Faculty of Nursing, Edmonton Clinic Health Academy, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Syst Rev. 2012 May 31;1:27. doi: 10.1186/2046-4053-1-27.
Canada's diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1) accessibility and acceptability (as an important dimension of access) to maternity-care services as perceived and experienced by immigrant women, and 2) the birth and postnatal outcomes of these women.
The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs), and a literature review of non-empirically based reports, both of which include 'grey' literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates) to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature. The integrated knowledge translation plan will ensure that key messages are delivered in an audience-specific manner to optimize their effect on policy and practice change throughout the health service, and the public health, immigration and community sectors.
Narrative-synthesis methods of systematic review facilitate understanding and acknowledgement of the broader influences of theoretical and contextual variables, such as race, gender, socioeconomic status, and geographical location. They also enable understanding of the shaping of differences between reported outcomes and study designs related to childbearing populations, and the development and implementation of maternity services and health interventions across diverse settings.
Number 2185.
加拿大多元化的社会和对多元文化主义的法定承诺意味着，综合与移民健康护理经验相关的知识对于实现未来加拿大人民的健康潜力至关重要。尽管人们对加拿大移民的孕产经历的关注相对较新，但最近的国家指南明确呼吁根据用户需求调整服务。因此，我们正在评估加拿大移民妇女获取孕产护理服务的体验。我们的重点是：1）移民妇女感知和体验到的孕产护理服务的可及性和可接受性（作为可及性的一个重要维度），以及 2）这些妇女的分娩和产后结果。
本研究的目的是使用叙述性综合方法，包括使用叙述性综合方法对经验研究报告（定性、定量和混合方法设计）进行系统评价，以及对非经验性报告进行文献综述，两者都包括“灰色”文献。该研究旨在为利益相关者提供移民妇女体验孕产护理服务的观点。为了实现这一目标，我们正在使用综合知识转化，与主要利益相关者合作，确保主题相关性，并为有效转化为未来的政策和实践/方案制定提供建议。正在进行两个搜索阶段和三个阶段的选择过程（数据库搜索检索到 1487 个不包括重复项的命中），以提供有助于叙述性综合和非经验性文献综述的证据。叙述性综合将由 Popay 等人在 2006 年发表的先前框架提供信息，使用其四个要素中的每个要素的确定工具。非经验性文献综述将建立在叙述性综合结果的基础上，或者确定经验研究文献中的遗漏或差距。综合知识转化计划将确保以特定受众的方式传递关键信息，以最大限度地提高其对整个卫生服务以及公共卫生、移民和社区部门政策和实践变革的影响。
系统评价的叙述性综合方法有助于理解和承认理论和背景变量（如种族、性别、社会经济地位和地理位置）的更广泛影响。它们还使人们能够理解报告结果之间的差异的形成以及与生育人口相关的研究设计，以及在不同环境下开发和实施孕产服务和健康干预措施。
2185。
