Ingram School of Nursing, McGill University, Montreal, Quebec, Canada.
La Maison Bleue, Montreal, Quebec, Canada.
PLoS One. 2019 Jul 25;14(7):e0220107. doi: 10.1371/journal.pone.0220107. eCollection 2019.
La Maison Bleue is a community-based perinatal health and social centre in Montreal that provides services during pregnancy up to age five to families living in vulnerable contexts. The study aimed to describe: 1) the challenges and protective factors that affect the well-being of migrant families receiving care at La Maison Bleue; and 2) how La Maison Bleue strengthens resilience among these families.
We conducted a focused ethnography. Immigrants, refugees, asylum seekers and undocumented migrants were invited to participate. We collected data from November to December 2017 via semi-structured interviews and participant observation during group activities at La Maison Bleue. Data were thematically analysed.
Twenty-four mothers participated (9 interviewed, 17 observed). Challenges to well-being included family separation, isolation, loss of support, the immigration process, an unfamiliar culture and environment, and language barriers. Key protective factors were women's intrinsic drive to overcome difficulties, their positive outlook and ability to find meaning in their adversity, their faith, culture and traditions, and supportive relationships, both locally and transnationally. La Maison Bleue strengthened resilience by providing a safe space, offering holistic care that responded to both medical and psychosocial needs, and empowering women to achieve their full potential towards better health for themselves and their families.
Migrant mothers have many strengths and centres like La Maison Bleue can offer a safe space and be an empowering community resource to assist mothers in overcoming the multiple challenges that they face while resettling and raising their young children in a new country.
“蓝色小屋”是蒙特利尔的一个以社区为基础的围产期健康和社会中心，为生活在弱势环境中的家庭提供从怀孕到五岁的服务。本研究旨在描述：1）影响在“蓝色小屋”接受护理的移民家庭福祉的挑战和保护因素；2）“蓝色小屋”如何增强这些家庭的适应力。
我们进行了一项重点民族志研究。邀请移民、难民、寻求庇护者和无证件移民参加。我们于 2017 年 11 月至 12 月期间通过半结构化访谈和在“蓝色小屋”的小组活动中参与观察收集数据。对数据进行主题分析。
有 24 位母亲参加（9 位接受访谈，17 位接受观察）。福祉面临的挑战包括家庭分离、孤立、失去支持、移民过程、不熟悉的文化和环境以及语言障碍。关键的保护因素包括女性克服困难的内在动力、她们积极的人生观和在逆境中找到意义的能力、她们的信仰、文化和传统以及在当地和跨国层面的支持性关系。“蓝色小屋”通过提供安全空间、提供全面满足医疗和心理社会需求的护理以及赋予妇女实现自身潜力的权力，为增强适应力做出了贡献，以实现她们自己和家人的更健康。
移民母亲有许多优势，像“蓝色小屋”这样的中心可以提供一个安全的空间，并成为一个赋权的社区资源，帮助母亲克服在新国家重新定居和抚养年幼子女时面临的许多挑战。
