Centre for Women's, Family and Child Health, Faculty of Health Sciences, Vestfold University College, Tønsberg, Norway.
J Nurs Manag. 2012 Mar;20(2):287-95. doi: 10.1111/j.1365-2834.2011.01364.x. Epub 2011 Dec 9.
To illuminate midwives' and public health nurses' perceptions of managing and supporting prenatal and postnatal migrant women in Norway.
Migrant women are affected by social inequalities and likely to have had experiences during and after the migration process that could influence their physical, mental and social well-being.
Multistage focus group interviews were conducted and data were analysed in accordance to conventional interpretative qualitative content analysis.
The overarching theme 'Managing and supporting educational, relational and cultural diversity in maternity care' was characterized by two themes 'Health challenges' and 'Cultural challenges'. Each theme contained several subthemes. The interviews revealed that Norwegian maternity care is not adjusted to migrant women's needs. The management is the same for everybody who avails of the service.
The Norwegian model for managing cultural diversity in maternity care needs to be developed. Capacity building and a closer cooperation between maternity care services is necessary. IMPLICATIONS FOR MIDWIVES AND NURSING MANAGEMENT: Maternity care requires reflection at several levels to reduce disparities in individual health. In order to ensure continuity and a trusting relationship, it is necessary to organize leadership and adopt flexible models that support migrant women's health.
阐明助产士和公共卫生护士对管理和支持挪威产前和产后移民妇女的看法。
移民妇女受到社会不平等的影响，并且在移民过程中和之后可能有过影响其身心健康和社会福祉的经历。
采用多阶段焦点小组访谈，并按照常规解释性定性内容分析进行数据分析。
总体主题为“管理和支持孕产护理中的教育、关系和文化多样性”，由两个主题“健康挑战”和“文化挑战”组成。每个主题都包含几个副标题。访谈表明，挪威的孕产护理服务并不适应移民妇女的需求。每个人都可以享受同样的服务管理。
需要发展挪威管理孕产护理中文化多样性的模式。需要加强能力建设，并在孕产护理服务之间加强合作。
孕产护理需要在多个层面进行反思，以减少个体健康方面的差异。为了确保连续性和信任关系，有必要组织领导力并采用支持移民妇女健康的灵活模式。
