Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care

Year 2023, Volume: 6 Issue: 1, 26 - 34, 17.04.2023

Bengü Çetinkaya , Sibel Serap Ceylan

https://doi.org/10.38108/ouhcd.1039793

Cited By: 1

Abstract

Objective: The number of immigrants in the world is increasing rapidly. The vast majority of female immigrants are of reproductive age. Immigrant infants are added to the population every day. The purpose of this study is to determine challenges for neonatal intensive care unit nurses who care for infants of immigrant families.
Methods: A qualitative phenomenological research design based on a semi-structured in-depth interview with 11 neonatal intensive care nurses. The interviews were recorded and transcribed for content analysis and responses were categorized into themes.
Results: The two major themes identified from the data were: (1) language-related barriers and (2) culture-related barriers.
Conclusion: Neonatal intensive care nurses who care for infants of immigrant families have communication problems as a result of the lack of interpreters and because of challenges cultural differences. This has the potential to affect the well-being. Study results can be used by nurses to improve the quality of care of immigrant infants and their families.

Keywords

Intensive care units, neonatal, nursing, transients and migrants

Supporting Institution

The authors declared that this study received no financial support.

Yenidoğan Yoğun Bakım Ünitesindeki Göçmen Aileler: Hemşirelik Bakımında Engeller

Abstract

Amaç: Dünyada göçmen sayısı hızla artmaktadır. Kadın göçmenlerin büyük çoğunluğu üreme çağındadır. Göçmen bebekler her gün nüfusa eklenmektedir. Bu çalışmanın amacı, göçmen ailelerin bebeklerine bakım veren yenidoğan yoğun bakım hemşirelerinin karşılaştıkları zorlukları belirlemektir.
Yöntem: Araştırma tasarımı 11 yenidoğan yoğun bakım hemşiresi ile yarı yapılandırılmış derinlemesine görüşmeye dayalı nitel fenomenolojik tiptedir. Görüşmeler kayıt altına alınmış ve içerik analizi için yazıya dökülmüş ve cevaplar temalar halinde kategorize edilmiştir.
Bulgular: Çalışmada (1) dille ilgili engeller ve (2) kültürle ilgili engeller olmak üzere iki ana tema belirlenmiştir.
Sonuç: Göçmen ailelerin bebeklerine bakan yenidoğan yoğun bakım hemşireleri, tercüman eksikliği ve kültürel farklılıklar nedeniyle iletişim sorunları yaşamaktadır. Bu durum, ailelerin ve yenidoğanların iyilik halini etkileme potansiyeline sahiptir. Çalışma sonuçları göçmen bebeklerin ve ailelerinin bakım kalitesini artırmak için hemşireler tarafından kullanılabilir.

