Implementation Barriers to Incorporating a Community-Based Doula Program to Improve Birth Outcomes for Black Patients in an Academic Medical Center.
There are significant racial disparities in maternal health and birth outcomes in the USA that disproportionately affect Black individuals. Incorporating community-based doula programs into hospital settings may be an effective intervention to reduce these disparities. However, little research has e...
| Publicado en: | Journal of Racial & Ethnic Health Disparities Vol. 13; no. 4; pp. 2629 - 2641 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195184953&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195184953 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21973792 GQHQ jtl: Journal of Racial & Ethnic Health Disparities issn: 21973792 maglogo: N pubinfo: dt: Aug2026 vid: 13 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 195184953 184515900 195184953 195184953 10.1007/s40615-025-02444-3 195184953 ppf: 2629 ppct: 12 formats: tig: atl: Implementation Barriers to Incorporating a Community-Based Doula Program to Improve Birth Outcomes for Black Patients in an Academic Medical Center. aug: au: Quinn, Katherine G. Marion, Erica Williams, Joni S. Blackwell, Dalvery Olson, Jessica Palatnik, Anna affil: https://ror.org/00qqv6244 Department of Psychiatry & Behavioral Medicine, Medical College of Wisconsin, Milwaukee, USA sug: subj: Doulas Education Community Programs Evaluation Program Evaluation Program Implementation Evaluation Pregnancy Outcomes Quality Improvement African Americans Collaboration Academic Medical Centers Wisconsin Health Services Accessibility Healthcare Disparities Maternal Health Services Wisconsin Human Funding Source Pregnancy Female Wisconsin Qualitative Studies Semi-Structured Interview Focus Groups Interview Guides Thematic Analysis Nursing Staff, Hospital Physicians Female ab: There are significant racial disparities in maternal health and birth outcomes in the USA that disproportionately affect Black individuals. Incorporating community-based doula programs into hospital settings may be an effective intervention to reduce these disparities. However, little research has examined potential barriers and identified strategies to optimize the implementation of a community-based doula program in an academic hospital setting. This study used in-depth interviews with clinicians and nurses (n = 19) and focus groups with doulas (n = 11) to identify multi-level barriers to implementing a doula program for Black pregnant patients in a single academic hospital setting in Milwaukee, WI. Data were analyzed using thematic analysis, and we developed four themes that highlight potential implementation barriers: (1) doulas' advocacy efforts were met with resistance from the healthcare team; (2) there was a lack of trust and established relationships between doulas, clinicians, and nurses; (3) there was a hierarchy of knowledge within medical settings that diminished the value of doulas' expertise; and (4) system-level barriers prevented sustained integration of doula programs. Despite the promise of community-based doula programs, significant investment and resources are needed to support implementation and ensure sustainability. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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