Abstract：
BACKGROUND: Experiences from the COVID-19 pandemic may help to better understand resilience, competences and skills for healthcare providers and the healthcare system. Within sexual and reproductive health inequalities for migrants exist and it is an area where promoting both cultural competency and healthcare equity in the clinical encounter is expected of healthcare providers yet can create tension. The aim is to explore healthcare providers experiences of encounters with migrants in the context of the pandemic and the subsequent changes in routines and norms.
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.
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.
摘要：
背景：COVID-19大流行的经验可能有助于更好地理解弹性，医疗保健提供者和医疗保健系统的能力和技能。在移民的性健康和生殖健康中存在不平等，这是一个领域，在医疗保健提供者的临床接触中促进文化能力和医疗保健公平性，但可能会造成紧张。目的是探索医疗保健提供者在大流行以及随后的惯例和规范变化的背景下与移民相遇的经验。
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。
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。
