Case Report
BibTex RIS Cite

Yenidoğan Yoğun Bakım Ünitesinde Bebeği Yatmakta Olan Göçmen Bir Annenin Yoğun Bakım Deneyimi : Olgu Sunumu

Year 2023, , 278 - 285, 31.12.2023
https://doi.org/10.58605/bingolsaglik.1375399

Abstract

Bu çalışma, yenidoğan yoğun bakım ünitesinde bebeği yatmakta olan bir göçmen annenin yoğun bakım deneyimlerini belirlemek amacıyla yapılmıştır. Veriler tercüman eşliğinde yapılan yüz yüze görüşme tekniğiyle toplanmıştır. Veriler sonucunda yoğun bakım deneyimine ilişkin memnuniyetleri ve personel ile iletişim algıları düşük, annenin emzirme özyeterliliği ve stres düzeyi yüksek bulunmuştur. Çalışmada anneye doğumdan sonra kendisi ve bebeğinin bakımıyla ilgili herhangi bir bilgilendirme yapılmadığı, taburculuk, emzirme ve yeni doğan bakımıyla ilgili bir eğitim almadığı, hastanede tercüman bulamadığı ortaya çıkmıştır. Özellikle postpartum dönemdeki göçmen kadınların bakım gereksinimlerinin karşılanmaması anne, bebek, aile ve toplum için olumsuz sonuçlara neden olabilmektedir. Postpartum dönemde göçmen kadınlar arasında sağlık hizmetlerinin kullanımını artırmak için sağlık hizmetleri ve politikaları hakkında kadınlar bilgilendirilmelidir. Aksi takdirde göçmen kadınlar, sağlık hizmetlerine erişimde zorlanacak ve bu önemli dönemlerde yeterli bakım alamayacaktır. Bunun sonucunda göçmen kadınlar ve postpartum dönemde psikosomatik sorunlarla daha fazla risk altında olacaktır.

