Ebelik Bakımında Göçmenlere Yönelik Transkültürel Farkındalık ve Yaklaşımın Önemi

Yıl 2026, Cilt: 34 Sayı: 6, 476 - 482, 12.02.2026

Esra Özer , Şerife İrem Döner

https://izlik.org/JA26BT54GA

Öz

Kültür, bireylerin inançlarını, değerlerini, davranış biçimlerini ve sağlık algılarını şekillendiren temel bir unsurdur. Günümüzde artan göç hareketleri, sağlık hizmetlerinde kültürel çeşitliliği beraberinde getirmiştir. Bu durum, özellikle üreme sağlığı ve ebelik hizmetlerinde kültürel farkındalığın, duyarlılığın ve yeterliliğin önemini artırmıştır. Bu derleme, ebelik bakımında kültürel farklılıklara yönelik yaklaşımları din, dil, ırk, değer ve normlar ekseninde ele alarak transkültürel bakımın önemini vurgulamayı amaçlamaktadır. Literatür doğrultusunda; göçmen kadınların dil engeli, dini ve kültürel uyumsuzluk, ırksal önyargılar ve toplumsal normlara bağlı farklılıklar nedeniyle sağlık hizmetlerine erişimde güçlük yaşadıkları, bu durumun gebelik ve doğum sonuçlarını olumsuz etkilediği belirlenmiştir. Ayrıca ebelerin kültüre duyarlı bakım modellerini uygulamada sınırlı oldukları, manevi bakımın ve kültürel iletişimin yeterince bütünleştirilemediği görülmektedir. Sonuç olarak, ebelik mesleği kültürel çeşitliliğe duyarlı, bütüncül ve eşitlik temelli bir bakım anlayışını benimsemelidir. Ebelerin kültürel farkındalık, iletişim ve empati becerilerinin güçlendirilmesi, doğum deneyimini iyileştirmek ve sağlık alanındaki eşitsizliklerin azaltılması açısından büyük önem taşımaktadır. Bu nedenle, kültüre duyarlı bakım modellerinin ebelik uygulamalarına entegrasyonunu destekleyen daha fazla araştırmaya gereksinim duyulmaktadır.

Anahtar Kelimeler

Ebelik , Göç , Kadın Sağlığı , Transkültürel hemşirelik

The Importance of Transcultural Awareness and Approach to Migrants in Midwifery Care

https://izlik.org/JA26BT54GA

Öz

Culture is a fundamental element that shapes individuals’ beliefs, values, behaviors, and perceptions of health. Increasing global migration has brought cultural diversity to healthcare services. This diversity has heightened the importance of cultural awareness, sensitivity, and competence, particularly in reproductive health and midwifery care. This review aims to emphasize the importance of transcultural care by examining approaches to cultural differences in midwifery practice through the dimensions of religion, language, race, values, and norms. According to the literature, migrant women experience difficulties in accessing healthcare services due to language barriers, religious and cultural incongruities, racial prejudice, and variations in social norms, all of which negatively affect pregnancy and birth outcomes. It has also been observed that midwives have limited implementation of culturally sensitive care models, and spiritual care and cultural communication are not sufficiently integrated into practice. In conclusion, midwifery should adopt a holistic, equality-oriented, and culturally sensitive approach to care. Strengthening midwives’ cultural awareness, communication, and empathy skills is crucial to improving birth experiences and reducing health inequalities. Therefore, further research is needed to support the integration of culturally sensitive care models into midwifery practice.

