Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and, Department of Community and Reproductive Health, School of Nursing Sciences, Kenyatta University, Nairobi.
Afr J Prim Health Care Fam Med. 2022 Aug 22;14(1):e1-e14. doi: 10.4102/phcfm.v14i1.3322.
Sensitivity to women's cultural needs and expectations by care providers is essential. Skilled birth services for women are as essential as traditional birth services. Therefore, collaborative skilled and cultural care optimises childbearing experiences.
This study explored the experiences of birth attendants (BAs) with sensitivity to cultural practices (CPs) during pregnancy and birth among the Keiyo community in Kenya.
The study was conducted in the purposively selected public health centres and dispensaries offering maternity services and the villages in Keiyo South Sub County in Kenya.
A qualitative interpretive phenomenological study of BAs was conducted. Iterative and inductive interviews using a semistructured guide were conducted with 11 skilled BAs (SBAs) and eight traditional BAs (TBAs). Audio-recorded interviews were transcribed and analysed using ATLAS.ti software version 8.4.4 (1135), following Van Manen's five thematic analysis steps.
Three themes emerged: birth attendants' cultural encounters, response to cultural encounters and collaboration. Birth attendants' responses to different cultural encounters revealed their awareness of CPs. The response was experienced as a sensitivity to the need for a triad (woman, TBAs and SBAs) collaborative care, enabling collaborative, woman-centred and culturally safe care.
Birth attendants are exposed to cultural encounters, and their responses determine their awareness of enabling sensitive care for optimal childbearing experiences. The study illuminated the need for further collaborative engagements between the BAs and the community to facilitate positive experiences by women through woman-centred, culturally safe care.
医护人员对女性文化需求和期望的敏感性至关重要。为女性提供熟练的生育服务与传统生育服务同样重要。因此，协作式的熟练且具有文化敏感性的护理可以优化生育体验。
本研究旨在探讨肯尼亚凯约社区的分娩助手（BAs）在妊娠和分娩期间对文化习俗（CPs）的敏感性的体验。
该研究在肯尼亚凯约南郡的公共卫生中心和提供产妇服务的诊所以及村庄中进行，这些地方是经过有目的选择的。
对 BAs 进行了定性解释现象学研究。采用半结构化指南，对 11 名熟练的 BAs（SBAs）和 8 名传统的 BAs（TBAs）进行了迭代和归纳访谈。使用 ATLAS.ti 软件版本 8.4.4（1135）对录音访谈进行转录和分析，遵循 Van Manen 的五个主题分析步骤。
出现了三个主题：分娩助手的文化遭遇、对文化遭遇的反应和协作。分娩助手对不同文化遭遇的反应表明他们意识到了 CPs。这种反应表现为对三方（妇女、TBAs 和 SBAs）协作护理的敏感性，能够实现协作、以妇女为中心和具有文化安全性的护理。
分娩助手会遇到文化遭遇，他们的反应决定了他们对实现优化生育体验的敏感护理的意识。该研究阐明了 BAs 和社区之间需要进一步合作的必要性，以通过以妇女为中心、具有文化安全性的护理促进妇女的积极体验。
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