怀孕护理中的文化经纪:一种定性研究
Lauren Spigel1,2, Maria Bazan3,4, Ami Karlage1
1Ariadne Labs at Brigham and Women's Hospital and Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Birth (Berkeley, Calif.)
|April 19, 2025
概括
文化经纪人在对英语水平有限的患者的怀孕护理中至关重要,提供桥梁,语言,社会支持,导航和宣传. 融入护理团队需要培训和公平的报酬.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 定性研究是指质量研究.
背景情况:
- 文化经纪人促进了患者和医疗保健提供者之间的沟通,但他们对怀孕护理的具体贡献尚未完全理解.
- 具有有限英语水平 (LEP) 的患者在怀孕期间获得和导航医疗保健服务时面临着独特的挑战.
研究的目的:
- 识别和描述文化经纪人在怀孕护理中的角色.
- 确定文化经纪人加强对LEP患者的护理的关键时刻.
- 探索将文化经纪融入现有怀孕护理团队的战略.
主要方法:
- 一个描述性的定性研究,使用半结构面试与西班牙语LEP患者,文化经纪人和临床医生.
- 在波士顿大都会地区进行 (2022年12月 - 2023年5月).
- 用定性内容分析和旅程映射来分析数据.
主要成果:
- 文化经纪人扮演了五个关键角色:文化桥梁,语言支持,社会支持,卫生系统导航和宣传.
- 影响的时刻包括将患者与护理联系起来,促进知情决策,并支持过渡到父母.
- 整合是理想的,但需要提高培训,明确角色和对文化经纪人的补偿.
结论:
- 文化经纪人在支持LEP患者怀孕期间发挥着至关重要的作用.
- 需要进一步努力,以正式承认,重视,并将文化经纪服务纳入标准的怀孕护理模式.
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