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dc.contributor.authorAdams, Shukrien
dc.contributor.authorCopland, Bonnieen
dc.contributor.authorSnethen, Juliaen
dc.date.accessioned2012-01-11T10:53:09Z
dc.date.available2012-01-11T10:53:09Z
dc.date.issued2012-01-04en_GB
dc.identifier.urihttp://hdl.handle.net/10755/201793
dc.description.abstract(41st Biennial Convention) Background: When East African Somali Speaking Women (EASSWs) of Childbearing age migrate from Africa to the USA, they resist the Western perception that medicine has the power to prevent, control, and cure diseases. The EASSWs perceive health matters to be out of their control because physical and mental disorders are controlled by God. One concern is that because of their belief system and cultural practices, EASSWs of childbearing age are not obtaining prenatal healthcare services, preferring to only visit a doctor when they are sick. Purpose: The purpose of this project is to explore the experiences of EASSWs regarding accessing prenatal healthcare services. The aim is to gain an in depth understanding about East African culture, perceptions, and beliefs on preconception and prenatal healthcare health services. Methodology: This quality improvement project was conducted, using a naturalistic inquiry approach. Participants were 13 EASSW who met the inclusion criteria of: 18 to 44 years of age, East African Somali speaking women, willing to discuss their perceptions of prenatal care, and residents of a large West Coast community. Interviews were manually recorded and thematically analyzed for recurring themes and patterns. Findings: Themes that emerged from the data included: Strong cultural beliefs that are inconsistent with Western medical beliefs, mistrust and lack of knowledge about the Western healthcare system, communication barriers related to limited and inadequate interpreter services, limited access to health services due to coverage (Medicaid), and lack of resources. Conclusion: Increased education and awareness about cultural differences are needed for EASSWs and their healthcare providers. Interpreters must receive training on HIPPA guidelines and the significance of not sharing information about the patients; and they must be held accountable. It is important to provide education to the EASSWs to help them understand not only the Western healthcare system, but their current cultural environment.en_GB
dc.description.sponsorshipSigma Foundation for Nursingen
dc.language.isoenen
dc.subjectEast African Somali Speaking Women of Childbearing Ageen_GB
dc.subjectcultural practices and belief systemen_GB
dc.subjectaccess to early prenatal healthcare servicesen_GB
dc.titleEast African Somali Speaking Women of Childbearing Age: Access to Early Prenatal Healthcareen_GB
dc.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.type.categoryFull-texten
dc.author.detailsShukri Adams, MHCA, BSN, RN, PHN; Bonnie Copland, PHN, MSN, RN; Julia Snethen, PHD, RNen
dc.date.conferenceyear2011en_US
dc.description.reviewtypeFaculty/Mentor Approved: Sigma Academy Participant Presentationen
dc.description.acquisitionProxy-submissionen


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