Anahtar Kelimeler

Midwifery , Women's health , Immigration , transcultural nursing

Kaynakça

• Jahoda G. Critical reflections on some recent definitions of “culture”. Culture & Psychology. 2012;18(3):289–303.
• Rengi Ö, Polat S. Sınıf öğretmenlerinin kültürel farklılık algıları ve kültürlerarası duyarlılıkları. Journal of World of Turks/Zeitschrift für die Welt der Türken. 2014;6(3):135-56.
• Bulduk S, Keçeci A, Çelik S. Rising trend in nursing: Intercultural sensitivity. In: Let’s Learn Together, Let’s Work Together: Challenges and Solutions for Transcultural Health and Social Care. Cambridge Scholars Publishing; 2012. p.107–23.
• Zeyrek S. Kültürel çalışmalar’a kültür kavramı ekseninde bir bakış. Uluslararası Kültürel ve Sosyal Araştırmalar Dergisi. 2021;7(1):139–47.
• Akyıldırım E. Türkiye’de yapılan göçlerin başlıca faktörlerin irdelenmesi ve çözüm önerileri. Uluslararası Akademik Birikim Dergisi. 2024;7(1):10-22.
• UNHCR. Refugee data finder. (2023). Available at: https://www.unhcr.org/refugee-statistics/. Accessed: April 03, 2024
• Kaypak Ş, Bimay M. Suriye savaşı nedeniyle yaşanan göçün ekonomik ve sosyo-kültürel etkileri: Batman örneği. Batman Üniversitesi Yaşam Bilimleri Dergisi. 2016;6(1):84–110.
• Van den Akker T, Van Roosmalen J. Maternal mortality and severe morbidity in a migration perspective. Best Pract Res Clin Obstet Gynaecol. 2016;32:26–38.
• UNFPA. United Nations Population Fund. Women and Girls in the Syria Crisis: UNFPA Response. Facts and Figures. (2016). Available at: https://www.unfpa.org/sites/default/files/resource-pdf/UNFPA_FACTS_AND_FIGURES_2016.pdf. Accessed: Augut 06,2025.
• Artelt T, Kaase M, Scheithauer S. Infektiologische herausforderungen nach migration. Der Gynäkologe. 2017;50(2):134–8.
• Col Madendag I, Eraslan Sahin M, Madendag Y, Sahin E, Demir MB, Ozdemir F, et al. The effect of immigration on adverse perinatal outcomes: analysis of experiences at a Turkish tertiary hospital. Biomed Res Int. 2019 Nov 5:2019:2326797.
• Ray MA. Transcultural caring dynamics in nursing and health care. Philadelphia: FA Davis; 2016.
• Giger JN, Haddad L. Transcultural nursing-e-book: Assessment and intervention. 7th ed. St. Louis: Elsevier Health Sciences; 2020.
• Seviğ Ü, Tanrıverdi G. Kültürlerarası hemşirelik. İstanbul: İstanbul Tıp Kitabevi; 2012.
• Leininger MM, McFarland MR. Culture care diversity and universality: A worldwide nursing theory. 2nd ed. Jones and Bartlett Publishers; 2006.
• Campinha-Bacote J. The process of cultural competence in the delivery of healthcare services: A model of care. J Transcult Nurs. 2002;13(3):181-4
• Purnell L. The Purnell Model for Cultural Competence. J Transcult Nurs. 2002;13(3):193–6.
• Moloney S, Gair S. Empathy and spiritual care in midwifery practice: Contributing to women’s enhanced birth experiences. Women Birth. 2015;28(4):323–8
• Akın B, Yılmaz S. Ebelik öğrencilerinin maneviyat ve manevi bakımı algılama düzeylerinin belirlenmesi. Determination of spirituality and spiritual care perception levels of midwifery students. Turkiye Klinikleri J Health Sci. 2020;5(1):56–62.
• International Confederation of Midwives (ICM). Philosophy and Model of Midwifery Care. (2024). Available at: https://internationalmidwives.org/resources/philosophy-and-model-of-midwifery-care/ Accessed: April 03, 2024
• Yaman Sözbir Ş, Erenoğlu R, Ayaz Alkaya S. Birth experience in Syrian refugee women in Turkey: A descriptive phenomenological qualitative study. Women Health. 2021;61(5):470–8.
• Higginbottom GM, Hadziabdic E, Yohani S, Paton P. Immigrant women’s experience of maternity services in Canada: A meta-ethnography. Midwifery. 2014;30(5):544–59.
• Van Rosse F, de Bruijne M, Suurmond J, Essink-Bot ML, Wagner C. Language barriers and patient safety risks in hospital care: A mixed methods study. Int J Nurs Stud. 2016;54:45–53.
