历的妇女是中央本study.Aim：探讨助产士提供护理的标准医院护理系统土著妇女在一个大的三级教学hospital.Methods：一个解释海德格尔现象学的方法的生活经验。半结构化的采访进行了13志愿助产士转录，分析和介绍告知货车Manen的approach.Findings：主题分析揭示了六个主要主题：“寻找与妇女联系的途径”，“建立支助网络-利用和通过土著文化知识提供支助”，“管理有效护理的明显障碍”，“认为平等是平等对待妇女”、“理解文化”和“评估文化需求-城市与农村/偏远土著文化需求”。他们认为与土著卫生工作者和家庭的沟通和建立支持非常重要。他们查明了提供护理方面的明显障碍，并发现在实践中对文化安全的解释存在误解，提出了支持助产士执业和改善土著妇女体验的建议。(C)2015年澳大利亚助产士学院。出版社：Elsevier Australia（Reed International Books Australia Pty Ltd）All rights reserved.
Background: Aboriginal and Torres Strait islander(1) women face considerable health disparity in relation to their maternity health outcomes when compared to non-Aboriginal women. Culture and culturally appropriate care can contribute to positive health outcomes for Aboriginal women. How midwives provide culturally appropriate care and how the care is experienced by the women is central to this study.Aim: To explore the lived experiences of midwives providing care in the standard hospital care system to Aboriginal women at a large tertiary teaching hospital.Methods: An interpretive Heideggerian phenomenological approach was used. Semi-structured interviews were conducted with thirteen volunteer midwives which were transcribed, analysed and presented informed by van Manen's approach.Findings: Thematic analysis revealed six main themes: "Finding ways to connect with the women'', "`building support networks - supporting with and through Aboriginal cultural knowledge'', "managing the perceived barriers to effective care'', "perceived equity is treating women the same'', "understanding culture'' and "assessing cultural needs - urban versus rural/remote Aboriginal cultural needs''.Conclusion: The midwives in this study have shared their stories of caring for Aboriginal women. They have identified communication and building support with Aboriginal health workers and families as important. They have identified perceived barriers to the provision of care, and misunderstanding around the interpretation of cultural safety in practice was found. Suggestions are made to support midwives in their practice and improve the experiences for Aboriginal women. (C) 2015 Australian College of Midwives. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.