Indigenous women's experiences of diabetes in pregnancy: A thematic synthesis

Power, T; Wilson, D; East, L; Cashman, B; Wannell, J; Jackson, D

Indigenous women's experiences of diabetes in pregnancy: A thematic synthesis

Power, T

Wilson, D East, L Cashman, B Wannell, J Jackson, D

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Collegian, 2021, 28, (5), pp. 541-550
Issue Date:: 2021-10-01

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Field	Value	Language
dc.contributor.author	Power, T https://orcid.org/0000-0002-3334-0322
dc.contributor.author	Wilson, D
dc.contributor.author	East, L
dc.contributor.author	Cashman, B
dc.contributor.author	Wannell, J
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325
dc.date.accessioned	2022-01-03T06:32:55Z
dc.date.available	2022-01-03T06:32:55Z
dc.date.issued	2021-10-01
dc.identifier.citation	Collegian, 2021, 28, (5), pp. 541-550
dc.identifier.issn	1322-7696
dc.identifier.uri	http://hdl.handle.net/10453/152606
dc.description.abstract	Background: Indigenous women's voices are largely silent in the literature because of a lack of opportunity to share their experiences and understandings of diabetes in pregnancy (DiP). Aim: To synthesise qualitative literature describing the experiences of Indigenous women with DiP. Methods: A librarian assisted, systematic search was conducted across CINAHL, EMBASE, Global Health, Medline, ProQuest, PubMed, Scopus and the Web of Science databases. International, peer reviewed studies published in English, between the years 1999 and 2019 that explored Indigenous women's experiences of DiP were sought. Thirteen papers were coded for recurring patterns and conceptual overlaps and synthesised into themes. Findings: Analysis revealed four themes: ‘Poverty and Vulnerability: Colonisation's Legacy’; ‘Contradictions and Confusion: Understandings of DiP’; ‘Shame and Blame: Experiences with Health Professionals’; and, ‘Community and Care: Cultural Constructions of Health’. Discussion: This review has revealed similar concerns and experiences of DiP among Indigenous women across communities in Canada, Alaska, the United States and Aotearoa New Zealand. To work with and effectively engage with Indigenous women, requires a shift from focusing on individual behaviours, to recognising and including cultural strengths, and addressing structural inequity in relation to healthcare. Conclusion: This review has resulted in a call to action for researchers to work collaboratively with Indigenous communities to co-design culturally safe, appropriate, and relevant policies, programs, models of care and educational materials with Indigenous women.
dc.language	en
dc.publisher	Elsevier BV
dc.relation.ispartof	Collegian
dc.relation.isbasedon	10.1016/j.colegn.2021.01.004
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.title	Indigenous women's experiences of diabetes in pregnancy: A thematic synthesis
dc.type	Journal Article
utslib.citation.volume	28
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
dc.date.updated	2022-01-03T06:32:54Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	28
utslib.citation.issue	5

Abstract:

Background: Indigenous women's voices are largely silent in the literature because of a lack of opportunity to share their experiences and understandings of diabetes in pregnancy (DiP). Aim: To synthesise qualitative literature describing the experiences of Indigenous women with DiP. Methods: A librarian assisted, systematic search was conducted across CINAHL, EMBASE, Global Health, Medline, ProQuest, PubMed, Scopus and the Web of Science databases. International, peer reviewed studies published in English, between the years 1999 and 2019 that explored Indigenous women's experiences of DiP were sought. Thirteen papers were coded for recurring patterns and conceptual overlaps and synthesised into themes. Findings: Analysis revealed four themes: ‘Poverty and Vulnerability: Colonisation's Legacy’; ‘Contradictions and Confusion: Understandings of DiP’; ‘Shame and Blame: Experiences with Health Professionals’; and, ‘Community and Care: Cultural Constructions of Health’. Discussion: This review has revealed similar concerns and experiences of DiP among Indigenous women across communities in Canada, Alaska, the United States and Aotearoa New Zealand. To work with and effectively engage with Indigenous women, requires a shift from focusing on individual behaviours, to recognising and including cultural strengths, and addressing structural inequity in relation to healthcare. Conclusion: This review has resulted in a call to action for researchers to work collaboratively with Indigenous communities to co-design culturally safe, appropriate, and relevant policies, programs, models of care and educational materials with Indigenous women.

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http://hdl.handle.net/10453/152606