Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith, NSW 2751, Australia.
School of Science and Health, Western Sydney University, Penrith, NSW 2751, Australia.
Int J Environ Res Public Health. 2018 Jan 22;15(1):174. doi: 10.3390/ijerph15010174.
Past research suggests that factors related to health care professionals' (HCPs) knowledge, training and competency can contribute to the underutilisation of sexual and reproductive health (SRH) care by refugee and migrant women. The aim of this study was to examine the perceived preparedness of HCPs in relation to their knowledge, confidence and training needs when it comes to consulting refugee and migrant women seeking SRH care in Australia. A sequential mixed methods design, comprising an online survey with 79 HCPs (45.6% nurses, 30.3% general practitioners (GPs), 16.5% health promotion officers, and 7.6% allied health professionals) and semi-structured interviews with 21 HCPs, was utilised. HCPs recognised refugee and migrant women's SRH as a complex issue that requires unique skills for the delivery of optimal care. However, they reported a lack of training (59.4% of nurses, 50% of GPs, and 38.6% of health promotion officers) and knowledge (27.8% of nurses, 20.8% of GPs, and 30.8% of health promotion officers) in addressing refugee and migrant women's SRH. The majority of participants (88.9% of nurses, 75% of GPs, and 76% of health promotion officers) demonstrated willingness to engage with further training in refugee and migrant women's SRH. The implications of the findings are argued regarding the need to train HCPs in culturally sensitive care and include the SRH of refugee and migrant women in university and professional development curricula in meeting the needs of this growing and vulnerable group of women.
过去的研究表明，与医疗保健专业人员（HCPs）的知识、培训和能力相关的因素可能导致难民和移民妇女对性健康和生殖健康（SRH）护理的利用不足。本研究旨在考察 HCPs 在咨询寻求 SRH 护理的难民和移民妇女时，他们在知识、信心和培训需求方面的准备情况。本研究采用了一种顺序混合方法设计，包括对 79 名 HCPs（45.6%的护士、30.3%的全科医生、16.5%的健康促进官员和 7.6%的联合健康专业人员）进行在线调查和对 21 名 HCPs 进行半结构访谈。HCPs 认识到难民和移民妇女的 SRH 是一个复杂的问题，需要独特的技能来提供最佳护理。然而，他们报告说缺乏培训（59.4%的护士、50%的全科医生和 38.6%的健康促进官员）和知识（27.8%的护士、20.8%的全科医生和 30.8%的健康促进官员）来解决难民和移民妇女的 SRH 问题。大多数参与者（88.9%的护士、75%的全科医生和 76%的健康促进官员）表示愿意接受进一步的难民和移民妇女 SRH 培训。研究结果的影响在于需要培训 HCPs 进行文化敏感的护理，并将难民和移民妇女的 SRH 纳入大学和专业发展课程，以满足这一不断增长和脆弱群体的妇女的需求。
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