Akselsson Anna, Cabander Lisa, Thorarinsdottir Steinunn, Small Rhonda, Ternström Elin
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Department of Health Promoting Science, Sophiahemmet University, Stockholm, Sweden.
Eur J Midwifery. 2022 Jul 18;6:42. doi: 10.18332/ejm/149519. eCollection 2022.
The aim of this study was to explore midwives' and assistant nurses' experiences of providing extra support to non-Swedish-speaking migrants by offering individual language-supported visits to the labor ward during pregnancy.
Semi-structured interviews were conducted with six guides, midwives or assistant nurses, working in the INFÖR (Individuell förlossningsförberedelse) project at Södertälje hospital in Sweden. INFOR includes a two-hour individual language-supported visit at the labor ward, for non-Swedish speaking pregnant women and their partners. An inductive thematic analysis was conducted.
The guides described INFOR as being a bridge and creating safety, achieved by meeting with women and providing practical information. The guides felt that they fulfilled an important purpose, they were dedicated and adapted to the women's individual needs. Providing extra language-assisted support to migrant pregnant women was developing and enriching, but the guides highlighted some barriers. Communicating via an interpreter was a challenge and the women were in need of more and extended meetings. The guides wished that INFOR could become a standard part of antenatal care, but the model needs to be further developed, and a better system for recruitment must be introduced.
The guides experienced that the INFOR model is valuable in creating safety to pregnant migrant women before birth. The model is appreciated by the expectant couples, midwives and assistant nurses, and could be implemented as standard care. However, it is important to adapt the visits to the women's and their families' needs and goals, and structure needs to be developed before implementation.
本研究的目的是探讨助产士和助理护士在孕期为非瑞典语移民提供额外支持的经历，即在分娩病房提供个性化语言支持探访服务。
对瑞典南泰利耶医院INFÖR（个体化分娩准备）项目中的六名指导人员、助产士或助理护士进行了半结构化访谈。INFÖR项目为非瑞典语孕妇及其伴侣在分娩病房提供两小时的个性化语言支持探访服务。进行了归纳主题分析。
指导人员将INFÖR描述为一座桥梁并能营造安全感，这是通过与孕妇见面并提供实用信息实现的。指导人员觉得他们实现了一个重要目标，他们敬业且能适应孕妇的个人需求。为移民孕妇提供额外的语言辅助支持具有发展意义且丰富充实，但指导人员也强调了一些障碍。通过口译员进行沟通是一项挑战，而且孕妇需要更多且更深入的会面。指导人员希望INFÖR能成为产前护理的标准组成部分，但该模式需要进一步完善，并且必须引入更好的招募系统。
指导人员体会到INFÖR模式在产前为移民孕妇营造安全感方面很有价值。该模式受到准父母、助产士和助理护士的认可，可作为标准护理实施。然而，根据孕妇及其家庭的需求和目标调整探访服务很重要，并且在实施前需要完善服务结构。
