Department of Communication, Michigan State University.
Department of Communication Studies, Texas Christian University.
Health Commun. 2024 Sep;39(10):1923-1931. doi: 10.1080/10410236.2023.2247607. Epub 2023 Aug 14.
Care provider communication with Black birthing families is impactful. This cross-sectional study asked 216 Black fathers to recall treatment by birthing care providers and tested variables contributing to birth satisfaction and fathering identity salience. Most fathers reported that care providers were respectful resulting in a positive birthing experience; however, 15% reported negative experiences with care providers. Perceived social support was shown to be a mediator between disrespect, mistreatment, inclusive communication, trust, and positive emotion with birth satisfaction and fathering identity salience. Care provider disrespect served as a "spoiler" of the birthing experience and subsequently diminished positive fathering identity salience. Analysis of open-ended comments showed that contrary to stereotypes about absent, disengaged Black fathers, fathers in this study were caring toward their newborns, present for them, and engaged in fathering. More work needs to be done with care provider communication to make every birth a positive and inclusive experience for Black fathers and their partners.
医护人员与黑人分娩家庭的沟通是有影响的。这项横断面研究询问了 216 名黑人父亲，他们回忆了分娩护理人员的治疗情况，并测试了影响生育满意度和父亲身份显著性的变量。大多数父亲报告说，护理人员很尊重他们，因此他们有了积极的分娩体验；然而，15%的父亲报告说与护理人员有过负面的经历。研究表明，感知到的社会支持是不尊重、虐待、包容性沟通、信任和积极情绪与生育满意度和父亲身份显著性之间的中介因素。医护人员的不尊重行为是分娩体验的“破坏者”，随后降低了积极的父亲身份显著性。对开放式评论的分析表明，与关于黑人父亲缺席、不参与的刻板印象相反，这项研究中的父亲对他们的新生儿很关心，陪伴在他们身边，并积极参与育儿。需要进一步加强医护人员的沟通工作，让每位黑人父亲及其伴侣都能有积极和包容的分娩体验。
