让英语水平有限的妇女参与集体产前护理：怀孕圈试点试验的综合过程评估结果。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-09-24 DOI:10.1016/j.midw.2024.104197

Octavia Wiseman , Christine McCourt , Anita Mehay , Giordana da Motta , Helliner Robinson , Kade Mondeh , Lorna Sweeney , Meg Wiggins , Mary Sawtell , Angela Harden , REACH Research Team

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引用次数: 0

摘要

问题：在英国，英语水平有限（LEP）的妇女在产前护理方面的不良经历和结果被广泛记录在案：背景：集体产前护理旨在通过将健康评估、信息共享和同伴支持结合起来，解决传统护理的一些局限性，但将英语能力有限的妇女纳入混合语言小组的问题尚未得到探讨。作为 "妊娠圈 "试点试验（ISRCTN66925258，2017年4月3日追溯注册；苏格兰北部研究伦理服务机构16/NS/0090）的一部分，一家大型城市NHS信托机构邀请患有LEP的妇女参加混合语言小组：实施了三个 "妊娠圈"，其中包括有语言障碍的妇女。语言融合小组需要额外的资源（时间、翻译、助产技能）。出现了四个主题："口译是帮助"、"加强学习"、"满意度和归属感 "以及 "复杂的生活"：讨论：在 "怀孕圈 "中获得口译服务的 LEP 妇女的满意度很高，这与她们在传统护理中的经历形成了鲜明对比。与 LEP 妇女相关的三个效果理论是：社会支持。

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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Involving women with limited English proficiency in group antenatal care: Findings from the integrated process evaluation of the Pregnancy Circles pilot trial

Problem In the United Kingdom, poor experiences and outcomes of antenatal care among women with limited English proficiency (LEP) are widely documented.

Background

Group antenatal care aims to address some limitations of traditional care by combining health assessment, information sharing and peer support, but the inclusion of women with LEP in mixed-language groups has not been explored.

Aim

This qualitative study used observations and interviews to explore whether linguistic diversity could be incorporated into group antenatal care (Pregnancy Circles). Women with LEP were invited to take part in mixed-language groups in a large urban NHS trust as part of the Pregnancy Circles pilot trial (ISRCTN66925258 Retrospectively registered 03 April 2017; North of Scotland Research Ethics Service 16/NS/0090).

Findings

Three Pregnancy Circles including women with LEP were implemented. Linguistically integrated groups required additional resources (time, interpreters, midwifery skills). Four themes emerged: ‘Interpreting as helping’, ‘Enhanced learning’, ‘Satisfaction and belonging’ and ‘Complex lives’.

Discussion

Women with LEP accessing interpreting in Pregnancy Circles reported high levels of satisfaction, contrasting with reported experiences in traditional care. Three theories of effect emerged as relevant for women with LEP: social support.

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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.