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

Bengü Çetinkaya; Sibel Serap Ceylan

doi:10.38108/ouhcd.1039793

TR EN

Yenidoğan Yoğun Bakım Ünitesindeki Göçmen Aileler: Hemşirelik Bakımında Engeller

Öz

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.

Anahtar Kelimeler

Yoğun bakım üniteleri , yenidoğan , hemşirelik , geçiciler ve göçmenler

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

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

Kaynakça

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

Ayrıntılar

Birincil Dil

İngilizce

Konular

Hemşirelik

Bölüm

Araştırma Makalesi

Yazarlar

Bengü Çetinkaya ^*
0000-0003-0216-8520
Türkiye

Sibel Serap Ceylan
0000-0001-6672-1749
Türkiye

Yayımlanma Tarihi

17 Nisan 2023

Gönderilme Tarihi

22 Aralık 2021

Kabul Tarihi

30 Haziran 2022

Yayımlandığı Sayı

Yıl 2023 Cilt: 6 Sayı: 1

DOI

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

IZ

https://izlik.org/JA24PT78EN

APA

Çetinkaya, B., & Ceylan, S. S. (2023). Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 6(1), 26-34. https://doi.org/10.38108/ouhcd.1039793

AMA

1.Çetinkaya B, Ceylan SS. Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care. Ordu University J Nurs Stud. 2023;6(1):26-34. doi:10.38108/ouhcd.1039793

Chicago

Çetinkaya, Bengü, ve Sibel Serap Ceylan. 2023. “Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 6 (1): 26-34. https://doi.org/10.38108/ouhcd.1039793.

EndNote

Çetinkaya B, Ceylan SS (01 Nisan 2023) Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 6 1 26–34.

IEEE

[1]B. Çetinkaya ve S. S. Ceylan, “Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care”, Ordu University J Nurs Stud, c. 6, sy 1, ss. 26–34, Nis. 2023, doi: 10.38108/ouhcd.1039793.

ISNAD

Çetinkaya, Bengü - Ceylan, Sibel Serap. “Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi 6/1 (01 Nisan 2023): 26-34. https://doi.org/10.38108/ouhcd.1039793.

JAMA

1.Çetinkaya B, Ceylan SS. Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care. Ordu University J Nurs Stud. 2023;6:26–34.

MLA

Çetinkaya, Bengü, ve Sibel Serap Ceylan. “Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care”. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, c. 6, sy 1, Nisan 2023, ss. 26-34, doi:10.38108/ouhcd.1039793.

Vancouver

1.Bengü Çetinkaya, Sibel Serap Ceylan. Immigrant Families in the Neonatal Intensive Care Unit: Barriers in Nursing Care. Ordu University J Nurs Stud. 01 Nisan 2023;6(1):26-34. doi:10.38108/ouhcd.1039793

Cited By

The Effect of Breastfeeding Education to Immigrant Mothers in the Neonatal Intensive Care Unit on Breastfeeding Success: A Randomized Control Study

Journal of Transcultural Nursing

https://doi.org/10.1177/10436596241297983

Yenidoğan Yoğun Bakım Ünitesindeki Göçmen Aileler: Hemşirelik Bakımında Engeller

Öz

Anahtar Kelimeler

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

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster

Cited By

The Effect of Breastfeeding Education to Immigrant Mothers in the Neonatal Intensive Care Unit on Breastfeeding Success: A Randomized Control Study