References

  • Riggs, E., Davis, E., Gibbs, L., Block, K., Szwarc, J., Casey, S., et al. (2012). Accessing Maternal and Child Health Services in Melbourne, Australia: Reflections from Refugee Families and Service Providers. BMC Health Serv Res, 12, 117-133.
  • Dag, H. (2017). The Nursing Care Given for Immigrant Women with Language Barrier in Clinics of Gynecology and Obstetrics of Turkey. JOJ Nurse Health Care, 2(1), 555-578.
  • Beşer, A. (2012). Göç, Kültür ve Sağlık İlişkisi. In: Seviğ, Ü., Tanrıverdi, G. (Eds.), Kültürel Hemşirelik. İstanbul: İstanbul Tıp Kitabevi.
  • Dedeoğlu, S., Gökmen Çe., (2020). Göç Teorileri, Göçmen Emek ve Entegrasyon: Kadınların Yeri. In: Biehl, K., Daniş, D. (Eds.), Toplumsal Cinsiyet Perspektifinden Türkiye'de Göç Araştırmaları. İstanbul: Su Gender ve Gar.
  • İldam Çalım, S., Kavlak, O., Sevil, Ü. (2012). Evrensel Bir Sorun: Göç Eden Kadınların Sağlığı ve Sağlık Hizmetlerinde Yaşanan Dil Engeli. Sağlık ve Toplum, 22(2), 11-19.
  • Tuzcu, A., Bademli, K. (2014). Göçün Psikososyal Boyutu. Psikiyatride Güncel Yaklaşımlar, 6(1), 56-66.
  • İlhan, M. N., Gözlü, M., Atasever, M. A., Dündar, M. A., Büyükgök, D., Barkan, O. B. (2016). Göç ve Halk Sağlığı. SASAM Analiz, 2(7), 13-23.
  • Hacıhasanoğlu, A., Aşılar, R., Yıldırım, A. (2018). Göçün Sosyal ve Ruhsal Etkileri ve Hemşirelik. In: Aydın Avcı, İ. (Ed.), Göç ve Göçmen Sağlığı. Ankara: Türkiye Klinikleri.
  • Çelik, N., Sevil, Ü. (2016). Göç ve Kadın. Women's Health and Diseases Nursing-Special Topics, Türkiye Klinikleri Journal of Obstetric, 2(2), 74-79.
  • Mardin, D., Bahar Özvarış, Ş., Sakarya, S., Kayı, İ., Gürsoy, G., Yukarıkır, N., et al. (2020). COVID-19 Sürecinde Türkiye'de Göçmen ve Mültecilerin Durumu. Sağlık ve Toplum, Özel Sayı, 112-118.
  • Ward, L. S. (2003). Migrant Health Policy: History, Analysis, and Challenge. Policy, Politics & Nursing Practice, 4(1), 45-52.
  • McMurray, A. J., Scott, D., Pace, R. W. (2004). The Relationship Between Organizational Commitment and Organizational Climate in Manufacturing. Human Resource Development Quarterly, 15, 473-488. DOI:10.1002/HRDQ.1116
  • Sudhinaraset, M., Cabanting, N., Ramos, M. (2019). The Health Profile of Newly-Arrived Refugee Women and Girls and the Role of Region of Origin: Using a Population-Based Dataset in California Between 2013 and 2017. Int J Equity Health, 18(1), 158.
  • Liamputtong, P. (2006). Motherhood and "Moral Career": Discourses of Good Motherhood Among Southeast Asian Immigrant Women in Australia. Qual Sociol, 29, 220-231.
  • Ahmed, A., Stewart, D. E., Teng, L., Wahoush, O., Gagnon, A. J. (2008). Experiences of Immigrant New Mothers with Symptoms of Depression. Arch Womens Ment Health, 11, 295-303.
  • Greig, F. (2009). Babies, Bonds and Boundaries: A Study of Maternity Among Vietnamese-Australian Women in Melbourne. Melbourne: Lambert Academic Publishing.
  • Schutte, J. M., Steegers, E. A., Schuitemaker, N. W., Santema, J. G., de Boer, K., et al. (2010). Rise in Maternal Mortality in the Netherlands. BJOG, 117, 399–406.
  • Tortumluoğlu, G. (2004). Transkültürel Hemşirelik ve Kültürel Bakım Modeli Örnekleri. C. Ü. Hemşirelik Yüksekokulu Dergisi, 8(2), 47-57.
  • Tanrıverdi, G., Sevil, Ü., Bayat, M., Birkök, M. C. (2009). Hemşirelik Bakımında Kültürel Özellikleri Tanılama Rehberi. Uluslararası İnsan Bilimleri Dergisi, 6(1), 793-806.
