University of Wollongong, Wollongong, New South Wales, Australia.
Multicultural and Refugee Health Service, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia.
Health Expect. 2024 Dec;27(6):e70106. doi: 10.1111/hex.70106.
Access to culturally appropriate healthcare is vital to ensure refugee and migrant women receive optimal care, particularly during the perinatal period. Refugee and migrant women report lower satisfaction with pregnancy care due to language barriers and a perceived lack of understanding of their needs. The aim of this study is to explore how to improve the experiences of migrant and refugee women with maternal health services through the lens of cultural humility.
Working collaboratively with maternal health service providers and managers and local refugee and migrant women, this research project used a World Café methodology to provide these stakeholders with an opportunity to discuss maternal healthcare in the region. World Café participants (n = 34) included women from multicultural backgrounds (n = 20), maternal healthcare providers such as midwives, social workers and management (n = 5) multicultural healthcare providers (n = 7) and a community-based birth educator (n = 1). Data were analysed thematically.
A key finding of the World Café was the need for staff training that is co-designed and co-delivered with members of multicultural communities and healthcare providers to enhance the practice of cultural humility. Training should focus on women's stories that capture the cultural nuances around pregnancy and birthing, their support needs including trauma-informed care, and the importance of effective cross-cultural communication.
This research gave refugee and migrant women a voice in future decision-making, specifically in maternal health staff training. The refugee and migrant women shared their perspectives on how to enhance cultural humility practices in maternity services for them. The research has led to opportunities such as community-based antenatal classes and improvements in maternity services development strategies.
The project actively engaged with maternal healthcare providers, multicultural and refugee healthcare providers and women from multicultural communities in the design of the project and as participants. Their expertise and experience have been invaluable and have informed pilot programmes that emerged from this study.
获得文化适宜的医疗保健对于确保难民和移民妇女获得最佳护理至关重要，尤其是在围产期。由于语言障碍和对其需求的理解不足，难民和移民妇女报告说对妊娠护理的满意度较低。本研究旨在探讨如何通过文化谦逊的视角来改善移民和难民妇女的产妇保健服务体验。
本研究项目与产妇保健服务提供者和管理者以及当地的难民和移民妇女合作，使用世界咖啡屋方法为这些利益相关者提供了一个讨论该地区产妇保健的机会。世界咖啡屋参与者（n=34）包括来自多元文化背景的妇女（n=20）、助产士、社会工作者和管理人员等产妇保健提供者（n=5）、多元文化保健提供者（n=7）和一名社区出生教育者（n=1）。对数据进行了主题分析。
世界咖啡屋的一个主要发现是需要进行员工培训，这种培训需要与多元文化社区成员和医疗保健提供者共同设计和共同提供，以增强文化谦逊的实践。培训应侧重于女性的故事，这些故事捕捉了怀孕和分娩方面的文化细微差别、她们的支持需求，包括创伤知情护理，以及跨文化有效沟通的重要性。
本研究让难民和移民妇女在未来的决策中发出自己的声音，特别是在产妇保健人员培训方面。难民和移民妇女分享了他们对如何增强产妇服务中文化谦逊实践的看法。该研究为社区产前班和改进产妇服务发展战略等机会提供了依据。
该项目积极与产妇保健提供者、多元文化和难民保健提供者以及多元文化社区的妇女合作，共同设计和参与项目。他们的专业知识和经验是无价的，为该研究产生的试点项目提供了信息。
