Obionu Ifeoma Maureen, Onyedinma Chioma Amarachi, Mielewczyk Frances, Boyle Elaine
College of Public Health and Social Justice, Saint Louis University, St Louis, Missouri.
Department of Community Medicine University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.
Public Health Nurs. 2023 Nov-Dec;40(6):846-856. doi: 10.1111/phn.13240. Epub 2023 Aug 7.
The increasing population of immigrant and migrant women in the United Kingdom has implications to the provision of healthcare and for healthcare experiences. Eliciting women's experiences and perceptions of maternity care received is an important way of monitoring and evaluating the quality of maternity services. This study was designed to explore the maternity care experiences of ethnic minority and migrant women in the United Kingdom.
A literature search for relevant studies was carried across seven databases. We included nine studies carried out between 2015 and February 2022 that met the inclusion criteria. Data were analyzed using a thematic analysis approach.
Findings showed that ethnic minority women and migrant women have had mixed experiences while utilizing maternity services in the United Kingdom. However, most of the experiences were negative and included issues related to communication, discrimination, culture, access to care, physical comfort, and continuity of care. Only one of the studies reported that the respondents had a wholly positive communication experience, one found that a few women felt the staff were respectful and one reported that the midwives gave the women treatment options that would respect their cultural and religious beliefs.
This study has highlighted some important gaps in the maternity care experiences specific to ethnic minority and migrant women in the United Kingdom which provides useful insights to future policy and clinical practice.
英国移民和流动妇女数量不断增加,这对医疗保健的提供以及医疗保健体验产生了影响。了解妇女接受孕产护理的经历和看法是监测和评估孕产服务质量的重要方式。本研究旨在探索英国少数族裔和移民妇女的孕产护理经历。
在七个数据库中进行了相关研究的文献检索。我们纳入了2015年至2022年2月期间进行的九项符合纳入标准的研究。采用主题分析法对数据进行分析。
研究结果表明,少数族裔妇女和移民妇女在英国使用孕产服务时经历不一。然而,大多数经历是负面的,包括与沟通、歧视、文化、获得护理、身体舒适度和护理连续性相关的问题。只有一项研究报告称,受访者有完全积极的沟通体验,一项研究发现少数女性觉得工作人员很尊重人,还有一项研究报告称,助产士为女性提供了尊重其文化和宗教信仰的治疗选择。
本研究突出了英国少数族裔和移民妇女孕产护理经历中的一些重要差距,为未来的政策和临床实践提供了有益的见解。