PMID: 9439138Jan 24, 1998Paper

Providing culturally competent primary care for immigrant and refugee women. A Cambodian case study

Journal of Nurse-midwifery
K DownsT Marchese

Abstract

Currently, one of every 13 U.S. residents is foreign born. A 1991 survey of certified nurse-midwives (CNMs) indicated that 51% of the respondents serve immigrant women. Using a case study approach, this article illustrates barriers to health care experienced by foreign-born women and demonstrates how cultural competence increases provider effectiveness in meeting the unique needs of this population. Effective primary care requires understanding the context of the refugee experience and its physical and emotional sequelae; addressing geographic, linguistic, economic, and cultural barriers; and providing high-quality care through the efficient use of resources without unduly controlling women's choices. Providing care within the context of the traditional family structure, gender roles, family support systems, and community services and resources further enhances health care services. Equally important is the establishment of a sustained partnership with clients, based on the support of protective traditional health practices and the recognition that a woman is expert in her own health. By respecting the complex cultural, political, economic, and personal backgrounds that contribute to immigrant women's perceptions of health, ill...Continue Reading

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Citations

Sep 14, 2001·Journal of Advanced Nursing·E Labun
Feb 27, 2009·Culture, Health & Sexuality·K Bruce Newbold, Jacqueline Willinsky
Apr 20, 2001·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·L C Callister
Nov 25, 2004·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Donelle M Barnes, Cara L Harrison
Apr 29, 2010·Journal of Advanced Nursing·Sepali GurugeLilian Magalhães
Dec 13, 2017·Australian Journal of Primary Health·Jessica Taylor, Greer Lamaro Haintz
Mar 30, 2021·Health Equity·Ling San Lau, Graeme Rodgers

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