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

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

doi:10.1111/jan.14093

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3205

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Communication barriers in maternity care of allophone migrants : experiences of women, healthcare professionals and intercultural interpreters
Authors:	Origlia Ikhilor, Paola Hasenberg, Gabriele Kurth, Elisabeth Asefaw, Fana Pehlke-Milde, Jessica Cignacco, Eva
DOI:	10.1111/jan.14093 10.21256/zhaw-3205
Published in:	Journal of Advanced Nursing
Volume(Issue):	75
Issue:	10
Page(s):	2200
Pages to:	2210
Issue Date:	2019
Publisher / Ed. Institution:	Wiley
ISSN:	0309-2402 1365-2648
Language:	English
Subject (DDC):	618: Gynecology, obstetrics and midwifery
Abstract:	Aim: To describe communication barriers faced by allophone migrant women in maternity care provision from the perspectives of migrant women, healthcare professionals and intercultural interpreters. Background: Perinatal 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. Design: Qualitative explorative study. Methods: A 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 3 focus group discussions and seven semi‐structured interviews. Audio recordings of the discussions and interviews were transcribed and thematically analysed. Results: The 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. Conclusion: A 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 provide the foundation of tenable care of allophonic women and emphasize the importance of linguistic understanding in care quality.
URI:	https://digitalcollection.zhaw.ch/handle/11475/17253
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Restricted until:	2020-07-01
Departement:	School of Health Sciences
Organisational Unit:	Institute of Midwifery and Reproductive Health (IHG)
Published as part of the ZHAW project:	BRIDGE
Appears in collections:	Publikationen Gesundheit

Files in This Item:

File	Description	Size	Format
2019_OrigliaIkhilor-etal_Communication-barriers-in-maternity-care-of-allophone-migrants.pdf	Published Version	516.21 kB	Adobe PDF	View/Open
Ikhilor_et_al-2019-Journal_of_Advanced_Nursing.pdf	Accepted Version	413.49 kB	Adobe PDF	View/Open

Show full item record

Origlia Ikhilor, P., Hasenberg, G., Kurth, E., Asefaw, F., Pehlke-Milde, J., & Cignacco, E. (2019). Communication barriers in maternity care of allophone migrants : experiences of women, healthcare professionals and intercultural interpreters. Journal of Advanced Nursing, 75(10), 2200–2210. https://doi.org/10.1111/jan.14093

Origlia Ikhilor, P. et al. (2019) ‘Communication barriers in maternity care of allophone migrants : experiences of women, healthcare professionals and intercultural interpreters’, Journal of Advanced Nursing, 75(10), pp. 2200–2210. Available at: https://doi.org/10.1111/jan.14093.

P. Origlia Ikhilor, G. Hasenberg, E. Kurth, F. Asefaw, J. Pehlke-Milde, and E. Cignacco, “Communication barriers in maternity care of allophone migrants : experiences of women, healthcare professionals and intercultural interpreters,” Journal of Advanced Nursing, vol. 75, no. 10, pp. 2200–2210, 2019, doi: 10.1111/jan.14093.

ORIGLIA IKHILOR, Paola, Gabriele HASENBERG, Elisabeth KURTH, Fana ASEFAW, Jessica PEHLKE-MILDE und Eva CIGNACCO, 2019. Communication barriers in maternity care of allophone migrants : experiences of women, healthcare professionals and intercultural interpreters. Journal of Advanced Nursing. 2019. Bd. 75, Nr. 10, S. 2200–2210. DOI 10.1111/jan.14093

Origlia Ikhilor, Paola, Gabriele Hasenberg, Elisabeth Kurth, Fana Asefaw, Jessica Pehlke-Milde, and Eva Cignacco. 2019. “Communication Barriers in Maternity Care of Allophone Migrants : Experiences of Women, Healthcare Professionals and Intercultural Interpreters.” Journal of Advanced Nursing 75 (10): 2200–2210. https://doi.org/10.1111/jan.14093.

Origlia Ikhilor, Paola, et al. “Communication Barriers in Maternity Care of Allophone Migrants : Experiences of Women, Healthcare Professionals and Intercultural Interpreters.” Journal of Advanced Nursing, vol. 75, no. 10, 2019, pp. 2200–10, https://doi.org/10.1111/jan.14093.