Women with Disabilities: Barriers and Facilitators to Accessing ...

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WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College Dublindeaf or hard ofhearing andprovidesuggestions toimprove care.Kelsall (1992) U.K. To investigate thematernity careprovided to onedeaf womanNationalDisabilityAuthority (NDA)(2002)Case study.hearingbetween 30-74 yrs.One deafwoman.Ireland See Table 5 See Table 5 See Table 5 See Table 5NationalDisabilityAuthority (NDA)(2007)Nzegwu (2004) U.K. To identify theexperiences ofvisually impairedpeople whenusing the NHS.To identify areasof improvementand to addressthe needs of blindpeople.O’Hearn (2006) U.S.A. To investigate thefactors thatIreland See Table 5 See Table 5 See Table 5 See Table 5Quantitative.Telephonesurvey.Quantitative.Questionnaire.832 blind andpartiallysighted people– 400 ownersof guide dogsand 432 notowners ofguide dogs55 women –23 deaf andcommunicate effectively with this population.Adverse outcomes may result from ineffectivecommunication. Interacting with officepersonnel is difficult and communication aboutphysical examinations and proceduresinadequate.Communication, informational and attitudinalchallenges were encountered by deaf womenwhen accessing reproductive health care.Findings from the survey indicate that visuallyimpaired people experience numerouschallenges when accessing services in theNHS especially GP, outpatient and inpatientservices. These challenges include – limitedphysical access to services, limited provision ofinformation in appropriate format, limited staffawareness, limited assistance offered by staffand little assistance provided to guide dogusers.Deaf women are less satisfied than hearingwomen with the care received during the175
WOMEN WITH DISABILITIES: BARRIERS AND FACILITATORS TO ACCESSING SERVICES DURING PREGNANCY, CHILDBIRTH AND EARLY MOTHERHOODSchool of Nursing and Midwifery, Trinity College Dublinimpact on deafwomen’ssatisfaction withpre-natal careand compare careof deaf andhearing women.Pierce (2003) Ireland See Table 5 Qualitative.Interviews.Royal NationalInstitute for theDeaf (RNID)(2004)Smeltzer et al(2007)U.K.U.S.A.To determine ifanecdotalevidencesuggestingwidespreadinsufficient qualitytreatment for deafpeople was true.To explorewomen’sperceptions ofhealth care issues- includingbarriers to careand sources ofinformationQuantitative.Survey.Qualitative.Focus groups.Online survey.32 hearingwomen.9 minoritypeople withdisabilities.866 deaf andhard ofhearingpeople.61 - 59women with aphysical orsensoryimpairment. 2physicianswith aninterest in thehealth care ofwomen withdisabilities.prenatal period. Hearing women had moreprenatal visits, received more information andhad better communication experiences withtheir physician than deaf women. Deafwomen’s rate of satisfaction was influenced bywhether or not women’s expectations ofprovision of sign language interpreters weremet.See Table 5While attending their GP or hospital, deaf orhard of hearing people experience difficultywith communication; some people avoidattending G.P. because of this. Makingappointments was difficult, so some weremissed, and one third was unclear aboutinstruction regarding medication use.The 7 themes (below) indicate the challengesexperienced by the study population:Communication barriers, lack of knowledgeand awareness among healthcare providers,access issues, working the system, systemsissues, outreach to healthcare providers,reaching hard to reach women with disabilities.176
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University of DublinTrinity College
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WOMEN WITH DISABILITIES: BARRIERS A
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