Embedding LGBTQIA+ health equity in midwifery education: A holistic whole-of-programme approach

IF 4.4 2区医学 Q1 NURSING

Women and Birth Pub Date : 2025-01-01 DOI:10.1016/j.wombi.2024.101850

George Parker , Fleur Kelsey , Suzanne C. Miller , Christine R. Griffiths , Alex Ker , Sally A. Baddock

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引用次数: 0

Abstract

Skilled midwifery care for LGBTQIA+ people is a human right, however LGBTQIA+ people have been under-served in perinatal care by the privileging of cisgender heterosexual endosex women as recipients of care. The education of midwives and other professionals to provide LGBTQIA+ inclusive care is a critical component of wider strategies to address LGBTQIA+ discrimination in perinatal care.

This paper responds to this challenge by discussing an innovative and holistic approach to introducing and embedding LGBTQIA+ health equity into one midwifery education programme in Aotearoa New Zealand. This approach harnesses opportunities in both the formal and informal curriculum and draws on the conceptual frameworks of cultural safety and humility, intersectionality, and Indigenous justice. These frameworks have informed an on-going process of reflection on, and unlearning of, cis-heteronormativity and other systemic injustices when providing perinatal care to diverse populations, for both midwifery educators and students.

查看原文本刊更多论文

将LGBTQIA+健康公平纳入助产教育：全面的整体方案方法。

为LGBTQIA+人群提供熟练的助产护理是一项人权，然而，由于将顺性异性恋内性女性作为护理对象的特权，LGBTQIA+人群在围产期护理方面得到的服务不足。教育助产士和其他专业人员提供LGBTQIA+包容性护理是解决围产期护理中LGBTQIA+歧视的更广泛战略的关键组成部分。本文通过讨论一种创新和全面的方法来应对这一挑战，将LGBTQIA+健康公平引入新西兰奥特罗阿的一个助产教育项目。这种方法利用了正式和非正式课程中的机会，并借鉴了文化安全和谦逊、交叉性和土著正义的概念框架。这些框架为助产教育工作者和学生在向不同人群提供围产期护理时，对顺异性规范和其他系统性不公正现象的反思和遗忘提供了持续的信息。

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

Women and Birth NURSING-OBSTETRICS & GYNECOLOGY

CiteScore

7.20

自引率

13.20%

发文量

371

审稿时长

27 days

期刊介绍： Women and Birth is the official journal of the Australian College of Midwives (ACM). It is a midwifery journal that publishes on all matters that affect women and birth, from pre-conceptual counselling, through pregnancy, birth, and the first six weeks postnatal. All papers accepted will draw from and contribute to the relevant contemporary research, policy and/or theoretical literature. We seek research papers, quality assurances papers (with ethical approval) discussion papers, clinical practice papers, case studies and original literature reviews. Our women-centred focus is inclusive of the family, fetus and newborn, both well and sick, and covers both healthy and complex pregnancies and births. The journal seeks papers that take a woman-centred focus on maternity services, epidemiology, primary health care, reproductive psycho/physiology, midwifery practice, theory, research, education, management and leadership. We also seek relevant papers on maternal mental health and neonatal well-being, natural and complementary therapies, local, national and international policy, management, politics, economics and societal and cultural issues as they affect childbearing women and their families. Topics may include, where appropriate, neonatal care, child and family health, women’s health, related to pregnancy, birth and the postpartum, including lactation. Interprofessional papers relevant to midwifery are welcome. Articles are double blind peer-reviewed, primarily by experts in the field of the submitted work.