‘Walking the journey’ with pregnant and birthing women from remote Australian First Nations communities: A qualitative study in the Top End of the Northern Territory

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-02-01 DOI:10.1016/j.midw.2024.104277

Emily R Bowden , Maree R Toombs , Anne B Chang , Gabrielle B McCallum , Robyn L Williams

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引用次数: 0

Abstract

Problem/Background

Australian First Nations people experience disproportionate burdens of poor outcomes compared to non-First Nations people. Further, women living in remote communities face more barriers to care-seeking in pregnancy. Despite work being done in some remote communities, there is limited data exploring women's experiences of pregnancy care, thus a limited understanding of specific barriers and enablers to care-seeking for these women.

Aim

This study aimed to identify barriers and enablers to care-seeking during pregnancy for Australian First Nations women living in several remote communities in the Northern Territory, by listening to their stories.

Methods

Yarning, highly regarded and rigorous qualitative approach developed by and for First Nations peoples, was undertaken in several settings with women living in remote First Nations communities. Using purposive sampling, nine women participated.

Findings

Two themes emerged: (1) the importance of family and community for women's emotional wellbeing; (2). ways healthcare providers and services build trust with pregnant women.

Discussion

Women identified various family and community members as significant sources of support in community and while hospitalised, including having companions while away from home. Further, reduced access to community life impacted emotional wellbeing.

Continuity-of-care throughout pregnancy was essential for building trust, as was responsive, clear communication. Intentional connection building by care providers enabled development of trust.

Conclusion

Providing culturally safe care will likely facilitate enablers and reduce barriers to care-seeking in pregnancy in remote communities. It requires ongoing and sustained efforts to ensure true partnership and collaboration between First Nations peoples and health services.

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与来自偏远的澳大利亚第一民族社区的孕妇和产妇一起“行走之旅”：在北领地顶端进行的一项定性研究。

问题/背景：与非第一民族相比，澳大利亚第一民族经历了不成比例的不良后果负担。此外，生活在偏远社区的妇女在怀孕期间寻求护理方面面临更多障碍。尽管在一些偏远社区开展了工作，但探索妇女怀孕护理经历的数据有限，因此对这些妇女寻求护理的具体障碍和促进因素的了解有限。目的：本研究旨在通过倾听生活在北领地几个偏远社区的澳大利亚第一民族妇女的故事，确定她们在怀孕期间寻求护理的障碍和促进因素。方法：对居住在偏远的第一民族社区的妇女进行了纱线编织，这是一种由第一民族开发并为其开发的高度重视和严格的定性方法。通过有目的的抽样，九名女性参与了调查。研究发现：两个主题：(1)家庭和社区对女性情绪健康的重要性；(2).医疗保健提供者和服务机构与孕妇建立信任的方式。讨论：妇女认为各种家庭和社区成员是社区和住院期间的重要支持来源，包括在离家时有同伴。此外，社区生活的减少影响了情绪健康。怀孕期间的持续护理对建立信任至关重要，反应迅速、清晰的沟通也是如此。护理提供者有意建立的联系促进了信任的发展。结论：提供文化上安全的护理可能会促进并减少偏远社区孕妇寻求护理的障碍。它需要不断和持续的努力，以确保第一民族人民与保健服务之间的真正伙伴关系和协作。

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.