Cargando…

Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis

BACKGROUND: Canada’s diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigra...

Descripción completa

Detalles Bibliográficos
Autores principales: Higginbottom, Gina M A, Morgan, Myfanwy, Dassanayake, Jayantha, Eyford, Helgi, Alexandre, Mirande, Chiu, Yvonne, Forgeron, Joan, Kocay, Deb
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433387/
https://www.ncbi.nlm.nih.gov/pubmed/22651573
http://dx.doi.org/10.1186/2046-4053-1-27
_version_ 1782242311974944768
author Higginbottom, Gina M A
Morgan, Myfanwy
Dassanayake, Jayantha
Eyford, Helgi
Alexandre, Mirande
Chiu, Yvonne
Forgeron, Joan
Kocay, Deb
author_facet Higginbottom, Gina M A
Morgan, Myfanwy
Dassanayake, Jayantha
Eyford, Helgi
Alexandre, Mirande
Chiu, Yvonne
Forgeron, Joan
Kocay, Deb
author_sort Higginbottom, Gina M A
collection PubMed
description BACKGROUND: Canada’s diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1) accessibility and acceptability (as an important dimension of access) to maternity-care services as perceived and experienced by immigrant women, and 2) the birth and postnatal outcomes of these women. METHODS: The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs), and a literature review of non-empirically based reports, both of which include ‘grey’ literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates) to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature. The integrated knowledge translation plan will ensure that key messages are delivered in an audience-specific manner to optimize their effect on policy and practice change throughout the health service, and the public health, immigration and community sectors. DISCUSSION: Narrative-synthesis methods of systematic review facilitate understanding and acknowledgement of the broader influences of theoretical and contextual variables, such as race, gender, socioeconomic status, and geographical location. They also enable understanding of the shaping of differences between reported outcomes and study designs related to childbearing populations, and the development and implementation of maternity services and health interventions across diverse settings. PROSPERO REGISTRATION: Number 2185.
format Online
Article
Text
id pubmed-3433387
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34333872012-09-05 Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis Higginbottom, Gina M A Morgan, Myfanwy Dassanayake, Jayantha Eyford, Helgi Alexandre, Mirande Chiu, Yvonne Forgeron, Joan Kocay, Deb Syst Rev Protocol BACKGROUND: Canada’s diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1) accessibility and acceptability (as an important dimension of access) to maternity-care services as perceived and experienced by immigrant women, and 2) the birth and postnatal outcomes of these women. METHODS: The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs), and a literature review of non-empirically based reports, both of which include ‘grey’ literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates) to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature. The integrated knowledge translation plan will ensure that key messages are delivered in an audience-specific manner to optimize their effect on policy and practice change throughout the health service, and the public health, immigration and community sectors. DISCUSSION: Narrative-synthesis methods of systematic review facilitate understanding and acknowledgement of the broader influences of theoretical and contextual variables, such as race, gender, socioeconomic status, and geographical location. They also enable understanding of the shaping of differences between reported outcomes and study designs related to childbearing populations, and the development and implementation of maternity services and health interventions across diverse settings. PROSPERO REGISTRATION: Number 2185. BioMed Central 2012-05-31 /pmc/articles/PMC3433387/ /pubmed/22651573 http://dx.doi.org/10.1186/2046-4053-1-27 Text en Copyright ©2012 Higginbottom et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Protocol
Higginbottom, Gina M A
Morgan, Myfanwy
Dassanayake, Jayantha
Eyford, Helgi
Alexandre, Mirande
Chiu, Yvonne
Forgeron, Joan
Kocay, Deb
Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis
title Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis
title_full Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis
title_fullStr Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis
title_full_unstemmed Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis
title_short Immigrant women’s experiences of maternity-care services in Canada: a protocol for systematic review using a narrative synthesis
title_sort immigrant women’s experiences of maternity-care services in canada: a protocol for systematic review using a narrative synthesis
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433387/
https://www.ncbi.nlm.nih.gov/pubmed/22651573
http://dx.doi.org/10.1186/2046-4053-1-27
work_keys_str_mv AT higginbottomginama immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT morganmyfanwy immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT dassanayakejayantha immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT eyfordhelgi immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT alexandremirande immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT chiuyvonne immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT forgeronjoan immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis
AT kocaydeb immigrantwomensexperiencesofmaternitycareservicesincanadaaprotocolforsystematicreviewusinganarrativesynthesis