Keywords

Yoğun bakım üniteleri, yenidoğan, hemşirelik, geçiciler ve göçmenler

References

• Arango P. (2011). Family-centered care. Academic Pediatrics, 11(2), 97-99. https://doi.org/10.1016/ j.acap.2010.12.004.
• Bakken KS, Skjeldal OH, Stray‐Pedersen B. (2015). Higher risk for adverse obstetric outcomes among immigrants of African and Asian descent: a comparison study at a low‐risk maternity hospital in Norway. Birth, 42(2), 132-140. https://doi.org/ 10.1111/birt.12165
• Barcellos SH, Carvalho LS, Lleras-Muney A. (2014). Child gender and parental investments in India: Are boys and girls treated differently? American Economic Journal: Applied Economics, 6(1), 157-189. https://doi.org/10.1257/app.6.1.157
• Büyüktiryaki M, Canpolat FE, Dizdar EA, Okur N, Şimşek GK. (2015). Neonatal outcomes of Syrian refugees delivered in a tertiary hospital in Ankara, Turkey. Conflict and health, 9(1), 38. https://doi.org/10.1186/s13031-015-0066-1
• CESCR General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12). (2000). date of access: 15.11.2021, https://www.ohchr.org/Documents/Issues/Women/WRGS/Health/GC14.pdf
• Coughlin ME. (2021) Transformative nursing in the NICU trauma-informed age-appropriate care. Newyork: Springer, p.121-140.
• Creswell JW and Poth CN. (2017) Qualitative inquiry and research design: Choosing among five approaches. 4 th Ed. New York, NY: Sage Publications, p.195-197.
• Fawcett T, Rhynas S. (2012). Taking a patient history: the role of the nurse. Nursing Standard (through 2013), 26(24), 41. https://doi.org/10.7748/ns2012.02.26.24. 41.c8946
• Geiger HJ. (2001). Racial stereotyping and medicine: the need for cultural competence. Canadian Medical Association Journal, 164(12), 1699-1700.
• Glick AF, Farkas JS, Nicholson J, Dreyer BP, Fears M, Bandera C. et al. (2017). Parental management of discharge instructions: a systematic review. Pediatrics, 140(2). https://doi.org/10.1542/peds.2016-4165
• Hendson L, Reis MD, Nicholas DB. (2015). Health care providers’ perspectives of providing culturally competent care in the NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing, 44(1), 17-27. https://doi.org/10.1111/1552-6909.12524
• Ingram S. (2017). Taking a comprehensive health history: learning through practice and reflection. British Journal of Nursing, 26(18), 1033-1037. https://doi.org/10.12968/bjon.2017.26.18.1033
• International Migration Report 2015. (2016). Date of access:15.11.2021, https://www.un.org/en/ development/desa/population/migration/publications/migrationreport/docs/MigrationReport2015_Highlights.pdf
• International migration law glossary on migration. (2019). Switzerland: International Organization for Migration (IOM). Date of access: 15.11.2021, https://publications.iom.int/system/files/pdf/iml_34_glossary.pdf
• Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable E J. (2012). Language barriers and understanding of hospital discharge instructions. Medical care, 50(4), 283. https://doi.org/10.1097/MLR.0b013e318249c949
• Koçan S, Demirci Güngördü N, Demir A, Üstün Ç. (2017). Bir grup sağlık çalışanının bakış açısıyla göçmen sorunu: Nitel bir çalışma. Journal of Turkish Studies, 12(31), 361-378. https://doi.org/10.7827/TurkishStudies.12550
• Kynoe NM, Fugelseth D, Hanssen I. (2020). When a common language is missing: Nurse–mother communication in the NICU. A qualitative study. Journal of Clinical Nursing, 29(13-14), 2221-2230. https://doi.org/10.1111/jocn.15212
• Kayombo EJ. (2013). Traditional methods of protecting the infant and child illness/disease Among the Wazigua at Mvomero Ward, Morogoro, Region, Tanzania. Alternative and Integrative Medicine, 2(1). https://doi.org/10.4172/2327-5162.1000103
• Larson E, Lee PC, Brown MA, Shorr J. (1984). Job satisfaction. Assumptions and complexities. The Journal of nursing administration, 14(1), 31-38.
• Le LT, Partridge JC, Tran BH, Le VT, Duong TK, Nguyen HT, Newman TB. (2014). Care practices and traditional beliefs related to neonatal jaundice in northern Vietnam: a population-based, cross-sectional descriptive study. BMC pediatrics, 14(1), 264. https://doi.org/10.1186/1471-2431-14-264
• Leininger MM. (2006). The Theory of Culture Care Diversity and Universality and Evolution of the Ethnonursing Method. Leininger MM, McFarland MR, editors. Culture care diversity & universality: A worldwide nursing theory. 2nd Ed. Sudbury, Massachusetts: Jones & Bartlett Learning, p.1-42.
• Martinez AM, Khu DTK, Boo NY, Neou L, Saysanasongkham B, Partridge JC. (2012). Barriers to neonatal care in developing countries: parents' and providers' perceptions. Journal of Paediatrics and Child Health, 48(9), 852-858. https://doi.org/10.1111/j.1440-1754.2012.02544.x
