Bern University of Applied Sciences, Bern, Switzerland.
Zurich University of Applied Sciences, Winterthur, Switzerland.
J Adv Nurs. 2018 Feb;74(2):472-481. doi: 10.1111/jan.13441. Epub 2017 Oct 5.
To describe communication and access barriers encountered by allophone women of different migration backgrounds in the Swiss maternity care services, from the perspective of users, healthcare professionals and intercultural interpreters.
In addition to the challenges of maternal adjustment, pregnant migrant women must also deal with an unfamiliar health service system. Some must overcome language barriers and the stress of uncertain residence status. Limited access to maternity care increases perinatal morbidity and mortality. Almost 10% of foreigners speak none of Switzerland's official languages. Factors that facilitate or hinder communication between migrant women and perinatal healthcare professionals are under-studied and must be understood if we are to overcome those barriers in clinical practice.
Qualitative exploratory study with quantitative sub-study.
Participants will be drawn from German to speaking regions of Switzerland. We will conduct focus group discussions and semi-structured interviews with users in their own language (Albanian and Tigrinya) and with healthcare professionals and intercultural interpreters (March-June 2016), then perform Thematic Analysis on the data. In the sub-study, midwives will report their experience of using a telephone interpreting service during postnatal home visits in a questionnaire (October 2013-March 2016). Data will be analysed with descriptive statistics.
Our study will reveal patterns in communications between allophone migrant women and healthcare providers and communication barriers. By incorporating multiple perspectives, we will describe the challenges all parties face. Our results will inform those who draft recommendations to improve provision of maternity care to allophone women and their families.
ClinicalTrials.gov ID: BernUAS NCT02695316.
从使用者、医疗保健专业人员和跨文化口译员的角度描述不同移民背景的非母语女性在瑞士产妇保健服务中遇到的沟通和获取障碍。
除了产妇调整的挑战外，移民孕妇还必须应对陌生的卫生服务系统。一些人必须克服语言障碍和不确定居住身份的压力。有限的获得产妇保健服务会增加围产期发病率和死亡率。近 10%的外国人不会说瑞士任何一种官方语言。促进或阻碍移民妇女与围产保健专业人员之间沟通的因素研究不足，如果我们要在临床实践中克服这些障碍，就必须了解这些因素。
定性探索性研究，有定量子研究。
参与者将来自瑞士德语区。我们将用参与者的母语（阿尔巴尼亚语和提格里尼亚语）进行焦点小组讨论和半结构化访谈，并与医疗保健专业人员和跨文化口译员进行访谈（2016 年 3 月至 6 月），然后对数据进行主题分析。在子研究中，助产士将在问卷中报告他们在产后家访中使用电话口译服务的经验（2013 年 10 月至 2016 年 3 月）。将使用描述性统计对数据进行分析。
我们的研究将揭示非母语移民妇女与医疗保健提供者之间沟通模式和沟通障碍。通过纳入多个视角，我们将描述各方面临的挑战。我们的研究结果将为那些制定改善向所有女性及其家庭提供产妇保健服务建议的人提供信息。
ClinicalTrials.gov ID：BernUAS NCT02695316。
