Cultural safety and midwifery care for Aboriginal women – A phenomenological study
| Autor: | Philippa Middleton, Jennifer Fereday, Jan Pincombe, Angela Brown |
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| Přispěvatelé: | Brown, Angela E, Middleton, Philippa F, Fereday, Jennifer A, Pincombe, Jan I |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Native Hawaiian or Other Pacific Islander Cultural safety Health Behavior Midwifery Health outcomes Teaching hospital Interviews as Topic 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Maternity and Midwifery Health Services Indigenous Humans cultural safety Medicine Maternal Health Services 030212 general & internal medicine Cultural Competency Aboriginal and Torres Strait Islander women Qualitative Research midwifery Cultural Characteristics Equity (economics) 030504 nursing business.industry Lived experience Obstetrics and Gynecology Health Status Disparities Hospital care culture Torres strait Health Care Surveys phenomenology Female Thematic analysis 0305 other medical science business |
| Zdroj: | Women and Birth. 29:196-202 |
| ISSN: | 1871-5192 |
| Popis: | Background Aboriginal and Torres Strait islander 1 1The term Aboriginal is inclusive of both Aboriginal and Torres Strait Islander peoples in this study. women face considerable health disparity in relation to their maternity health outcomes when compared to non-Aboriginal women. Culture and culturally appropriate care can contribute to positive health outcomes for Aboriginal women. How midwives provide culturally appropriate care and how the care is experienced by the women is central to this study. Aim To explore the lived experiences of midwives providing care in the standard hospital care system to Aboriginal women at a large tertiary teaching hospital. Methods An interpretive Heideggerian phenomenological approach was used. Semi-structured interviews were conducted with thirteen volunteer midwives which were transcribed, analysed and presented informed by van Manen's approach. Findings Thematic analysis revealed six main themes: "Finding ways to connect with the women", "building support networks – supporting with and through Aboriginal cultural knowledge", "managing the perceived barriers to effective care", "perceived equity is treating women the same", "understanding culture" and "assessing cultural needs – urban versus rural/remote Aboriginal cultural needs". Conclusion The midwives in this study have shared their stories of caring for Aboriginal women. They have identified communication and building support with Aboriginal health workers and families as important. They have identified perceived barriers to the provision of care, and misunderstanding around the interpretation of cultural safety in practice was found. Suggestions are made to support midwives in their practice and improve the experiences for Aboriginal women. |
| Databáze: | OpenAIRE |
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