Evidence map›Paper›PMID 31172543›Full record

ArticleJournal of advanced nursing2019

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

Paola Origlia Ikhilor, Gabriele Hasenberg, Elisabeth Kurth, Fana Asefaw, Jessica Pehlke-Milde, Eva Cignacco

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paola Origlia IkhilorDepartment of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.ORCID https://orcid.org/0000-0002-7140-7559
Gabriele HasenbergInstitute of Midwifery, Zurich University of Applied Sciences, Winterthur, Switzerland.
Elisabeth KurthSwiss Tropical and Public Health Institute, University of Basel, Basel, Switzerland.
Fana AsefawOutpatient Clinic for Child and Adolescent Psychiatry and Psychotherapy, Clienia Littenheid AG, Winterthur, Switzerland.
Jessica Pehlke-MildeInstitute of Midwifery, Zurich University of Applied Sciences, Winterthur, Switzerland.
Eva CignaccoDepartment of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.

Funding

Swiss Agency for Combating Racism 15.B.06Swiss Federal Office of Public Health 15.016726
6 · The paper itself

Abstract

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. IMPACT: Our results give the foundation of tenable care of allophonic women and emphasize the importance of linguistic understanding in care quality.

Indexed as

Communication BarriersAdultAttitude of Health PersonnelCulturally Competent CareFemaleHealth PersonnelHealth Services AccessibilityHumansMaternal-Child NursingPregnancyPregnant PeopleQualitative ResearchSwitzerlandTransients and MigrantsTranslatingaccess to health carecommunication barriershealth services needs and demandintercultural interpretermaternal health servicesmidwiferymigrantsnursingprofessional-patient relations

Identifiers

PMID31172543
PMCPMC6852258

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.