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为移民妇女提供生殖健康护理方面的沟通和文化问题:满足居住在芬兰的索马里妇女需求方面医疗保健提供者的经验。

Communication and cultural issues in providing reproductive health care to immigrant women: health care providers' experiences in meeting the needs of [corrected] Somali women living in Finland.

机构信息

Department of Public Health, University of Turku, 20014, Turku, Finland.

出版信息

J Immigr Minor Health. 2012 Apr;14(2):330-43. doi: 10.1007/s10903-011-9465-6.

DOI:10.1007/s10903-011-9465-6
PMID:21465142
Abstract

Communication problems due to language and cultural differences between health care professionals and patients are widely recognized. Finns are described as more silent whereas one concurrent large immigrant group, the Somalis, are described as more open in their communication. The aim of the study was to explore physicians-nurses/midwives' communication when providing reproductive and maternity health care to Somali women in Finland. Four individual and three focus group interviews were carried out with 10 gynecologists/obstetricians and 15 nurses/midwives from five selected clinics. The health care providers considered communication (including linguistic difficulties), cultural traditions, and religious beliefs to be problems when working with Somali women. Male and female physicians were generally more similar in communication style, interpersonal contacts, and cultural awareness than the nurses/midwives who were engaged in more partnership-building with the Somali women in the clinics. Despite the communication and cultural problems, there was a tentative mutual understanding between the Finnish reproductive health care professionals and the Somali women in the clinics.

摘要

医护人员与患者之间因语言和文化差异而导致的沟通问题已广为人知。芬兰人被描述为更加沉默寡言,而同期的一个大型移民群体索马里人则被描述为在沟通方面更加开放。本研究旨在探讨芬兰的医护人员在为索马里妇女提供生殖和孕产妇保健服务时的沟通方式。我们对来自五家选定诊所的 10 名妇科医生/产科医生和 15 名护士/助产士进行了四次个人访谈和三次焦点小组访谈。医护人员认为,在与索马里妇女打交道时,沟通(包括语言困难)、文化传统和宗教信仰是存在的问题。男性和女性医生在沟通风格、人际交往和文化意识方面通常比在诊所中与索马里妇女建立更多伙伴关系的护士/助产士更为相似。尽管存在沟通和文化方面的问题,但芬兰的生殖健康护理专业人员与诊所中的索马里妇女之间仍存在一种试探性的相互理解。

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