Factors related to feelings toward nursing practices for foreign pregnant and postpartum residents among midwives and nurses at perinatal medical centers in Osaka, Japan: A questionnaire survey.

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Chie Koh, Takayo Maeda, Ruriko Miyashita
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Abstract

The number of foreign residents in Japan continues to increase, and many are of reproductive age. Foreign residents report many difficulties when receiving nursing care. Midwives and nurses also experience negative feelings about nursing care for foreigners. This study clarified the factors related to feelings toward nursing practices for foreign pregnant and postpartum residents among midwives and nurses at perinatal medical centers in Osaka, Japan. A web-based survey was conducted from 1 October to 31 December 2023. A research request form was distributed to 309 midwives and nurses working at nine perinatal medical centers in Osaka. Data for 82 participants were analyzed (response rate: 26.5%). The mean age was 35.7 ± 10.6 years; 76 participants (92.7%) were midwives. Logistic regression analysis was conducted to examine associations between several factors and the proportion of participants scoring above the median on each feeling. Participants with poor English-language skills reported significantly more frustration (multivariable-adjusted odds ratios [ORs] and 95% confidence intervals [CIs] for above-median scoring: 3.16 [1.03-9.66]). Participants who had not attended workshops on nursing care for foreign residents experienced more difficulty (OR: 4.60; 95% CI: 1.32-16.01), helplessness (OR: 4.39; 95% CI: 1.28-15.04), and uncertainty (OR: 5.29; 95% CI: 1.52-18.43). To reduce feelings of difficulty and increase positivity in providing nursing care to foreign residents with different languages, cultures, and customs, it is important to improve cross-cultural competency. Education programs, especially web-based interventions and individualized education programs that include workshops on cross-cultural competence, could be effective.

日本大阪围产期医疗中心助产士和护士对外国孕妇和产后居民护理实践感受的相关因素:一项问卷调查。
日本的外国居民数量持续增加,其中许多是育龄人口。外国居民报告说,他们在接受护理时遇到了许多困难。助产士和护士对照顾外国人也有负面情绪。本研究旨在探讨日本大阪围生医疗中心的助产士及护士对外籍孕妇及产后居民护理行为的感受。一项基于网络的调查于2023年10月1日至12月31日进行。向大阪9个围产期医疗中心的309名助产士和护士分发了一份研究请求表。分析了82名参与者的数据(回复率:26.5%)。平均年龄35.7±10.6岁;76名参与者(92.7%)为助产士。进行了逻辑回归分析,以检查几个因素与在每种感觉上得分高于中位数的参与者比例之间的关联。英语水平较差的参与者报告了更多的挫败感(多变量调整优势比[ORs]和中位数以上评分的95%置信区间[ci]: 3.16[1.03-9.66])。没有参加过外国居民护理工作坊的参加者遇到较多困难(OR: 4.60;95% CI: 1.32-16.01),无助(OR: 4.39;95% CI: 1.28-15.04),不确定性(OR: 5.29;95% ci: 1.52-18.43)。为了减少对不同语言、文化、习俗的外籍居民的护理困难感,增加护理的积极性,提高跨文化能力是很重要的。教育项目,特别是基于网络的干预和个性化的教育项目,包括跨文化能力研讨会,可能是有效的。
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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