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We couldn’t talk to her

A qualitative exploration of the experiences of UK midwives when navigating women’s care without language

Bibliographic Data

ID6150802
AuthorsLaura Bridle (0000-0002-6352-2207, Guy's and St Thomas' NHS Foundation Trust), Sam Bassett (0009-0005-1670-0217, King's College London), Sergio A Silverio (0000-0001-7177-3471, King's College London)
Year2021
Volume14
Issue4
Pages359-373
Publication date2021-03-22
Open AccessYes
TypeARTICLE
VenueInternational Journal of Human Rights in Healthcare (JOURNAL)
Journal identifiersISSN: 2056-4902 • E-ISSN: 2056-4910
PublisherEmerald Publishing Limited (PUBLISHER • GB)
DOI10.1108/ijhrh-10-2020-0089
OpenAlexW3128384129
LanguageEN
Citations received5
References cited20

Purpose Women with little-to-no English continue to have poor birth outcomes and low service user satisfaction. When language support services are used it enhances the relationship between the midwife and the woman, improves outcomes and ensures safer practice. However, this study has shown a reluctance to use professional interpreter services by midwives. This study aims to understand the experiences of midwives using language support services. Design/methodology/approach A maximum variation purposive sampling strategy was used to recruit midwives (N = 12) to a qualitative, semi-structured interview study. Data were analysed using thematic analysis. Findings Four themes were generated from the data analysis with a central organising concept of “Navigating Care Without Language”. These themes were: “Continuity as Key”, “Facilitating Tools”, “Networks of Support” and “Innovative Planning”. Each of these themes had between three and four sub-themes. It was found midwives are keen to support women with language barriers. However, support can be difficult due to the unavailability of equipment and resources; lack of continuity (of interpreter and midwife); inability to plan for the acute care of women who require interpreter services; and the system not being accessible enough to women who require language support services, thus causing them to fall through the net. Originality/value Continuity of carer appears to be a protective factor due to the flexibility, relationship and continuum of support. This study will aid the development of education for undergraduate, post-graduate and practising midwives. It will also inform policymakers working to improve the service offered to women who speak little-to-no English

Business · Flexibility (engineering · Interpreter · Language barrier · Medical education · Nonprobability sampling · Originality · Political science · Qualitative research · Service (business · Sociology · Thematic analysis · Computer Science · Interpreting and Communication in Healthcare · Language, Discourse, Communication Strategies · Medicine · Migration, Health and Trauma · Nursing · Psychology

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Citations per year1.25
Citation span2022 - 2025 (4)
Highly citedNo

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