Culturally and linguistically diverse mothers accessing public health nursing: A narrative review

Tehrani, Mehrnoush Bonakdar; Kemp, Lynn; Baird, Kelly

doi:10.1111/phn.13015

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…Culturally and linguistically diverse (CALD) 1 mothers with young children with limited English proficiency (LEP) encounter multiple barriers in accessing and engaging with primary healthcare services in comparison with non-migrant or English-speaking migrants in host countries [1,2]. Previous studies have shown CALD families experienced several challenges including language and communication barriers; cultural incompatibility; social isolation; unfamiliarity with healthcare services; and access issues [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Tehrani

Baird

Trajkovski

et al. 2023

BMC Health Serv Res

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Background Culturally and linguistically diverse (CALD) mothers with young children with limited English proficiency (LEP) encounter multiple barriers in accessing and engaging with primary healthcare services. The aim of this study was to explore the lived experiences and perceptions of CALD mothers with LEP in receiving child and family health nursing (CFHN) services and sustained nurse home visiting (SNHV) programs. Methods Fourteen mothers were interviewed from two large Local Health Districts in Sydney. All interviews were audio-recorded for transcription purposes. Interpretative Phenomenology Analysis (IPA) was used for analysis and the socioecological approach was applied to interpret the data. Results CALD mothers with LEP experienced both challenges and facilitators in their access and engagement with CFHN services and SNHV programs that were identified in four themes: managing culture; managing the service system; managing the relationship; and strengths and weaknesses of CFHN services. Conclusion The integration of strategies such as building trusting relationships, using female professional interpreters and better understanding of CALD mothers’ cultural practices may address CALD mothers’ needs and facilitate communication. Design and development of model of support involving CALD mothers with LEP in ways that voice their ideas could meet their needs and contribute to better engagement of this vulnerable population with CFHN services and SNHV programs.

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Section: Introductionmentioning

confidence: 99%

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Tehrani

Baird

Trajkovski

et al. 2023

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

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Interpreter use in sustained nurse home visiting: interpreter experience and support

Tehrani

Baird

Trajkovski

et al. 2023

BMC Health Serv Res

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Background The aim of this study was to explore the experiences of healthcare interpreters working with child and family health nurses (CFHNs) in providing child and family health nursing (CFHN) services and sustained nurse home visiting (SNHV) programs to culturally and linguistically diverse (CALD) families with limited English proficiency. Methods A mixed methods longitudinal research design was conducted to develop, implement and evaluate a training and practice support model for healthcare interpreters working with nurses and CALD families in providing CFHN services and SNHV programs in three major local health services in Sydney, Australia. One pre-training survey with 24 healthcare interpreters was conducted; field notes were recorded during training and implementation; and a post-implementation focus group with six healthcare interpreters was conducted. Quantitative survey data were analysed descriptively using Alchemer. The focus group was audio-recorded for transcription purposes, and this and the field notes were thematically analysed applying a socioecological framework. Results Three themes were identified from the initial, pre-training survey: facilitate communication and delivery accurately; a bridge linking the clients and the healthcare practitioners; and make everybody feel comfortable. Practice support implementation was negatively impact by system and COVID-19 related barriers. Four themes were developed from evaluative phase of the study including: system-related issues; interpreters’ challenges; working with nurses; and client session related issues. Conclusion Quality interpreting was favourably influenced by adequate time for interpreting the session including a pre- and post-briefing session with CFHNs, an appropriate mode of interpretation, allocation of female interpreters and the same interpreters with CALD mothers and clarity about interpreter role and cultural comfort. These strategies support the quality of communication and relationships in delivery of CFHN services and SNHV programs to CALD mothers with limited English proficiency.

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Co-Design Model of Support for Child and Family Health Nurse Practice with Culturally and Linguistically Diverse Families

Bonakdar Tehrani,

Blythe,

Trajkovski

et al. 2024

IJERPH

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Culturally and linguistically diverse (CALD) mothers with young children face multiple inequities in accessing primary health services, such as language barriers, social isolation, low health literacy, and the availability of appropriate interpretation services. These inequities are persistent and indicate that child and family health nurse (CFHN) services, the providers of primary healthcare in many developed countries, require better support to address the needs of these families. This study engaged with CFHNs and healthcare interpreters to co-design a model of support for practice using workshops that included individual and collective brainstorming and visual representations. Transcripts of the discussion were analysed using thematic analysis. CFHNs and interpreters were able to articulate their perfect service model: a central multidisciplinary team of CFHNs, interpreters, and bilingual educators who could facilitate nurse–interpreter and nurse–interpreter–client relationships, allowing CFHNs and interpreters to do their jobs properly. This central structural component would support and be supported by rapport, trust, client choice and access, continuity of care, and cultural comfort. The study concluded that CALD mothers’ access and engagement require CFHNs to have support for their cultural comfort through the mechanism of bilingual educators and the expansion of healthcare interpreters’ role and scope in working with CFHNs in the delivery of services.

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Culturally and linguistically diverse mothers accessing public health nursing: A narrative review

Cited by 3 publications

References 29 publications

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Having to manage: culturally and linguistically diverse mothers’ lived experiences with sustained nurse home visiting programs

Interpreter use in sustained nurse home visiting: interpreter experience and support

Co-Design Model of Support for Child and Family Health Nurse Practice with Culturally and Linguistically Diverse Families

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