Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Intercultural Awareness of Nurses Towards Refugee Women and Newborns and Its Reflections on Nursing Care: A Qualitative Study
Hemşirelerin Mülteci Kadınlara ve Yenidoğanlara Yönelik Kültürlerarası Farkındalıkları ve Hemşirelik Bakımına Yansımaları: Nitel Bir Çalışma
Merve ÇAMLIBELa, Nevin USLUb
aDepartment of Obstetrics and Gynecology Nursing, Burdur Mehmet Akif Ersoy University Faculty of Health Sciences, Burdur, Türkiye
bDepartment of Pediatric Health Nursing, Burdur Mehmet Akif Ersoy University Faculty of Health Sciences, Burdur, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(1):81-9
doi: 10.5336/nurses.2022-90554
Article Language: EN
Full Text
ABSTRACT
Objective: The aim of the study to determine the experiences, feelings and thoughts of nurses who provide care for refugee women and newborns. Material and Methods: The study had a phenomenological design. Semi-structured interviews were conducted with 13 nurses between 9 December 2019 and 19 February 2020 working in maternity and neonatal units at a public hospital in southern Türkiye. The data were analyzed by using thematic analysis. This study was guided by the Consolidated Criteria for Reporting Qualitative Research checklist. Results: Three themes with related subthemes were derived from the data: (a) Problems encountered, (b) Emotions and thoughts about refugees, (c) Nursing care process. Conclusion: Although nurses experience different problems during the care they provide for refugees, especially in terms of hygiene, communication and nutrition, it was observed that they practice their professions without discrimination with modern nursing philosophy in the care process they provide. Nurses need more professional development in order to develop their coping skills in the problems they face while caring for refugee women and newborns. Therefore, the role of refugee health nursing and nurses as an emerging field of nursing comes to the fore. In the future, this field should be included in both undergraduate and graduate nursing education curricula.

Keywords: Refugees; women health; newborn; nursing
ÖZET
Amaç: Araştırmanın amacı, mülteci kadınlara ve yenidoğanlara bakım veren hemşirelerin deneyim, duygu ve düşüncelerini belirlemektir. Gereç ve Yöntemler: Araştırma fenomenolojik bir desene sahiptir. 9 Aralık 2019-19 Şubat 2020 tarihleri arasında Türkiye'nin güneyinde bir kamu hastanesinde doğum ve yenidoğan ünitelerinde çalışan 13 hemşire ile yarı yapılandırılmış görüşmeler yapılmıştır. Veriler tematik analiz kullanılarak analiz edilmiştir. Bu çalışmada, 'Consolidated Criteria for Reporting Qualitative Research' kontrol listesi kullanılmıştır. Bulgular: Verilerden ilgili alt temalara sahip 3 tema türetilmiştir: (a) Karşılaşılan sorunlar, (b) Mültecilerle ilgili duygu ve düşünceler, (c) Hemşirelik bakım süreci. Sonuç: Hemşireler bakım sırasında özellikle hijyen, iletişim ve beslenme sırasında farklı sorunlar yaşamalarına rağmen bakım sürecinde modern hemşirelik felsefesi ile ayrım yapmadan mesleklerini icra etmektedirler. Hemşirelerin mülteci kadınlara ve yenidoğanlara bakım verirken karşılaştıkları sorunlarla baş etme becerilerini geliştirebilmeleri için daha fazla mesleki gelişime ihtiyaçları vardır. Bu nedenle mülteci sağlığı hemşireliği, gelişmekte olan bir hemşirelik alanı olarak rolü ön plana çıkmaktadır. Gelecekte bu alan hem lisans hem de lisansüstü hemşirelik eğitimi müfredatlarına dahil edilmelidir.

