Tarlier Denise S, Johnson Joy L, Browne Annette J, Sheps Sam
School of Nursing, University of British Columbia, Vancouver.
Can J Nurs Res. 2013 Jun;45(2):76-100. doi: 10.1177/084456211304500210.
This article reports those findings related to maternal-infant health outcomes of an ethnographic study that explored nursing practice, continuity of care, and health outcomes in one remote First Nations community in northern Canada. Use of multiple data sources within an ethnographic design ensured that quantitative health outcomes data were interpreted within a contextualized understanding of the remote First Nations community.The sample comprised the charts of 65 mothers and 63 infants randomly selected for retrospective chart review. The findings suggest suboptimal maternal-infant health outcomes on several of the health indicator criteria identified for the purposes of this study. The authors discuss long-term sequelae of prenatal and infant health in terms of diabetes and other chronic health conditions in First Nations populations.They explore the implications of these findings in relation to nurses' preparation to offer prenatal and infant primary care in remote First Nations communities.
本文报告了一项人种学研究中与母婴健康结果相关的发现,该研究探讨了加拿大北部一个偏远的原住民社区的护理实践、连续护理及健康结果。人种学设计中使用多种数据源确保了定量健康结果数据在对偏远原住民社区的情境化理解中得到解读。样本包括随机选取用于回顾性病历审查的65位母亲和63名婴儿的病历。研究结果表明,在为本研究确定的若干健康指标标准方面,母婴健康结果未达最佳。作者从原住民人群中的糖尿病及其他慢性健康状况方面讨论了产前和婴儿健康的长期后遗症。他们探讨了这些发现对于护士在偏远原住民社区提供产前和婴儿初级护理准备工作的影响。