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Cited by 8Patient Satisfaction in HealthcareCultural Competency in Health CareHealthcare Quality and Satisfaction

Exploring women’s health care experiences through an equity lens: Findings from a community clinic serving marginalised women.

Prodan‐Bhalla, Natasha, Browne, Annette J.·2019·Journal of Clinical Nursing
DOI 10.1111/jocn.14937
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Abstract

AIMS AND OBJECTIVES: To explore how marginalised women perceive and rate equity-oriented health care at a primary care clinic using items that evaluate patients' experiences of care. BACKGROUND: Despite an increased recognition of the importance of health care that is equity-oriented, and that understands the patient within the context of the broader social determinants of health, inequities in health remain prevalent around the world. DESIGN: Items from the "EQUIP Primary Health Care" research programme were used to explore patients' experiences of equity-oriented health care. Women were invited to complete the questionnaire with the explicit aim of gaining their input to improve quality of care at the clinic. The Strengthening the Reporting of Observational Studies in Epidemiology Statement was followed for the study. METHODS: Sixty-seven women who experienced significant health and social inequities, and were seeking care at a women's only nurse practitioner primary health care clinic in Canada, were invited to complete the questionnaire. For quality improvement purposes, correlational analyses were used to explore women's experiences of care. RESULTS: Women's responses showed that Promote Emotional Safety and Trust and Overall Quality of Care were the most highly correlated domains, indicating the importance of the health care team in establishing trusting relationships, particularly for women who experience stigma and negative judgement when seeking care. CONCLUSION: Seeking feedback from patients on their experiences of care using items developed to explicitly tap into equity issues is useful in understanding how patients experience equity-oriented health care. Responses from the women highlight the importance of understanding not only the what of equity-oriented care but also the how. RELEVANCE TO CLINICAL PRACTICE: The results of this study illustrate the importance of establishing trusting relationships, tailoring care, and using a nondiscriminatory approach when working with women who experience negative judgements when seeking care.

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  • In a recent CQI initiative at a primary care clinic serving women experiencing significant social disadvantages and marginalization, items from the EOHCS-Ongoing were used to assess women's perspectives regarding the quality of care received.

    “For example, in a recent CQI initiative at a primary care clinic serving women experiencing significant social disadvantages and marginalization, items from the EOHCS–Ongoing were used to assess women’s perspectives regarding the quality of care received [87].”

    From Using a health equity lens to measure patient experiences of care in diverse health care settings (2024) · cites this paper as [87]

  • The analysis of women's responses in that CQI initiative was particularly useful in highlighting aspects of care women rated most highly and areas of care needing further improvement.

    “The analysis of women’s responses was particularly useful in highlighting those aspects of care that women rated most highly (e.g., promoting emotional safety and trust), thus helping clinicians and team-based care providers to identify domains of EOHC they seemed to excel in, as well as areas of care needing further improvement (e.g., assisting patients with housing and food security issues that”

    From Using a health equity lens to measure patient experiences of care in diverse health care settings (2024) · cites this paper as [87]

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Authors
Prodan‐Bhalla, N., & Browne, A. J.
Affiliations
  • B.C. Women's Hospital & Health Centre (CA)
  • University of British Columbia (CA)
ORCID
Venue
Journal of Clinical Nursing
Publisher
Wiley
Published
2019-07-17
Volume
28
Issue
19-20
Pages
3459-3469
ISSN
  • 0962-1067 (ISSN-L)
  • 1365-2702
DOI
10.1111/jocn.14937
OpenAlex
W2948703561
Cited by
8
References
32
Citations by year
2026: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 2
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Clinical Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Health Sciences › Health Professions › General Health Professions › Healthcare Quality and Satisfaction
Keywords
health equity, women's health services, patient experience, marginalized women, primary care, quality of care, stigma, social determinants of health, patient feedback
MeSH terms
Health Equity, Adult, Ambulatory Care Facilities, Canada, Community Health Services, Female, Humans, Middle Aged, Surveys and Questionnaires, Women's Health, Young Adult, Practice Patterns, Nurses', Social Stigma

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