Story Circles of Black Doulas, Cultural Brokers for Birthing People in Healthcare.

IF 2.6 2区医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE

Qualitative Health Research Pub Date : 2024-10-18 DOI:10.1177/10497323241280828

Kacie C A Blackman, Urmeka Jefferson, Wyconda Cotton-Curtis, Detrich Galloway

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引用次数: 0

Abstract

Doula care services (in-person, hybrid, and virtual) during the COVID-19 pandemic may vary. The purpose of this study was to explore doulas' experiences as birthing professionals and epistemological resources assisting Black birthing families during the pandemic. Virtual qualitative story circles were conducted with 11 Black doulas who attended births as doulas from January 2020 to December 2021. Participants were recruited in California. The story circles were audio recorded and transcribed verbatim. Transcripts were analyzed using content analysis, with attention to the influence of epistemic injustice (types of injustices inflicted on marginalized groups) on service provision. Additionally, we employed Patricia Hill Collins' Black Feminist Theory which describes "Black women's ways of knowing" that disrupts and challenges existing epistemologies. Narrative data revealed (1) doulas are positioned as possessors of epistemic influence in birthing spaces with intersecting social identities, (2) a pervasive oppression of doulas' knowledge, (3) epistemological resilience and disruption, and (4) a commitment to Black indigenous practices. Despite these epistemic unfair structures, systems, and experiences, Black doulas reimagine and establish pathways for birthing families to navigate the healthcare system during intrapartum care.

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黑人产婆的故事圈，医疗保健中分娩者的文化经纪人。

在 COVID-19 大流行期间，朵拉护理服务（面对面、混合和虚拟）可能会有所不同。本研究旨在探讨朵拉作为分娩专业人员的经验以及在大流行期间协助黑人分娩家庭的认识论资源。在 2020 年 1 月至 2021 年 12 月期间，与 11 名作为助产士参加分娩的黑人助产士开展了虚拟定性故事圈。参与者在加利福尼亚州招募。对故事圈进行了录音和逐字记录。我们使用内容分析法对记录誊本进行了分析，并关注了认识不公正（对边缘化群体造成的不公正类型）对服务提供的影响。此外，我们还采用了帕特里夏-希尔-柯林斯的黑人女权主义理论，该理论描述了 "黑人妇女的认知方式"，对现有的认识论进行了颠覆和挑战。叙事数据显示：（1）在社会身份相互交叉的分娩空间中，朵拉被定位为具有认识论影响力的人；（2）朵拉的知识普遍受到压制；（3）认识论的复原力和破坏力；以及（4）对黑人本土实践的承诺。尽管存在着这些认识论上的不公平结构、系统和经验，黑人助产士仍为分娩家庭在产前护理期间导航医疗保健系统提供了新的想象和途径。

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来源期刊

Qualitative Health Research Multiple-

CiteScore

6.80

自引率

6.20%

发文量

109

期刊介绍： QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.