  • Abitz, T. L. (2016). Cultural Congruence and Infusion Nursing Practice. J Infus Nurs, 39(2), 75-79.
  • Lansakara, N., Brown, S. J., Gartland, D. (2010). Birth Outcomes, Postpartum Health, and Primary Care Contacts of Immigrant Mothers in an Australian Nulliparous Pregnancy Cohort Study. Matern Child Health J, 14, 807-816.
  • Murray, L., Windsor, C., Parker, E., Tevfik, O. (2010). The Experiences of African Women Giving Birth in Brisbane, Australia. Health Care Women Int, 31, 458-472.
  • Sword, W., Watt, S., Krueger, P. (2006). Postpartum Health, Service Needs, and Access to Care Experiences of Immigrant and Canadian-Born Women. J Obstet Gynecol Neonatal Nurs, 35, 717-727.
  • Ganann, R., Sword, W., Black, M., Carpío, B. (2021). Influence of Maternal Birthplace on Postpartum Health and Health Services Use. J Immigrant Minor Health, 14, 223–229.
  • Bender, D. E., Harbour, C., Thorp, J., Morris, P. (2001). Tell Me What You Mean by "SI": Perceptions of Quality of Prenatal Care Among Immigrant Latina Women. Qual Health Res, 11, 780–94.
  • Stewart, D. E., Gagnon, A., Saucier, J. F., Wahoush, O., Dougherty, G. (2008). Postpartum Depression Symptoms in Newcomers. Can J Psychiatry, 53, 121–124.
  • Hawkins, S. S., Lamb, K., Cole, T. J., Law, C.; Millennium Cohort Study Child Health Group. (2008). Influence of Moving to the UK on Maternal Health Behaviors: Prospective Cohort Study. BMJ, 336(7652), 1052–1055.
  • Kornosky, J. L., Peck, J. D., Sweeney, A. M., Adelson, P. L. (2008). Reproductive Characteristics of Southeast Asian Immigrants Before and After Migration. J Immigrant Minor Health, 10(2), 135–143.
  • Bai, D. L., Fong, D. Y. T., & Tarrant, M. (2015). Previous breastfeeding experience and duration of any and exclusive breastfeeding among multiparous mothers. Birth, 42(1), 70-77.
  • Hines M, Hardy N, Martens A, et al. (2022). Birth Order Effects on Breastfeeding Self-Efficacy, Parent Report of Problematic Feeding and Infant Feeding Abilities. J Neonatal Nurs. 28:16-20.
  • Dennis, C-L, Shiri, R, Brown, HK, Santos, HP, Schmied, V, Falah-Hassani, K. (2019). Breastfeeding rates in immigrant and non-immigrant women: A systematic review and meta-analysis. Matern Child Nutr. 15:e12809.
  • Kaufmann, B., Helfer, T., Pedemonte, D., Simon, M., Colvin, S. (2020). Communication Challenges Between Nurses and Migrant Pediatric Patients. J Res Nurs, 25(3), 256-274. DOI:10.1177/1744987120909414
  • Tiryakioğlu, Ö., Zengin, H., Çınar, N., Umaroğlu, M. M., Latour, J. M. (2020). Turkish Adaptation and Validation of the Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire to Measure Parent Satisfaction in Neonatal Intensive Care Units. Front Pediatr, 8, 421. DOI:10.3389/FPED.2020.00421
  • McGowan, E. C., Abdulla, L. S., Hawes, K. K., Tucker, R., Vohr, B. R. (2019). Maternal Immigrant Status and Readiness to Transition to Home from the NICU. Pediatrics, 143(5), E20182657.
  • Liamputtong, P., Naksook, C. (2003). Life as Mothers on New Land: The Experience of Motherhood Among Thai Women in Australia. Health Care Women Int, 4, 650–668.
  • Renzaho, A. M. N., Oldroyd, J. C. (2014). Closing the Gap in Maternal and Child Health: A Qualitative Study Examining Health Needs of Migrant Mothers in Dandenong, Victoria, Australia. Matern Child Health J, 18, 1391–1402.

