Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
J Nurs Manag. 2011 Oct;19(7):967-75. doi: 10.1111/j.1365-2834.2011.01310.x. Epub 2011 Sep 30.
This paper focuses on implications for nurse managers to support midwives in delivering nursing care to immigrant mothers in some government hospitals in Gauteng, South Africa.
Immigration and poverty in Africa has led to midwives providing nursing care to immigrant mothers in a culturally sensitive environment. This necessitates an environment in which nurse managers should support midwives in caring for these mothers as unique individuals.
An exploratory, descriptive phenomenological design was followed. The target population included nine immigrant mothers living in the inner centre of Johannesburg who, for the first time, attended, had antenatal clinics, laboured and gave birth at a Government Hospital in the Gauteng province of South Africa. After purposive sampling, phenomenological interviews were conducted until data saturation occurred.
The findings indicate that nurse managers should ensure that midwifery care of immigrant mothers comply with the ethical-legal context of the South African constitution. Actions should be taken in combating issues related to impaired maternal-midwife relationship, lack of cultural sensitivity and psychological distress.
The delivery of maternity care to immigrant mothers is below the standard expected in the South African context.
The nurse manager should support midwives to ensure an environment to care for immigrant mothers in maternity wards.
本文关注的是在南非豪登省的一些政府医院，护士管理者如何支持助产士为移民母亲提供护理的意义。
非洲的移民和贫困问题导致助产士在文化敏感的环境中为移民母亲提供护理。这就需要一个环境，在这个环境中，护士管理者应该支持助产士以独特的个体身份照顾这些母亲。
采用探索性、描述性现象学设计。目标人群包括 9 名居住在约翰内斯堡市中心的移民母亲，她们首次在南非豪登省的一家政府医院进行产前检查、分娩和分娩。经过目的性抽样后，进行了现象学访谈，直到数据饱和。
研究结果表明，护士管理者应确保对移民母亲的助产护理符合南非宪法的伦理法律背景。应采取行动解决与产妇-助产士关系受损、缺乏文化敏感性和心理困扰有关的问题。
向移民母亲提供的产妇护理低于南非背景下的预期标准。
护士管理者应支持助产士，确保在妇产科病房为移民母亲提供护理的环境。
