Kang Hye-Kyung
J Perinat Educ. 2014 Winter;23(1):25-32. doi: 10.1891/1058-1243.23.1.25.
A qualitative study examined the perceptions of doulas practicing in Washington State regarding the influence of cultural and community beliefs on immigrant women's birth and perinatal care, as well as their own cultural beliefs and values that may affect their ability to work interculturally. The findings suggest that doulas can greatly aid immigrant mothers in gaining access to effective care by acting as advocates, cultural brokers, and emotional and social support. Also, doulas share a consistent set of professional values, including empowerment, informed choice, cultural relativism, and scientific/evidence-based practice, but do not always recognize these values as culturally based. More emphasis on cultural self-awareness in doula training, expanding community doula programs, and more integration of doula services in health-care settings are recommended.
一项定性研究考察了华盛顿州从事导乐工作的人员对于文化和社区信仰对移民妇女分娩及围产期护理的影响的看法,以及她们自身可能影响其跨文化工作能力的文化信仰和价值观。研究结果表明,导乐可以通过充当倡导者、文化中介以及情感和社会支持,极大地帮助移民母亲获得有效的护理。此外,导乐们拥有一套一致的专业价值观,包括赋权、知情选择、文化相对主义以及科学/循证实践,但并不总是将这些价值观视为基于文化的。建议在导乐培训中更加注重文化自我意识,扩大社区导乐项目,并将导乐服务更多地融入医疗保健环境。