2.50
Hdl Handle:
http://hdl.handle.net/10755/151784
Type:
Presentation
Title:
Design of Empirically based Health Services for Childbearing Latinas
Abstract:
Design of Empirically based Health Services for Childbearing Latinas
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:June, 2001
Author:Affonso, Dyanne, RN, PhD
P.I. Institution Name:University of Toronto
Title:Dean
Objective: This research project designed interventions based on women’s needs and preferences for health services that will be applied to test a model of culturally competent care in a research project that involved partnerships among an ethnic community, nursing academia and a state health department. Design: Qualitative descriptions of five cohorts of ethnic minority women were obtained to profile barriers, preferences and characteristics of culturally appropriate health care services that were currently unavailable to childbearing women who were documented to have high infant mortality rates and poor utilization of health care services. Population, Sample, Setting, Years: Hispanic women recently migrated from Mexico to the USA (less than five years) living in a medium size urban city in the Midwest. Sample consisted of 25 women representing three different cohorts (pregnant, postpartum, mothers of children under two). Data were collected in community settings within the Hispanic neighborhoods in diverse locales of women’s preferences such as churches, community centers and the Latina Resource Center (Women’s Center). Data collected in Fall, 2000. Concept or Variables Studied Together or Intervention and Outcome Variables: The concept of cognitive adaptation (search for meaning, sense of mastery and self-esteem) is associated with favorable course in coping with illness (specifically AIDS, cancer, cardiac heart disease, arthritis) and adapting to childbearing. However, the relevance of this concept to Hispanic women has yet to be explored. Preliminary data from community forums with women indicated these three constructs have cultural value for Latinas. This study further explores application of these three constructs into specific nursing interventions designed to reverse poor utilization of health services among Latinas that is prevalent in the USA. Methods: Focus group methodology was used to obtain qualitative data to elicit themes that became priorities in nursing protocols. Written protocols will be developed to implement women’s desires for culturally relevant care giving practices. Focus group methodology has been shown to be an effective strategy for uncovering the cultural context essential to design of accountability for culturally competent care. Findings: Preliminary data analyses revealed that certain cultural scripts are important in the delivery of relevant care for Latinas. These include “Simpatico” (an empathetic spirit in approach to women); “Familialism” (families come first); “Personalismo” (value of people rather than institutional impersonal relationships); “Allocentricism” (preference for interspersonal relationships in groups for nurturance). Conclusions: Three themes were salient. Latinas wanted humanistic caring services through more personalized patient-care encounters with the staff. Options for cultural care congruent with their beliefs, values and customs was designed to enhance well being. Health education to understand the value of preventative health programs and need for attention to behavioral risks. Implications: There is a need to re-design primary care services to customize assessments and interventions more congruent with the beliefs, values and customs of Latinas to obtain favorable outcomes pertaining to preventive health behaviors.
Repository Posting Date:
26-Oct-2011
Date of Publication:
Jun-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDesign of Empirically based Health Services for Childbearing Latinasen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151784-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Design of Empirically based Health Services for Childbearing Latinas</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">June, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Affonso, Dyanne, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Toronto</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Dean</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">d.affonso@utoronto.ca</td></tr><tr><td colspan="2" class="item-abstract">Objective: This research project designed interventions based on women&rsquo;s needs and preferences for health services that will be applied to test a model of culturally competent care in a research project that involved partnerships among an ethnic community, nursing academia and a state health department. Design: Qualitative descriptions of five cohorts of ethnic minority women were obtained to profile barriers, preferences and characteristics of culturally appropriate health care services that were currently unavailable to childbearing women who were documented to have high infant mortality rates and poor utilization of health care services. Population, Sample, Setting, Years: Hispanic women recently migrated from Mexico to the USA (less than five years) living in a medium size urban city in the Midwest. Sample consisted of 25 women representing three different cohorts (pregnant, postpartum, mothers of children under two). Data were collected in community settings within the Hispanic neighborhoods in diverse locales of women&rsquo;s preferences such as churches, community centers and the Latina Resource Center (Women&rsquo;s Center). Data collected in Fall, 2000. Concept or Variables Studied Together or Intervention and Outcome Variables: The concept of cognitive adaptation (search for meaning, sense of mastery and self-esteem) is associated with favorable course in coping with illness (specifically AIDS, cancer, cardiac heart disease, arthritis) and adapting to childbearing. However, the relevance of this concept to Hispanic women has yet to be explored. Preliminary data from community forums with women indicated these three constructs have cultural value for Latinas. This study further explores application of these three constructs into specific nursing interventions designed to reverse poor utilization of health services among Latinas that is prevalent in the USA. Methods: Focus group methodology was used to obtain qualitative data to elicit themes that became priorities in nursing protocols. Written protocols will be developed to implement women&rsquo;s desires for culturally relevant care giving practices. Focus group methodology has been shown to be an effective strategy for uncovering the cultural context essential to design of accountability for culturally competent care. Findings: Preliminary data analyses revealed that certain cultural scripts are important in the delivery of relevant care for Latinas. These include &ldquo;Simpatico&rdquo; (an empathetic spirit in approach to women); &ldquo;Familialism&rdquo; (families come first); &ldquo;Personalismo&rdquo; (value of people rather than institutional impersonal relationships); &ldquo;Allocentricism&rdquo; (preference for interspersonal relationships in groups for nurturance). Conclusions: Three themes were salient. Latinas wanted humanistic caring services through more personalized patient-care encounters with the staff. Options for cultural care congruent with their beliefs, values and customs was designed to enhance well being. Health education to understand the value of preventative health programs and need for attention to behavioral risks. Implications: There is a need to re-design primary care services to customize assessments and interventions more congruent with the beliefs, values and customs of Latinas to obtain favorable outcomes pertaining to preventive health behaviors.</td></tr></table>en_GB
dc.date.available2011-10-26T11:13:35Z-
dc.date.issued2001-06en_GB
dc.date.accessioned2011-10-26T11:13:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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