Expectations of Pregnant Women of Mexican Origin Regarding Their Health Care Providers

Abstract

To explore the expectations of pregnant women of Mexican origin regarding trust and communication with their health care providers. Qualitative, descriptive inquiry. A large metropolitan area community clinic in Texas that provided services to predominately Hispanic women. The sample consisted of 13 women between ages 19 and 36 (mean = 29) who received prenatal health care at a community clinic that offers care to Hispanic women. Semistructured interviews were conducted with open-ended starter questions and follow-up questions based on the participant responses. Based on the women's language preference nine interviews were conducted in Spanish and four in English. Themes emerged from the beginning interviews, and after five interviews, saturation was reached. Data were arranged by the emerged themes of the model of trust and communication (Figure 1). The themes reflected the perception of trust, communication, patient centeredness, and satisfaction with health care providers. These women wanted their providers to provide them with "everything," to be direct, to speak their language, and to present information as friends. Health care providers need to be able to provide communication not only in the participant's preferred language, but also in a way that is culturally sensitive.