THE INTENSİVE CARE EXPERİENCE OF A MİGRANT MOTHER WİTH HER BABY İN THE NEONATAL INTENSİVE CARE UNİT: A CASE REPORT

Year 2023, , 278 - 285, 31.12.2023
https://doi.org/10.58605/bingolsaglik.1375399

Abstract

This study was carried out to determine the intensive care experiences of an immigrant mother whose baby was hospitalized in the neonatal intensive care unit. The data were collected by face-to-face interview technique in the presence of an interpreter. As a result of the data, their satisfaction with the intensive care experience and their perception of communication with the staff were low, while the mother's breastfeeding self-efficacy and stress level were high. In the study, it was revealed that the mother was not informed about the care of herself and her baby after birth, she did not receive any training on discharge, breastfeeding and newborn care, and she could not find an interpreter in the hospital. Not meeting the care needs of immigrant women, especially in the postpartum period, may cause negative consequences for the mother, baby, family and society. In order to increase the use of health services among immigrant women in the postpartum period, women should be informed about health services and policies. Otherwise, migrant women will have difficulty in accessing health services and will not be able to receive adequate care during these important periods. As a result, immigrant women will be at greater risk with psychosomatic problems in the postpartum period.

References

  • Riggs, E., Davis, E., Gibbs, L., Block, K., Szwarc, J., Casey, S., et al. (2012). Accessing Maternal and Child Health Services in Melbourne, Australia: Reflections from Refugee Families and Service Providers. BMC Health Serv Res, 12, 117-133.
  • Dag, H. (2017). The Nursing Care Given for Immigrant Women with Language Barrier in Clinics of Gynecology and Obstetrics of Turkey. JOJ Nurse Health Care, 2(1), 555-578.
  • Beşer, A. (2012). Göç, Kültür ve Sağlık İlişkisi. In: Seviğ, Ü., Tanrıverdi, G. (Eds.), Kültürel Hemşirelik. İstanbul: İstanbul Tıp Kitabevi.
  • Dedeoğlu, S., Gökmen Çe., (2020). Göç Teorileri, Göçmen Emek ve Entegrasyon: Kadınların Yeri. In: Biehl, K., Daniş, D. (Eds.), Toplumsal Cinsiyet Perspektifinden Türkiye'de Göç Araştırmaları. İstanbul: Su Gender ve Gar.
  • İldam Çalım, S., Kavlak, O., Sevil, Ü. (2012). Evrensel Bir Sorun: Göç Eden Kadınların Sağlığı ve Sağlık Hizmetlerinde Yaşanan Dil Engeli. Sağlık ve Toplum, 22(2), 11-19.
  • Tuzcu, A., Bademli, K. (2014). Göçün Psikososyal Boyutu. Psikiyatride Güncel Yaklaşımlar, 6(1), 56-66.
  • İlhan, M. N., Gözlü, M., Atasever, M. A., Dündar, M. A., Büyükgök, D., Barkan, O. B. (2016). Göç ve Halk Sağlığı. SASAM Analiz, 2(7), 13-23.
  • Hacıhasanoğlu, A., Aşılar, R., Yıldırım, A. (2018). Göçün Sosyal ve Ruhsal Etkileri ve Hemşirelik. In: Aydın Avcı, İ. (Ed.), Göç ve Göçmen Sağlığı. Ankara: Türkiye Klinikleri.
  • Çelik, N., Sevil, Ü. (2016). Göç ve Kadın. Women's Health and Diseases Nursing-Special Topics, Türkiye Klinikleri Journal of Obstetric, 2(2), 74-79.
  • Mardin, D., Bahar Özvarış, Ş., Sakarya, S., Kayı, İ., Gürsoy, G., Yukarıkır, N., et al. (2020). COVID-19 Sürecinde Türkiye'de Göçmen ve Mültecilerin Durumu. Sağlık ve Toplum, Özel Sayı, 112-118.
  • Ward, L. S. (2003). Migrant Health Policy: History, Analysis, and Challenge. Policy, Politics & Nursing Practice, 4(1), 45-52.
  • McMurray, A. J., Scott, D., Pace, R. W. (2004). The Relationship Between Organizational Commitment and Organizational Climate in Manufacturing. Human Resource Development Quarterly, 15, 473-488. DOI:10.1002/HRDQ.1116
  • Sudhinaraset, M., Cabanting, N., Ramos, M. (2019). The Health Profile of Newly-Arrived Refugee Women and Girls and the Role of Region of Origin: Using a Population-Based Dataset in California Between 2013 and 2017. Int J Equity Health, 18(1), 158.
  • Liamputtong, P. (2006). Motherhood and "Moral Career": Discourses of Good Motherhood Among Southeast Asian Immigrant Women in Australia. Qual Sociol, 29, 220-231.
  • Ahmed, A., Stewart, D. E., Teng, L., Wahoush, O., Gagnon, A. J. (2008). Experiences of Immigrant New Mothers with Symptoms of Depression. Arch Womens Ment Health, 11, 295-303.
  • Greig, F. (2009). Babies, Bonds and Boundaries: A Study of Maternity Among Vietnamese-Australian Women in Melbourne. Melbourne: Lambert Academic Publishing.
