METHODS: A qualitative study based on semi-structured interviews with 31 healthcare providers working in sexual and reproductive healthcare in southern Sweden. Interviews were conducted during the COVID-19 pandemic influencing how healthcare providers reflected on their experiences. Analysis was done using reflexive thematic data analysis.
RESULTS: Healthcare providers reflected on how changes in routines increased the understanding of challenges and enablers in the intercultural encounter including the impact on communication and role of relatives and male partners. They emphasized the dynamics of culture in the clinical encounter and healthcare system through highlighting the importance of structural awareness, self-reflection and the flexibility of conducts and norms, often given a cultural connotation.
CONCLUSIONS: The COVID-19 pandemic resulted in changes of previously established routines directly affecting clinical encounters, which provided a unique opportunity for healthcare providers to reflect, with communication and self-reflection being discussed as central in complex encounters. It highlighted the dynamics of presumed deeply rooted cultural norms and the interplay with social factors affecting healthcare providers and patients alike.
方法:一项定性研究,该研究基于对瑞典南部从事性和生殖保健工作的31名医疗保健提供者的半结构化访谈。采访是在COVID-19大流行期间进行的,影响了医疗保健提供者如何反映他们的经历。使用反身性主题数据分析进行分析。
结果:医疗保健提供者反映了惯例的变化如何增加了对跨文化遭遇中的挑战和推动者的理解,包括对亲属和男性伴侣的沟通和角色的影响。他们通过强调结构意识的重要性,强调了临床接触和医疗保健系统中的文化动态,自我反省和行为和规范的灵活性,往往被赋予一种文化内涵。
结论:COVID-19大流行导致先前建立的常规改变,直接影响临床接触,这为医疗保健提供者提供了一个独特的机会来反思,在复杂的相遇中,沟通和自我反思被讨论为中心。它强调了假定的根深蒂固的文化规范的动态以及与影响医疗保健提供者和患者的社会因素的相互作用。