• McGrath JM. (2014). Family: Essential Partner in Care. Kenner C, Lott JW, editors. Comprehensive Neonatal Nursing Care. New York: Springer Publishing Company, p.739-765
• Nicholas DB, Hendson L, Reis MD. (2014). Connection Versus Disconnection: Examining Culturally Competent Care in the Neonatal Intensive Care Unit. Social Work in Health Care, 53(2), 135-155. https://doi.org/10.1080/00981389.2013.864377
• Patriksson K, Berg M, Nilsson S, Wigert H. (2017). Communicating with parents who have difficulty understanding and speaking Swedish: An interview study with health care professionals. Journal of Neonatal Nursing, 23(6), 248-252. https://doi.org/10.1016/j.jnn.2017.07.001
• Peart P. (2022). Clinical history taking. Clinics in Integrated Care, 10, 100088.
• Platter E, Hamline MY, Tancredi DJ, Fernandez Y, Garcia E, Rosenthal JL (2019). Completeness of written discharge guidance for English-and Spanish-speaking patient families. Hospital Pediatrics, 9(7), 516-522. https://doi.org/10.1542/hpeds.2018-0250
• Polat S, Özyazıcıoğlu N, Bıçakcı H. (2015). Traditional practices used in infant care. Indian journal of Traditional Knowledge, 1(1), 47-51. Retrieved from http://nopr.niscair.res.in/bitstream/123456789/32025/1/IJTK%201% 281%29%2047-51.pdf
• Pope C, Mays N. (2013). Qualitative research in health care. Hoboken: John Wiley & Sons, p.66-81
• Pulver A, Ramraj C, Ray JG, O'Campo P, Urquia ML. (2016). A scoping review of female disadvantage in health care use among very young children of immigrant families. Social Science & Medicine, 152, 50-60. https://doi.org/10.1016/j.socscimed.2016.01.0 27
• Pulver A, Guttmann A, Ray JG, O'Campo PJ, Urquia ML. (2020). Receipt of routine preventive care among infant daughters and sons of immigrant mothers in Ontario, Canada: A retrospective cohort study. BMJ Open, 10(7), e036127. https://doi.org/10.1136/ bmjopen-2019-036127
• Soofi S, Cousens S, Imdad A, Bhutto N, Ali N, Bhutta ZA. (2012). Topical application of chlorhexidine to neonatal umbilical cords for prevention of omphalitis and neonatal mortality in a rural district of Pakistan: a community-based, cluster-randomised trial. The Lancet, 379(9820), 1029-1036. https://doi.org/ 10.1016/S0 140-6736(11)61877-1
• Sultana AM, Zulkefli NEBM. (2012). Discrimination against women in the developing countries: a comparative study. International Journal of Social Science and Humanity, 2(3), 256. https://doi.org/10.7763/IJSSH.2012.V2.106
• Republic of Turkey Ministry of Interior Directorate General of Migration Management Up-to-Date Statistics (2019). date of access: 15.11.2021, http://www.goc.gov.tr/icerik6/gecici-koruma_363_378_4713_icerik (in Turkish).
• Taylor HA, Chandros Hull S, Kass NE. (2010). Qualitative Methods. Sugarman J, Sulmasy DP, editors. Methods in Medical Ethics. United States of America: Georgetown University Press, p.193-214.
• Thaman LA, Eichenfield LF. (2014). Diapering habits: a global perspective. Pediatric dermatology, 31, 15-18. https://doi.org/10.1111/pde.12468
• Tüzün Y, Wolf R, Bağlam S, Engin B. (2015). Diaper (napkin) dermatitis: a fold (intertriginous) dermatosis. Clinics in dermatology, 33(4), 477-482. https://doi.org/10.1016/j.clindermatol.2015.04.012
• Uppal P, Holland AJA, Bajuk B, Abdel-Latif M, Jaffe A, et al. (2013). The association between maternal country of birth and neonatal intensive care unit outcomes. Early Human Development, 89(8), 607-614.https://doi.org/10.1016/j.earlhumdev.2013.03.003
• van Rosse F, de Bruijne M, Suurmond J, Essink-Bot ML, Wagner C. (2016). Language barriers and patient safety risks in hospital care. A mixed methods study. International Journal of Nursing Studies, 54, 45-53. https://doi.org/10.1016/j.ijnurstu.2015.03.012
• Wiebe A, Young B. (2011). Parent perspectives from a neonatal intensive care unit: a missing piece of the culturally congruent care puzzle. Journal of Transcultural Nursing, 22(1), 77-82. https://doi.org/10.1177/1043659609360850
• Wilson SF, Giddens JF. (2020). Health Assessment for Nursing Practice-E-Book. Elsevier Health Sciences. p.8-23.
• Yıldırım A, Şimşek H. (2008). Qualitative research methods in the social sciences. 7 th Ed. Ankara: Seçkin Publishing (in Turkish) p.72-250.
• Zengin M, Düken ME, Yayan EH, Suna Dağ Y. (2021). Hemşirelerin Suriyeli sığınmacı çocuklara bakım verirken yaşadığı güçlükler. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi, 9(1), 252-263. https://doi.org/10.33715/inonusaglik.812294