Materinstvo priseljenih žensk: vidik kulturnih kompetenc medicinskih sester/babic : diplomsko delo

Andrejka, Petra (author), Mihelič Zajec, Andreja (mentor), Stanek Zidarič, Tita (reviewer)

Uvod: Medkulturna zdravstvena nega zahteva od medicinskih sester/babic kulturne kompetence, ki v obdobju materinstva vključujejo sposobnost uporabe znanja, spretnosti in izkušenj o različnosti kultur. Na podlagi tega zagotavljajo kakovostno zdravstveno nego/babiško obravnavo, ki je prilagojena kulturnim potrebam žensk. Namen: Namen diplomskega dela je predstaviti izzive priseljenih žensk ter pomen vloge kulturnih kompetenc medicinskih sester/babic pri zagotavljanju kakovostne zdravstvene nege/babiške obravnave priseljenih žensk v obdobju materinstva. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo s pregledom domače in tuje strokovne literature. Literaturo smo iskali v podatkovnih bazah CINAHL, Medline in COBIB.SI. Časovni okvir v analizi uporabljenih člankov je med letoma 2008 in 2018. V analizo smo vključili 15 člankov, katerih kakovost smo ocenili z orodjem CASP. Rezultati: Kultura, veroizpoved ali migracijski status priseljenih žensk vplivajo na zdravstvene potrebe v materinstvu. V obdobju nosečnosti, poroda in poporodnega obdobja se priseljenke soočajo s težavami pri sporazumevanju in posledično dostopanju do zdravstvenih storitev. Komuniciranje priseljenk je bistveno za pridobivanje zdravstvenih informacij, sposobnosti izbire in odločanja ter vpliva na razvoj skrbnega odnosa z medicinsko sestro/babico. Priseljenke imajo drugačna kulturna pričakovanja glede zdravstvene nege/babiške obravnave v času materinstva, vendar kljub jezikovnim in kulturnim izzivom medicinske sestre/babice spretno, strokovno in individualno načrtujejo kulturno kompetentno zdravstveno nego/babiško obravnavo. Razprava in zaključek: V medkulturni zdravstveni negi/babiški obravnavi se medicinske sestre/babice soočajo s kulturno raznolikostjo priseljenk. Potrebe in želje so med ženskami v času materinstva raznolike, ko pa je prisoten še vpliv kultur, tradicij in prepričanj, je zdravstvena obravnava za medicinske sestre/babice zelo zahtevna in predstavlja velik zdravstveni in kulturni izziv. Zavedajo se pomena kulturnih kompetenc, zato ukrepajo in prilagodijo zdravstveno nego/babiško obravnavo jezikovnim in kulturnim potrebam priseljenk. V ta namen je potrebno prilagoditi načrt zdravstvene nege tako, da se upoštevajo njihova kulturna prepričanja in vrednote. Zagotavljanje kulturno občutljive in individualno prilagojene zdravstvene nege/babiške obravnave prinaša pozitivne izkušnje priseljenih žensk in dobre zdravstvene rezultate v materinstvu.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, medkulturna zdravstvena nega, kulturne kompetence, kulturna raznolikost, babištvo, obdobje nosečnosti, priseljene ženske
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [P. Andrejka]
• Year: 2020
• Number of pages: 33 str., [4] str. pril.
• PID: 20.500.12556/RUL-114797
• UDC: 616-083
• COBISS.SI-ID: 5787243
• Publication date in RUL: 12.03.2020

Secondary language

• Language: English
• Title: Maternity of immigrant women: an aspect of nurses/midwives' cultural competencies : diploma work

Abstract

Introduction: Transcultural nursing requires nurses/midwives of cultural competence who have the ability to use knowledge, skills and experience of cultural diversity. Based on this, they provide quality nursing/midwifery care that is tailored to the cultural needs of women during their maternity. Purpose: The purpose of this diploma thesis is to present the challenges of immigrant women and the importance of the role of nurses/midwives' cultural competencies in providing quality nursing/midwifery care for immigrant women during their maternity. Method: In this undergraduate thesis we used the descriptive method with systematic review of local and foreign scientific literature. The literature was accessed through CINAHL, Medline and COBIB.SI databases. Articles used for analysis were created during the 2008-2018 timeframe. 15 suitable articles were used in the analysis. Their quality was evaluated with help of CASP tool. Results: The culture, creed or migration status of immigrant women influences maternal health needs. During pregnancy, childbirth and the postnatal period immigrant women face difficulties in communicating and subsequently accessing health services. Immigrant communication is essential for obtaining health information, making choices and decision-making skills. It influences the development of caring relationships with a nurse/midwife. Immigrant women have different cultural expectations regarding nursing/midwifery, but despite the communicational and cultural challenges, nurses/midwives plan their culturally competent nursing/midwifery skills professionally and individually. Discussion and conclusion: In transcultural nursing/midwifery care, nurses/midwives face cultural diversity with immigrant women. The needs and desires are diverse among women during maternity, but when the influence of cultures, traditions, and beliefs is present, health care for nurses/midwives is very challenging and poses a major health and cultural challenge. Aware of the importance of cultural competences, they take action and adapt nursing care to the communication and cultural needs of immigrant women. To this end, it is necessary to adjust the plan of care to take into account their cultural beliefs and values. Providing culturally sensitive and individually tailored nursing/midwifery care brings positive experiences for immigrant women and good maternal health outcomes.

• Keywords: diploma theses, nursing care, transcultural nursing, cultural competences, cultural diversity, maternity care, midwifery, pregnancy period, immigrant women