Journal of Advanced Nursing
Volume 66, Issue 2, 2010, Pages 350-359

Immigrant women's experiences of receiving care in a mobile health clinic (Article)

Guruge S.* , Hunter J. , Barker K. , McNally M.J. , Magalhães L.
  • a Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada
  • b Nurse Practitioner Family and Community Care, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
  • c School of Psychology, University of Ottawa, Toronto, ON, Canada
  • d Department of Nursing, Toronto Western Hospital, University Health Network, Toronto, ON, Canada
  • e School of Occupational Therapy, University of Western Ontario, London, ON, Canada

Abstract

Aim. This paper is a report of a study of the experiences of Portuguese-speaking immigrant women who used a mobile health clinic for their reproductive health care. Background. Upon arrival in Canada, immigrant women often are in better health than their Canadian-born counterparts; however, this health status tends to deteriorate over time. One reason for this change is limited access to services. Method. Data collection during 2004 and 2005 involved individual interviews with seven Portuguese-speaking women who received care in a mobile health clinic in Toronto, Canada, and with four clinic care providers. Non-participant observation of the interaction between clients and care providers was also conducted. Interviews conducted in Portuguese were translated into English and transcribed, along with those conducted in English. Interview transcripts were read and re-read in the context of observational notes to develop codes. Emerging codes were grouped together to develop subcategories and categories. Findings. Participants' experiences of accessing and receiving care in the mobile health clinic were shaped by their perceptions of health, which included physical, mental, social and spiritual aspects, and their pre- and postmigration care experiences. As an alternative model of care delivery, the mobile health clinic was perceived by participants to address their care needs and to help overcome postmigration barriers by providing accessible, holistic, and linguistically and culturally appropriate care. Conclusion. Mobile health clinics should be considered as an alternative care delivery model for immigrant women who may be at a disadvantage because of their socio-economic, cultural, and racialized statuses. © 2009 Blackwell Publishing Ltd.

Author Keywords

immigrant women Mobile health clinic nursing Canada Experiences

Index Keywords

Mobile Health Units psychological aspect human middle aged statistics Angola health service health status Atlantic islands Azores ethnology Reproductive Health Services Humans Trust Canada Emigrants and Immigrants female preventive health service questionnaire patient satisfaction Women's Health Services Article Questionnaires adult migration standard Brazil attitude to health Health Services Accessibility health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-75649118172&doi=10.1111%2fj.1365-2648.2009.05182.x&partnerID=40&md5=66b67408e009b9f437f8354330b64d69

DOI: 10.1111/j.1365-2648.2009.05182.x
ISSN: 03092402
Cited by: 24
Original Language: English