Doctoral dissertations in nursing – research protocols in a multi-center comparative study
Luísa Teixeira-Santos, Martin Cerveny, Daniela Collins, Małgorzata Nagórska, Harshida Patel, Joy Shao, Saija Sihvola, Angela Simoes, Sigalit Warshawski, Marie-Louise Luiking.
https://www.ejcem.ur.edu.pl/summary/doctoral-dissertations-nursing-research-protocols-multicenter-comparative-study
Our abstract "A Multi-national Collaboration: Examining the Healthcare Encounters of Migrant Nurses," has been selected for an in-person oral presentation for Sigma's 34th International Nursing Research Congress, in July 2023.
Plus this "A Multi-national Collaboration: Examining the Healthcare Encounters of Migrant Nurses, published in 2023 Journal of Nursing Inquiry.
Authors Cheryl Zlotnick, Harshida Patel, Parveen Azam Ali, Temitayo Odewusi, Marie-Louise Luiking
https://onlinelibrary.wiley.com/doi/10.1111/nin.12607
Abstract
Globally, one of every eight nurses is a migrant, but few studies have focused on the healthcare experiences of migrant nurses (MNs) as consumers or recipients of healthcare. We address this gap by examining MNs and their acculturation, barriers to healthcare access, and perceptions of healthcare encounters as consumers. For this mixed-methods study, a convenience sample of MNs working in Europe and Israel was recruited. The quantitative component's methods included testing the reliability of scales contained within the questionnaire and using Hayes Process Model #4 to test for mediation. The qualitative component's methods included analyzing interviews with iterative inductive thematic analysis. Quantitative findings on MNs (n = 73) indicated that the association between acculturation and perception of the healthcare encounter, which MNs experienced as healthcare consumers, was mediated by barriers to healthcare access, even after adjusting for age and gender (p = 0.03). Qualitative interviews with MNs (n = 13) provided possible explanations for the quantitative findings. Even after working in the host country's healthcare system for several years, MNs reported difficulties with their healthcare encounters as healthcare consumers, not only due to their limited knowledge about the culture and healthcare resources but also due to the biased responses they received.
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.