Davies M M, Bath P A
Department of Information Studies, University of Sheffield, Sheffield S10 2TN, UK.
J Adv Nurs. 2001 Oct;36(2):237-45. doi: 10.1046/j.1365-2648.2001.01964.x.
The aims of the study were to explore the maternity information concerns of a group of Somali women in a Northern English city and to investigate the relationships of these women with maternity health professionals.
The Somali community is one of the most established ethnic minorities in the United Kingdom (UK). The health needs of this group and in particular, the information needs of Somali women with respect to pregnancy, childbirth and post-natal care are poorly understood. To facilitate information provision to birthing mothers and to support maternal decision-making among minority ethnic women, research is required to understand and identify their information needs.
A user-centred study utilizing a focus group and semi-structured interviews with English-speaking and non-English speaking Somali women was conducted in a large English city. Discussions were audiotaped, translated, transcribed and then analysed using a variation of the constant comparative
Themes and categories were identified across transcripts during data collection and analysis and appropriate quotations are used to illustrate all themes.
Major findings that emerged from the analysis related to contact with health professionals, language support and information and satisfaction with health professionals. The findings indicate key maternity information concerns of Somali women with regard to maternity issues and have a number of implications for midwifery and nursing practice.
Poor communication between the non-English speaking Somali women and health workers was perceived as an underlying problem in seeking information. Fears about misinterpretation and confidentiality, limit the usefulness of interpreters. The Somali women perceived that they were denied information due to punitive attitudes and prejudiced views among health professionals.
本研究的目的是探究英国北部一个城市中一群索马里妇女对孕产信息的关注点，并调查这些妇女与孕产保健专业人员之间的关系。
索马里社区是英国最久居的少数族裔之一。人们对该群体的健康需求，尤其是索马里妇女在怀孕、分娩和产后护理方面的信息需求了解甚少。为了便于向产妇提供信息并支持少数族裔妇女在孕产方面的决策，需要开展研究以了解和确定她们的信息需求。
在英国一个大城市开展了一项以用户为中心的研究，采用焦点小组以及对会说英语和不会说英语的索马里妇女进行半结构化访谈的方式。讨论内容进行了录音、翻译、转录，然后采用持续比较法的一种变体进行分析。
在数据收集和分析过程中，从文字记录中确定主题和类别，并使用恰当的引语来说明所有主题。
分析得出的主要结果涉及与保健专业人员的接触、语言支持与信息以及对保健专业人员的满意度。这些结果表明了索马里妇女在孕产问题上对关键孕产信息的关注点，并对助产和护理实践有诸多启示。
不会说英语的索马里妇女与医护人员之间沟通不畅被视为获取信息方面的一个根本问题。对误解和保密性的担忧限制了口译员的作用。索马里妇女认为，由于保健专业人员的惩罚性态度和偏见观点，她们无法获得信息。
