The dynamics of intercultural clinical encounters in times of pandemic crisis. Swedish healthcare providers’ reflections on social norms in relation to sexual and reproductive healthcare

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-07-29 DOI:10.1016/j.midw.2024.104129

Mia Appelbäck , Aje Carlbom , Lise Eriksson , Birgitta Essén

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引用次数: 0

Abstract

Background

Experiences from the COVID-19 pandemic may help to better understand resilience, competences and skills for healthcare providers and the healthcare system. Within sexual and reproductive health inequalities for migrants exist and it is an area where promoting both cultural competency and healthcare equity in the clinical encounter is expected of healthcare providers yet can create tension. The aim is to explore healthcare providers experiences of encounters with migrants in the context of the pandemic and the subsequent changes in routines and norms.

Methods

A qualitative study based on semi-structured interviews with 31 healthcare providers working in sexual and reproductive healthcare in southern Sweden. Interviews were conducted during the COVID-19 pandemic influencing how healthcare providers reflected on their experiences. Analysis was done using reflexive thematic data analysis.

Findings

Healthcare providers reflected on how changes in routines increased the understanding of challenges and enablers in the intercultural encounter including the impact on communication and role of relatives and male partners. They emphasized the dynamics of culture in the clinical encounter and healthcare system through highlighting the importance of structural awareness, self-reflection and the flexibility of conducts and norms, often given a cultural connotation.

Conclusion

The COVID-19 pandemic resulted in changes of previously established routines directly affecting clinical encounters, which provided a unique opportunity for healthcare providers to reflect, with communication and self-reflection being discussed as central in complex encounters. It highlighted the dynamics of presumed deeply rooted cultural norms and the interplay with social factors affecting healthcare providers and patients alike.

查看原文本刊更多论文

大流行病危机时期跨文化临床接触的动态。瑞典医疗服务提供者对与性保健和生殖保健有关的社会规范的思考。

背景：COVID-19 大流行的经验可能有助于更好地了解医疗服务提供者和医疗保健系统的应变能力、能力和技能。在性健康和生殖健康领域存在着对移民的不平等现象，在这一领域，医疗服务提供者应在临床接触中促进文化能力和医疗公平，但这可能会造成紧张关系。本研究旨在探讨医疗服务提供者在大流行病背景下与移民接触的经验，以及随之而来的常规和规范的变化：这项定性研究以半结构式访谈为基础，访问了瑞典南部 31 名从事性与生殖保健工作的医疗服务提供者。访谈在 COVID-19 大流行期间进行，影响了医疗服务提供者对其经历的反思。分析采用反思性专题数据分析：研究结果：医疗服务提供者反思了常规的变化如何提高了他们对跨文化接触中的挑战和有利因素的理解，包括对沟通的影响以及亲属和男性伴侣的作用。他们通过强调结构意识、自我反思以及行为和规范灵活性的重要性，强调了文化在临床接触和医疗保健系统中的动态作用，这些往往被赋予了文化内涵：COVID-19大流行改变了以往既定的常规，直接影响到临床诊疗，这为医疗服务提供者提供了一个独特的反思机会，而沟通和自我反思被认为是复杂诊疗的核心。它强调了假定的根深蒂固的文化规范的动态变化，以及影响医疗服务提供者和患者的社会因素的相互作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.