Barrier‐free communication in maternity care of allophone migrants: <scp>BRIDGE</scp> study protocol

Ikhilor, Paola Origlia; Hasenberg, Gabriele; Kurth, Elisabeth; Kalberer, Barbara Stocker; Cignacco, Eva; Pehlke-Milde, Jessica

doi:10.1111/jan.13441

Cited by 5 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This exploratory, qualitative study was designed to reveal processes, interpretive frames, and patterns of communication barriers from multiple perspectives using focus group discussions (FGD; Krueger & Casey, ) and problem‐centred interviews (Witzel, ). It was part of a broader investigation into allophone migrant women's access to maternity care (Origlia Ikhilor et al, ); detailed information on that study's methodology is described there. In the study for this article, we used the consolidated criteria framework for reporting qualitative studies (COREQ; Tong, Craig, & Sainsbury, ).…”

Section: The Studymentioning

confidence: 99%

See 1 more Smart Citation

Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters

Ikhilor

Hasenberg

Kurth

et al. 2019

Journal of Advanced Nursing

Self Cite

View full text Add to dashboard Cite

AimTo describe communication barriers faced by allophone migrant women in maternity care provision from the perspectives of migrant women, healthcare professionals, and intercultural interpreters.BackgroundPerinatal health inequality of migrant women hinges on barriers to services, with a major barrier being language. Their care is often also perceived as demanding due to conflicting values or complex situations. Potentially divergent perceptions of users and providers may hinder efficient communication.DesignQualitative explorative study.MethodsA convenience sample of 36 participants was recruited in the German speaking region of Switzerland. The sample consisted of four Albanian and six Tigrinya speaking women, 22 healthcare professionals and four intercultural interpreters (March–June 2016) who participated in three focus group discussions and seven semi‐structured interviews. Audio recordings of the discussions and interviews were transcribed and thematically analysed.ResultsThe analysis revealed three main themes: the challenge of understanding each other's world, communication breakdowns and imposed health services. Without interpretation communication was reduced to a bare minimum and thus insufficient to adequately inform women about treatment and address their expectations and needs.ConclusionA primary step in dismantling barriers is guaranteed intercultural interpreting services. Additionally, healthcare professionals need to continuously develop and reflect on their transcultural communication. Institutions must enable professionals to respond flexibly to allophone women's needs and to offer care options that are safe and in accordance to their cultural values.ImpactOur results give the foundation of tenable care of allophonic women and emphasize the importance of linguistic understanding in care quality.

show abstract

Section: The Studymentioning

confidence: 99%

“…Focus group members were informed of the need to preserve the confidentiality of group discussions. The ethical considerations were set out in detail in the study protocol (Origlia Ikhilor et al, ) and the ethics committee responsible issued a formal memorandum that no special Research Ethics Committee approval was necessary.…”

Section: The Studymentioning

confidence: 99%

Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters

Ikhilor

Hasenberg

Kurth

et al. 2019

Journal of Advanced Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…The neglect of woman-centred care among women asylum seekers might be due to the phenomenon in industrialized countries that pregnant women of low socio-economic status are not comprehensively informed by their healthcare providers about having a choice in maternity care services, such as midwifery services or antenatal classes [ 45 ]. They therefore tend to comply with the prevailing medical or public clinical care model, which does not meet their special needs and can lead to worse perinatal outcomes [ 27 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

“…Interpreters provide essential services to physicians, which, e.g., aids in obtaining patient histories [ 27 , 53 ]. In our study we found that the unavailability of interpreter services in the standard healthcare model severely impacted the ability to conduct a clinical assessment.…”

Section: Discussionmentioning

confidence: 99%

“…These issues and the higher health risks of women asylum seekers create a demand for specific SRHC and for accommodation facilities in hosting countries [ 26 ]. Specialised healthcare services for female migrants may be beneficial in reducing barriers to healthcare [ 23 ], as these programs are designed to actively approach women asylum seekers in a culturally sensitive manner and usually include translation services [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sexual and reproductive healthcare for women asylum seekers in Switzerland: a multi-method evaluation