  • Schutte, J. M., Steegers, E. A., Schuitemaker, N. W., Santema, J. G., de Boer, K., et al. (2010). Rise in Maternal Mortality in the Netherlands. BJOG, 117, 399–406.
  • Tortumluoğlu, G. (2004). Transkültürel Hemşirelik ve Kültürel Bakım Modeli Örnekleri. C. Ü. Hemşirelik Yüksekokulu Dergisi, 8(2), 47-57.
  • Tanrıverdi, G., Sevil, Ü., Bayat, M., Birkök, M. C. (2009). Hemşirelik Bakımında Kültürel Özellikleri Tanılama Rehberi. Uluslararası İnsan Bilimleri Dergisi, 6(1), 793-806.
  • Abitz, T. L. (2016). Cultural Congruence and Infusion Nursing Practice. J Infus Nurs, 39(2), 75-79.
  • Lansakara, N., Brown, S. J., Gartland, D. (2010). Birth Outcomes, Postpartum Health, and Primary Care Contacts of Immigrant Mothers in an Australian Nulliparous Pregnancy Cohort Study. Matern Child Health J, 14, 807-816.
  • Murray, L., Windsor, C., Parker, E., Tevfik, O. (2010). The Experiences of African Women Giving Birth in Brisbane, Australia. Health Care Women Int, 31, 458-472.
  • Sword, W., Watt, S., Krueger, P. (2006). Postpartum Health, Service Needs, and Access to Care Experiences of Immigrant and Canadian-Born Women. J Obstet Gynecol Neonatal Nurs, 35, 717-727.
  • Ganann, R., Sword, W., Black, M., Carpío, B. (2021). Influence of Maternal Birthplace on Postpartum Health and Health Services Use. J Immigrant Minor Health, 14, 223–229.
  • Bender, D. E., Harbour, C., Thorp, J., Morris, P. (2001). Tell Me What You Mean by "SI": Perceptions of Quality of Prenatal Care Among Immigrant Latina Women. Qual Health Res, 11, 780–94.
  • Stewart, D. E., Gagnon, A., Saucier, J. F., Wahoush, O., Dougherty, G. (2008). Postpartum Depression Symptoms in Newcomers. Can J Psychiatry, 53, 121–124.
  • Hawkins, S. S., Lamb, K., Cole, T. J., Law, C.; Millennium Cohort Study Child Health Group. (2008). Influence of Moving to the UK on Maternal Health Behaviors: Prospective Cohort Study. BMJ, 336(7652), 1052–1055.
  • Kornosky, J. L., Peck, J. D., Sweeney, A. M., Adelson, P. L. (2008). Reproductive Characteristics of Southeast Asian Immigrants Before and After Migration. J Immigrant Minor Health, 10(2), 135–143.
  • Bai, D. L., Fong, D. Y. T., & Tarrant, M. (2015). Previous breastfeeding experience and duration of any and exclusive breastfeeding among multiparous mothers. Birth, 42(1), 70-77.
  • Hines M, Hardy N, Martens A, et al. (2022). Birth Order Effects on Breastfeeding Self-Efficacy, Parent Report of Problematic Feeding and Infant Feeding Abilities. J Neonatal Nurs. 28:16-20.
  • Dennis, C-L, Shiri, R, Brown, HK, Santos, HP, Schmied, V, Falah-Hassani, K. (2019). Breastfeeding rates in immigrant and non-immigrant women: A systematic review and meta-analysis. Matern Child Nutr. 15:e12809.
  • Kaufmann, B., Helfer, T., Pedemonte, D., Simon, M., Colvin, S. (2020). Communication Challenges Between Nurses and Migrant Pediatric Patients. J Res Nurs, 25(3), 256-274. DOI:10.1177/1744987120909414
  • Tiryakioğlu, Ö., Zengin, H., Çınar, N., Umaroğlu, M. M., Latour, J. M. (2020). Turkish Adaptation and Validation of the Empowerment of Parents in the Intensive Care (EMPATHIC-30) Questionnaire to Measure Parent Satisfaction in Neonatal Intensive Care Units. Front Pediatr, 8, 421. DOI:10.3389/FPED.2020.00421
  • McGowan, E. C., Abdulla, L. S., Hawes, K. K., Tucker, R., Vohr, B. R. (2019). Maternal Immigrant Status and Readiness to Transition to Home from the NICU. Pediatrics, 143(5), E20182657.
  • Liamputtong, P., Naksook, C. (2003). Life as Mothers on New Land: The Experience of Motherhood Among Thai Women in Australia. Health Care Women Int, 4, 650–668.
  • Renzaho, A. M. N., Oldroyd, J. C. (2014). Closing the Gap in Maternal and Child Health: A Qualitative Study Examining Health Needs of Migrant Mothers in Dandenong, Victoria, Australia. Matern Child Health J, 18, 1391–1402.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Psychosocial Aspects of Childbirth and Perinatal Mental Health, Obstetrics and Gynocology Nursing
Journal Section Olgu Sunumu
Authors

Zulal Soylu 0000-0002-1265-7128

Hande Yağcan 0000-0001-9658-0449

Dilek Bilgiç 0000-0001-9569-8875

Early Pub Date December 30, 2023
Publication Date December 31, 2023
Submission Date October 13, 2023
Acceptance Date October 30, 2023
Published in Issue Year 2023

Cite

Vancouver Soylu Z, Yağcan H, Bilgiç D. Yenidoğan Yoğun Bakım Ünitesinde Bebeği Yatmakta Olan Göçmen Bir Annenin Yoğun Bakım Deneyimi : Olgu Sunumu. BÜSAD. 2023;4(2):278-85.