Mengesha Zelalem B, Perz Janette, Dune Tinashe, Ussher Jane
Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Sydney, New South Wales, 2751, Australia.
School of Science and Health, Western Sydney University, Sydney, New South Wales, 2751, Australia.
J Immigr Minor Health. 2018 Apr;20(2):307-316. doi: 10.1007/s10903-017-0611-7.
This Q methodological study was conducted to examine the perspectives of health professionals in providing sexual and reproductive health (SRH) care to refugee and migrant women. Forty-seven health professionals rank-ordered 42 statements and commented on their rankings in subsequent open-ended questions. A bi-person factor analysis was performed and factors were extracted according to the centroid method with a varimax rotation. Seven factors each with a distinct and meaningful viewpoint were identified. These factors are: "Communication difficulties-hurdles to counselling", "Lack of access to culturally appropriate care", "Navigating SRH care", "Cultural constraints on effective communication", "Effects of the lack of cultural competency", "Impacts of low income and language barrier" and "SRH services are accessible, but not culturally relevant". A more culturally adaptive healthcare model that considers refugee and migrant women's linguistic, cultural and socio-economic backgrounds; and engages health professionals on an ongoing process of building cultural competency is central to improve SRH access to these women.
这项Q方法学研究旨在考察卫生专业人员在为难民和移民妇女提供性与生殖健康（SRH）护理方面的观点。47名卫生专业人员对42条陈述进行了排序，并在随后的开放式问题中对其排序进行了评论。进行了双人因素分析，并根据具有方差最大化旋转的质心法提取因素。确定了七个因素，每个因素都有独特且有意义的观点。这些因素是：“沟通困难——咨询障碍”、“缺乏获得文化适宜护理的机会”、“导航性与生殖健康护理”、“有效沟通的文化限制”、“缺乏文化能力的影响”、“低收入和语言障碍的影响”以及“性与生殖健康服务可获得，但与文化无关”。一个更具文化适应性的医疗保健模式，该模式考虑难民和移民妇女的语言、文化和社会经济背景；并让卫生专业人员参与持续的文化能力建设过程，对于改善这些妇女获得性与生殖健康服务至关重要。