Cignacco

Sayn-Wittgenstein

Sénac

et al. 2018

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

BackgroundForced migration significantly endangers health. Women face numerous health risks, including sexual violence, lack of contraception, sexually transmitted disease, and adverse perinatal outcomes. Therefore, sexual and reproductive healthcare is a significant aspect of women asylum seekers’ health.Even when healthcare costs of asylum seekers are covered by the government, there may be strong barriers to healthcare access and specific needs may be addressed inadequately. The study’s objectives were a) to assess the accommodation and healthcare services provided to women asylum seekers in standard and specialised health care, b) to assess the organisation of healthcare provision and how it addresses the sexual and reproductive healthcare needs of women asylum seekers.MethodsThe study utilised a multi-method approach, comprising a less-dominant quantitative component and dominant qualitative component. The quantitative component assessed accommodation conditions for women in eight asylum centres using a survey. The qualitative component assessed healthcare provision on-site, using semi-structured interviews with health and social care professionals (n = 9). Asylum centres were selected to cover a wide range of characteristics. Interview analysis was guided by thematic analysis.ResultsThe accommodation in the asylum centres provided gender-separate rooms and sanitary infrastructure. Two models of healthcare were identified, which differed in the services they provided and in their organisation: 1) a standard healthcare model characterised by a lack of coordination between healthcare providers, unavailability of essential services such as interpreters, and fragmented healthcare, and 2) a specialised healthcare model specifically tailored to the needs of asylum-seekers. Its organisation is characterised by a network of closely collaborating health professionals. It provided essential services not present in the standard model. We recommend the specialised healthcare model as a guideline for best practise.ConclusionsThe standard, non-specialised healthcare model used in some regions in Switzerland does not fully meet the healthcare needs of women asylum seekers. Specialised healthcare services used in other regions, which include translation services as well as gender and culturally sensitive care, are better suited to address these needs. More widespread use of this model would contribute significantly toward protecting the sexual and reproductive integrity and health of women asylum seekers.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3502-2) contains supplementary material, which is available to authorized users.

show abstract

Health risks associated with social isolation in general and in young, middle and old age

Hämmig

2019

PLoS ONE

135

View full text Add to dashboard Cite

Introduction Health effects of social isolation are well-studied at older age, in English-speaking countries, for individual health conditions, and based on unidimensional measures of isolation. Hardly any evidence exists for younger ages, for continental European and particularly German-speaking countries and based on multidimensional measures of isolation. This study therefore aimed to examine prevalence rates and associations of social isolation with various health conditions and behaviors in the entire Swiss population and across different age groups. Methods Nationally representative cross-sectional data from the Swiss Health Survey collected in 2012 were used and analyzed. The study sample covered 21,597 randomly selected adolescents and adults living in Switzerland and aged 15 and older. A multifactorial five-item social integration index was used to assess social disconnectedness and perceived isolation. Results Social isolation has been found to steadily increase with age and almost consistently to be strongly associated with poor health conditions and unfavorable behaviors across all ages. Nearly a quarter of the general population could be categorized as either only partly integrated or even poorly integrated and largely isolated. The socially isolated people independent of their age showed strongly elevated relative risks of poor self-rated health (aOR = 4.0), musculoskeletal disorders (aOR = 2.8), moderate to severe depression (aOR = 11.5), and multiple health problems (aOR = 5.0). They were also found to be at comparably high risk of behaving unhealthy with regard to physical inactivity (aOR = 2.2), poor diet (aOR = 1.9) and use of psychotropic medications (aOR = 3.6). Although prevalence rates of poor health conditions and behaviors differed greatly between the studied age groups, strong associations and clear dose-response relationships have been found separately for all age groups and particularly for the youngest. A fairly weak or no association at all (depending on the age group) with the degree of social integration was observed only for daily smoking. Conclusions Social isolation may be less prevalent at younger ages, but is then even more strongly associated with poor health conditions and behaviors than at older ages.

show abstract

Barrier‐free communication in maternity care of allophone migrants: BRIDGE study protocol

Abstract: ClinicalTrials.gov ID: BernUAS NCT02695316.

Cited by 5 publications

References 18 publications

Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters

Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters

Sexual and reproductive healthcare for women asylum seekers in Switzerland: a multi-method evaluation

Health risks associated with social isolation in general and in young, middle and old age

Contact Info

Product

Resources

About