为CALD妇女开发产前教育资源：第一步，探索来自CALD背景的妇女想要和需要什么

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-03-17 DOI:10.1016/j.midw.2025.104367

Delnia Palani , Julie Tucker , Annette Briley

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引用次数: 0

摘要

来自不同文化和语言背景的妇女在接受围产期护理时面临重大的健康风险。在获得围产期护理方面存在差距。在澳大利亚，来自不同文化和语言背景（CALD）的妇女比其他人有更高的产科并发症发生率。原因往往是复杂和多因素的。保健知识普及程度低通常被报告为CALD社区产前保健参与和利用减少的一个因素，影响了对妊娠并发症的认识和对教育资源的理解。通常，产前教育遵循通用格式。有用性和适当性可能不适合或不被CALD女性理解。目的本项目旨在更深入地了解CALD妇女获得产前资源的需求和障碍。方法采用深度半结构化访谈对两个焦点小组（n = 10）的CALD孕妇进行定性研究。对产前教育资源进行综述。主题分析用于揭示主题和副主题。研究结果确定了三个主题：1)健康素养，2)导航服务和3)身份。讨论提高健康素养是主要的发现，与会者表示，获取信息应该简化，并满足妇女围产期全程的文化需求。女性需要多种形式和变化的信息，以适应禁忌话题的文化敏感性。结论目前的产前信息需要改善，以帮助CALD妇女获得护理。改变反映文化需求的内容和格式将有助于了解并潜在地改善这一群体的怀孕结果。进一步的研究需要了解产妇护理的不同文化需求的CALD妇女。

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Developing antenatal education resources for CALD women: First steps, exploring what women from CALD backgrounds want and need

Problem

There are significant health risks for women from culturally and linguistically diverse backgrounds accessing perinatal care.

Background

Disparity exists for accessing perinatal care. In Australia, women from culturally and linguistically diverse (CALD) backgrounds have higher rates of obstetric complications compared to others. Reasons are often complex and multifactorial. Low health literacy is commonly reported amongst CALD communities as a contributor to reduced antenatal care participation and utilisation, compromising recognition of pregnancy complications, and understanding of educational resources. Typically, antenatal education follows generic formats. The usefulness and appropriateness may not be suitable or understood amongst CALD women.

Aim

This project aims to derive deeper understanding of the needs and barriers of CALD women accessing antenatal resources.

Method

Qualitative study utilising in-depth semi-structured interviews in two focus groups (n = 10) with CALD pregnant women. Antenatal education resources were reviewed. Thematic analysis was used to uncover themes and subthemes.

Findings

Three themes were identified 1) Health Literacy, 2) Navigating service and 3) Identity.

Discussion

Improved health literacy was cited the main finding, with participants stating accessing information should be simplified and meet the cultural needs throughout a woman's perinatal journey. Women wanted information in multiple formats and variations to accommodate cultural sensitivities on taboo topics.

Conclusion

Improvements in current prenatal information are required for CALD women accessing care. Changes in content and format reflecting cultural needs would aid understanding and potentially improve pregnancy outcomes for this group. Further research is required understanding of the diverse cultural needs of maternity care for CALD women.

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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.