Research Committee


  

Migrants´ experiences in the health care system

Mass migration in Europe raises many issues of societal concern. Migrants struggle with complex health problems related to causes and consequences of migration. It is no longer a question about migrants having unique health needs, concerns and challenges. The effects of language and cultural differences, lack of access to transportation and other barriers are common. These barriers hamper nurses and other health care professionals to deliver high quality care. An essential dimension of quality of care mirroring both patients’ expectations and their exposure is the migrant patient’s experience of health care. This chapter addresses the factors associated with migrant´s health care experiences in the host country. A model represented here can facilitate to increase nursing professionals awareness to provide person-centred care and overcome transcultural differences.

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Migration

The picture of migration, is vastly more complex than at first glance and ease of movement promises greater complexity in the future. The International Organisation for Migration (IOM) (2017) defines a migrant as:”any person who is moving or has moved across an international border or within a state away from his/her habitual place of residence, regardless of the person’s legal status, voluntary or involuntary, causes, and the length of the stay”. With the number of international migrants escalating [1],  it becomes more acute that migrants face numerous barriers to access an appropriate level of health care [2].

  1. United Nations (2016), International Migration Report 2015., Department of Economic and Social Affairs, Population Division.
  2. World Health Orgnaisation (2008), Overcoming migrants’ barriers to health., Bullentin of the World Health Organisation. p. 583-584.

 


Migrants' Healthcare Experience: A Meta-Ethnography Review of the Literature.

Luiking ML, Heckemann B, Ali P, Dekker-van Doorn C, Ghosh S, Kydd A, Watson R, Patel H. J Nurs Scholarsh. 2019 Jan;51(1):58-67. doi: 10.1111/jnu.12442. Epub 2018 Nov 2. PMID: 30390377

Abstract

Purpose: Worldwide, more than 214 million people have left their country of origin. This unprecedented mass migration impacts health care in host countries. This article explores and synthesizes literature on the healthcare experiences of migrants.

Design: A meta-ethnography study of qualitative studies was conducted.

Methods: Eight databases (Medline, the Cumulative Index to Nursing and Allied Health Literature [CINAHL], PsycINFO, Embase, Web of Science, Migration Observatory, National Health Service Scotland Knowledge Network, and Adaptive Spectrum and Signal Alignment [ASSIA]) were searched for relevant full-text articles in English, published between January 2006 and June 2016. Articles were screened against inclusion criteria for eligibility. Included articles were assessed for quality and analyzed using Noblit and Hare's seven-step meta-ethnography process.

Findings: Twenty-seven studies were included in the review. Five key contextualization dimensions were identified: personal factors, the healthcare system, accessing healthcare, the encounter, and the healthcare experience. These five areas all underlined the uniqueness of each individual migrant, emphasizing the need to treat a person rather than a population. Within a true person-centered approach, the individual's cultural background is fundamental to effective care.

Conclusions: From the findings, a model has been designed using the five dimensions and grounded in a person-centered care approach. This may help healthcare providers to identify weak points, as well as to improve the organization and healthcare professionals' ability to provide person-centered care to migrant patients.

Clinical relevance: The proposed model facilitates identification of points of weakness in the care of migrant patients. Employing a person-centered care approach may contribute to improve health outcomes for migrant patients.

Keywords: Cultural diversity; Ethnography; Health education; Nurse patient relationship; Quality of services.

 

Members of the Research Task Force

Marie-Louise Luiking, Parveen Ali, Claudia Chaves, Caroline Dickson, Cheryl Zlotnick, Vanesa Heaslip, Odewusi Temitayo  & Harshida Patel.
 Terms of Reference

  • To promote research pertaining to Migration Healthcare Experiences among subpopulations across the European Chapters
  • To give a secure platform to members wishing to carry out and be involved in International research.
  • To provide mentoring/coaching to ealy career nurse researchers
  • To promote awarness of this topic  for nursing across the European Chapters
  • To track the progress and activities of the  committee against the provided planning.
  • To seek out and identify sources of funding