Aboriginal and Torres Strait Islander women's experiences accessing standard hospital care for birth in South Australia – A phenomenological study
| Autor: | Angela Brown, Jennifer Fereday, Philippa Middleton, Jan Pincombe |
|---|---|
| Přispěvatelé: | Brown, Angela E, Fereday, Jennifer A, Middleton, Philipa F, Pincombe, Jan I |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Native Hawaiian or Other Pacific Islander Cultural safety Health Personnel media_common.quotation_subject Health Services Accessibility Indigenous 03 medical and health sciences birth 0302 clinical medicine Nursing Pregnancy South Australia Maternity and Midwifery Health Services Indigenous Humans cultural safety Medicine Maternal Health Services 030212 general & internal medicine Cultural Competency media_common Aboriginal and Torres Strait Islander Health Services Needs and Demand Cultural Characteristics 030504 nursing business.industry Infant Care Obstetrics and Gynecology culture Torres strait Public hospital Female women Psychological resilience Thematic analysis 0305 other medical science business Cultural competence |
| Zdroj: | Women and Birth. 29:350-358 |
| ISSN: | 1871-5192 |
| DOI: | 10.1016/j.wombi.2016.01.004 |
| Popis: | Background: Aboriginal and Torres Strait Islander women, hereafter called Indigenous women, can experience a lack of understanding of their cultural needs when accessing maternity care in the standard hospital care system. Aim: To explore the lived experiences described by Indigenous women accessing labour and birth care in the standard hospital care system at a tertiary public hospital in South Australia. Methods: An interpretive Heideggerian phenomenological approach was used. Indigenous women who accessed standard care voluntarily agreed to participate in semi-structured interviews with Indigenous interviewers. The interviews were transcribed and analysed informed by van Manen's approach. Findings: Thematic analysis revealed six main themes: "knowing what is best and wanting the best for my baby", "communicating my way", "how they made me feel", "all of my physical needs were met", "we have resilience and strength despite our hardships" and "recognising my culture". Conclusion: Indigenous women in this study expressed and shared some of their cultural needs, identifying culturally unsafe practices. Recommendations to address these include the extension of current care planners to include cultural needs; Aboriginal Maternal Infant Care (AMIC) workers for women from rural and remote areas; AMIC workers on call to assist the women and midwives; increased education, employment and retention of Indigenous midwives; increased review into the women's experiences; removal of signs on the door restricting visitors in the birth suite; flexibility in the application of hospital rules and regulations; and changes to birthing services in rural and remote areas so women may not have to relocate for birth. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
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