• Vermeir P, Vandijck D, Degroote S, Peleman R, Verhaeghe R, Mortier E, et al. Communication in healthcare: A narrative review of the literature and practical recommendations. Int J Clin Pract. 2015;69(11):1257–67.
• Toker E, Aktaş S. The childbirth experiences of Syrian refugee mothers living in Turkey: A qualitative study. J Reprod Infant Psychol. 2021;39(5):544–60.
• Crowther S, Lau A. Migrant Polish women overcoming communication challenges in Scottish maternity services: A qualitative descriptive study. Midwifery. 2019;72:30–8.
• Higginbottom GM, Safipour J, Yohani S, O’Brien B, Mumtaz Z, Paton P, et al. An ethnographic investigation of the maternity healthcare experience of immigrants in rural and urban Alberta, Canada. BMC Pregnancy Childbirth. 2016;16(1):1–15.
• Sentell T, Chang A, Ahn HJ, Miyamura J. Maternal language and adverse birth outcomes in a statewide analysis. Women Health. 2016;56(3):257–80.
• Viken B, Lyberg A, Severinsson E. Maternal health coping strategies of migrant women in Norway. Nurs Res Pract. 2015;2015:878040.
• Sami J, Quack Lötscher K, Eperon I, Gonik L, Martinez de Tejada B, Epiney M, et al. Giving birth in Switzerland: A qualitative study exploring migrant women’s experiences during pregnancy and childbirth in Geneva and Zurich using focus groups. Reprod Health. 2019;16(1):1–9.
• Bains S, Skråning S, Sundby J, Vangen S, Sørbye IK, Lindskog BV. Challenges and barriers to optimal maternity care for recently migrated women-a mixed-method study in Norway. BMC Pregnancy Childbirth. 2021;21(1):1–14.
• Williams DR. Race and health: Basic questions, emerging directions. Ann Epidemiol. 1997;7(5):322–33.
• Migration Data Portal. Total number of international migrants at mid-year 2020. Available at: https://migrationdataportal.org 2021.
• Bradby H, Humphris R, Newall D, Phillimore J. Public health aspects of migrant health: A review of the evidence on health status for refugees and asylum seekers in the European Region. WHO Health Evidence Network Synthesis Reports, 2015.
• Starrs AM, Ezeh AC, Barker G, Basu A, Bertrand JT, Blum R, et al. Accelerate progress—sexual and reproductive health and rights for all: Report of the Guttmacher–Lancet Commission. Lancet. 2018;391(10140):2642–72.
• Heslehurst N, Brown H, Pemu A, Coleman H, Rankin J. Perinatal health outcomes and care among asylum seekers and refugees: A systematic review of systematic reviews. BMC Med. 2018;16(1):1–25.
• Pedersen GS, Grøntved A, Mortensen LH, Andersen AMN, Rich-Edwards J. Maternal mortality among migrants in Western Europe: A meta-analysis. Matern Child Health J. 2014;18:1628–38.
• Yelland J, Riggs E, Small R, Brown S. Maternity services are not meeting the needs of immigrant women of non-English speaking background: Results of two consecutive Australian population-based studies. Midwifery. 2015;31(7):664–70.
• Reitmanova S, Gustafson DL. “They can’t understand it”: Maternity health and care needs of immigrant Muslim women in St. John’s, Newfoundland. Matern Child Health J. 2008;12:101–11.
• Henderson J, Gao H, Redshaw M. Experiencing maternity care: The care received and perceptions of women from different ethnic groups. BMC Pregnancy Childbirth. 2013;13(1):1–14.
• Redshaw M, Henderson J. Safely delivered: A national survey of women’s experience of maternity care 2014. Oxford: National Perinatal Epidemiology Unit; 2015.
• Attanasio LB, Kozhimannil KB, Kjerulff KH. Factors influencing women’s perceptions of shared decision making during labor and delivery: Results from a large-scale cohort study of first childbirth. Patient Educ Couns. 2018;101(6):1130–6.
• Evagorou O, Arvaniti A, Samakouri M. Cross-cultural approach of postpartum depression: Manifestation, practices applied, risk factors and therapeutic interventions. Psychiatr Q. 2016;87:129–54.
• Buser JM, Moyer CA, Boyd CJ, Zulu D, Ngoma-Hazemba A, Mtenje JT, et al. Cultural beliefs and health-seeking practices: Rural Zambians’ views on maternal-newborn care. Midwifery. 2020;85:102686.