关键词: Cultural safety Karen women SDG 10: Reduced inequalities SDG 3: Good health and well-being community–based participatory research health equity photovoice pregnancy care reflexive thematic analysis refugee health

Mesh : Humans Female Refugees / psychology Pregnancy Community-Based Participatory Research Adult Victoria Photography Myanmar / ethnology Prenatal Care Culturally Competent Care Cultural Competency

来  源:   DOI:10.1080/13557858.2024.2359388

Abstract:
UNASSIGNED: Inequitable pregnancy care experiences and outcomes disproportionately affect refugee background women in Australia. Culturally safe care is essential for achieving health equity, however, cultural safety can only be determined by the person receiving care. To our knowledge, women of refugee background in Australia are yet to be asked what culturally safe pregnancy care is to them. Specifically, this study aimed to explore what culturally safe pregnancy care is to Karen women (from Burma) of refugee background.
UNASSIGNED: A photovoice study founded on community-based participatory research principles was undertaken with a Karen community of refugee background living in Victoria, Australia. A community advisory group was established, guiding study design and conduct. Five S\'gaw Karen-speaking women with experience of pregnancy care in Australia were invited to take photos within their community. Participants shared their photos and stories with each other in four online discussion groups.
UNASSIGNED: Reflexive thematic analysis guided by a critical constructionist lens developed three themes: Building foundations for belonging; cultivating reciprocal curiosity; and storytelling as an expression of self and shared power. These themes sit within the overarching theme When I can be my whole authentic self, I feel safe and know that I belong.
UNASSIGNED: When Karen women can embrace their cultural and spiritual identity without fear of discrimination, including racism, culturally safe pregnancy care is possible. This study contributes to the design and delivery of maternity services by providing insights that can enhance equitable and culturally safe pregnancy care for Karen women of refugee background.
摘要:
不公平的怀孕护理经历和结果不成比例地影响澳大利亚的难民背景妇女。文化上的安全护理对于实现卫生公平至关重要,然而,文化安全只能由接受护理的人决定。据我们所知,在澳大利亚有难民背景的妇女还没有被问到什么是文化上安全的怀孕护理。具体来说,这项研究旨在探讨什么是文化上安全的怀孕护理克伦族妇女(来自缅甸)的难民背景。
一项以社区为基础的参与性研究原则的photovoice研究是与居住在维多利亚的难民背景的Karen社区进行的,澳大利亚。成立了社区咨询小组,指导研究设计和实施。邀请了五名在澳大利亚有怀孕护理经验的讲卡伦语的妇女在他们的社区内拍照。参与者在四个在线讨论组中分享了他们的照片和故事。
在批判性建构主义视角的指导下,反身主题分析发展了三个主题:建立归属感的基础;培养互惠的好奇心;讲故事作为自我和共享力量的表达。这些主题位于总体主题中,当我可以成为我的真实自我时,我感到安全,知道我属于。
当Karen女性可以拥抱自己的文化和精神身份而不必担心歧视时,包括种族主义,文化上安全的怀孕护理是可能的。这项研究通过提供见解,可以增强难民背景的卡伦妇女的公平和文化安全的怀孕护理,从而为产妇服务的设计和提供做出贡献。
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