Baxley Susan M, Ibitayo Kristina
J Obstet Gynecol Neonatal Nurs. 2015 May-Jun;44(3):389-96. doi: 10.1111/1552-6909.12572. Epub 2015 Mar 31.
To explore the expectations of pregnant women of Mexican origin regarding trust and communication with their health care providers.
Qualitative, descriptive inquiry.
A large metropolitan area community clinic in Texas that provided services to predominately Hispanic women.
The sample consisted of 13 women between ages 19 and 36 (mean = 29) who received prenatal health care at a community clinic that offers care to Hispanic women.
Semistructured interviews were conducted with open-ended starter questions and follow-up questions based on the participant responses. Based on the women's language preference nine interviews were conducted in Spanish and four in English.
Themes emerged from the beginning interviews, and after five interviews, saturation was reached. Data were arranged by the emerged themes of the model of trust and communication (Figure 1). The themes reflected the perception of trust, communication, patient centeredness, and satisfaction with health care providers.
These women wanted their providers to provide them with "everything," to be direct, to speak their language, and to present information as friends. Health care providers need to be able to provide communication not only in the participant's preferred language, but also in a way that is culturally sensitive.
探讨墨西哥裔孕妇对与医疗服务提供者之间信任及沟通的期望。
定性、描述性调查。
德克萨斯州一个为主要是西班牙裔女性提供服务的大型都市社区诊所。
样本包括13名年龄在19至36岁之间(平均年龄 = 29岁)的女性,她们在一家为西班牙裔女性提供护理的社区诊所接受产前保健。
采用半结构化访谈,开头提出开放式问题,并根据参与者的回答提出后续问题。根据女性的语言偏好,9次访谈用西班牙语进行,4次用英语进行。
在最初的访谈中出现了一些主题,进行5次访谈后达到饱和。数据按照信任与沟通模型中出现的主题进行整理(图1)。这些主题反映了对信任、沟通、以患者为中心以及对医疗服务提供者满意度的认知。
这些女性希望她们的医疗服务提供者能为她们提供“一切”,态度直接,说她们的语言,并像朋友一样提供信息。医疗服务提供者不仅需要能够用参与者偏好的语言进行沟通,还需要以文化敏感的方式进行沟通。