Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia

IF 3 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Health Expectations Pub Date : 2024-11-21 DOI:10.1111/hex.70106

Delia Rambaldini-Gooding, Katarzyna Olcoń, Luke Molloy, Leissa Pitts, Sofia Lema, Eman Baghdadi, Jane Williams, Chris Degeling

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Abstract

Introduction

Access to culturally appropriate healthcare is vital to ensure refugee and migrant women receive optimal care, particularly during the perinatal period. Refugee and migrant women report lower satisfaction with pregnancy care due to language barriers and a perceived lack of understanding of their needs. The aim of this study is to explore how to improve the experiences of migrant and refugee women with maternal health services through the lens of cultural humility.

Methods

Working collaboratively with maternal health service providers and managers and local refugee and migrant women, this research project used a World Café methodology to provide these stakeholders with an opportunity to discuss maternal healthcare in the region. World Café participants (n = 34) included women from multicultural backgrounds (n = 20), maternal healthcare providers such as midwives, social workers and management (n = 5) multicultural healthcare providers (n = 7) and a community-based birth educator (n = 1). Data were analysed thematically.

Results

A key finding of the World Café was the need for staff training that is co-designed and co-delivered with members of multicultural communities and healthcare providers to enhance the practice of cultural humility. Training should focus on women's stories that capture the cultural nuances around pregnancy and birthing, their support needs including trauma-informed care, and the importance of effective cross-cultural communication.

Conclusion

This research gave refugee and migrant women a voice in future decision-making, specifically in maternal health staff training. The refugee and migrant women shared their perspectives on how to enhance cultural humility practices in maternity services for them. The research has led to opportunities such as community-based antenatal classes and improvements in maternity services development strategies.

Public Contribution

The project actively engaged with maternal healthcare providers, multicultural and refugee healthcare providers and women from multicultural communities in the design of the project and as participants. Their expertise and experience have been invaluable and have informed pilot programmes that emerged from this study.

Abstract Image

查看原文本刊更多论文

行动中的文化谦逊：向难民和移民妇女及医疗服务提供者学习，改善澳大利亚的孕产妇保健服务。

导言：获得文化适宜的医疗保健服务对于确保难民和移民妇女获得最佳护理至关重要，尤其是在围产期。难民和移民妇女对孕期保健服务的满意度较低，原因是语言障碍和对她们的需求缺乏了解。本研究旨在从文化谦逊的角度探讨如何改善移民和难民妇女对孕产妇保健服务的体验：本研究项目与孕产妇保健服务提供者和管理者以及当地难民和移民妇女合作，采用 "世界咖啡馆"（World Café）的方法，为这些利益相关者提供讨论该地区孕产妇保健问题的机会。世界咖啡馆的参与者（n = 34）包括来自多元文化背景的妇女（n = 20）、助产士、社会工作者和管理人员等孕产妇保健服务提供者（n = 5）、多元文化保健服务提供者（n = 7）和社区分娩教育者（n = 1）。对数据进行了专题分析：世界咖啡馆的一个重要发现是，需要与多元文化社区成员和医疗服务提供者共同设计和提供员工培训，以加强文化谦逊的实践。培训应侧重于妇女的故事，捕捉怀孕和分娩过程中的文化细微差别、她们的支持需求（包括创伤知情护理）以及有效的跨文化沟通的重要性：这项研究让难民和移民妇女在未来的决策中，特别是在孕产妇保健人员的培训中拥有发言权。难民和移民妇女就如何在孕产妇服务中加强文化谦逊的做法分享了她们的观点。这项研究带来了一些机会，如社区产前班和孕产妇服务发展战略的改进：公众贡献：在项目设计过程中，该项目积极邀请孕产妇保健服务提供者、多元文化和难民保健服务提供者以及来自多元文化社区的妇女参与其中。他们的专业知识和经验非常宝贵，为本研究产生的试点方案提供了依据。

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

Health Expectations 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.20

自引率

9.40%

发文量

251

审稿时长

>12 weeks

期刊介绍： Health Expectations promotes critical thinking and informed debate about all aspects of patient and public involvement and engagement (PPIE) in health and social care, health policy and health services research including: • Person-centred care and quality improvement • Patients'' participation in decisions about disease prevention and management • Public perceptions of health services • Citizen involvement in health care policy making and priority-setting • Methods for monitoring and evaluating participation • Empowerment and consumerism • Patients'' role in safety and quality • Patient and public role in health services research • Co-production (researchers working with patients and the public) of research, health care and policy Health Expectations is a quarterly, peer-reviewed journal publishing original research, review articles and critical commentaries. It includes papers which clarify concepts, develop theories, and critically analyse and evaluate specific policies and practices. The Journal provides an inter-disciplinary and international forum in which researchers (including PPIE researchers) from a range of backgrounds and expertise can present their work to other researchers, policy-makers, health care professionals, managers, patients and consumer advocates.