Anahtar Kelimeler: Mülteciler; kadın sağlığı; yenidoğan; hemşirelik
REFERENCES:
  1. United Nations High Commissioner for Refugees [Internet]. © UNHCR 2001-2022 [Cited: January 20, 2021]. Global Trends. Forced Displacement in 2019, 2020. Available from: [Link] 
  2. Dünya Göç Raporu, 2020. Erişim tarihi: 2 Ocak 2021. Erişim linki: [Link] 
  3. Republic of Turkey Ministry of Interior Directorate General of Migration Management [Internet]. © 2022 Presidency of Migration Management [Cited: December 3, 2021]. Temporary Protection, 2021. Available from: [Link] 
  4. World Health Organization [Internet]. © 2022 WHO [Cited: August 11, 2021]. Improving the health care of pregnant refugee and migrant women and newborn children, 2018a. Available from: [Link] 
  5. Karataş M, Barut B. Sosyal hizmet perspektifinden göç ve savunmasız gruplar: ıom raporları üzerine bir araştırma [Migration and vulnerable groups from social work perspective: a study on IOM reports]. Aydın Adnan Menderes University Journal of Institute of Social Sciences. 2021;8(1):86-109. [Crossref] 
  6. Aksu A, Yılmaz DV. Suriyeli göçmen kadınların üreme sağlığı sorunları ve çözüm önerileri [Reproductive health problems of Syrian migrant women and solution offers]. EGE HFD. 2020;36(2):117-25. [Link] 
  7. Keleş Ş. Sağlık sistemi içinde savunmasız/örselenebilir gruplara yaklaşım [Approach to vulnerable populations in the healthcare system]. Journal of Occupational Health and Safety. 2018;17(65):5-7. [Link] 
  8. Turkish Medical Association [Internet]. [Cited: August 3, 2021]. Report on War, Migration and Health; Experience of Turkey, 2016. Available from: [Link] 
  9. Turkey Demographic and Health Survey [Internet]. [Cited: September 11, 2021]. Hacettepe University Institute of population studies, 2018. Available from: [Link] 
  10. Tosun B, Sinan Ö. Knowledge, attitudes and prejudices of nursing students about the provision of transcultural nursing care to refugees: A comparative descriptive study. Nurse Educ Today. 2020;85:104294. [Crossref]  [PubMed] 
  11. International Council of Nurses (ICN). Press Release: "International Council of Nurses calls for nurse-led care of migrants, refugees and displaced persons", 2018. [Cited: February 02, 2023] Available from: [Link] 
  12. Squires A. Nursing's opportunity within the global refugee crisis. Int J Nurs Stud. 2016;55:1-3. [Crossref]  [PubMed] 
  13. Owens C, Dandy J, Hancock P. Perceptions of pregnancy experiences when using a community-based antenatal service: A qualitative study of refugee and migrant women in Perth, Western Australia. Women Birth. 2016;29(2):128-37. [Crossref]  [PubMed] 
  14. Alshammari M, Duff J, Guilhermino M. Barriers to nurse-patient communication in Saudi Arabia: an integrative review. BMC Nurs. 2019;18:61. [Crossref]  [PubMed]  [PMC] 
  15. Robertshaw L, Dhesi S, Jones LL. Challenges and facilitators for health professionals providing primary healthcare for refugees and asylum seekers in high-income countries: a systematic review and thematic synthesis of qualitative research. BMJ Open. 2017;7(8):e015981. [Crossref]  [PubMed]  [PMC] 
  16. Al-Rousan T, Schwabkey Z, Jirmanus L, Nelson BD. Health needs and priorities of Syrian refugees in camps and urban settings in Jordan: perspectives of refugees and health care providers. East Mediterr Health J. 2018;24(3):243-53. [Crossref]  [PubMed] 
  17. Sevinç S, Kılıç SP, Ajghif M, Öztürk MH, Karadağ E. Difficulties encountered by hospitalized Syrian refugees and their expectations from nurses. Int Nurs Rev. 2016;63(3):406-14. [Crossref]  [PubMed] 
  18. Giorgi A. The descriptive phenomenological psychological method. Journal of Phenomenological Psychology. 2012;43(1):3-12 [Crossref] 
  19. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. [Crossref]  [PubMed] 
  20. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893-1907. [Crossref]  [PubMed]  [PMC] 
  21. Guba EG, Lincoln YS. Epistemological and methodological bases of naturalistic inquiry. Educational Communication and Technology Journal. 1982;30(4):233-52. [Crossref] 
  22. Evgin D, Muz G. Nursing students learning to care for refugee patients: a qualitative study?. Int Nurs Rev. 2021;68(3):341-8. [Crossref]  [PubMed] 
  23. Küçükkendirci H, Batı S. Konya'da sağlık çalışanlarının mülteci ve sığınmacılara bakış açısının değerlendirilmesi [Evaluation of health professionals' perspective on refugees and asylum seekers in Konya]. Journal of General Health Sciences. 2020;2(2):28-39. [Link] 
  24. Navodani T, Gartland D, Brown SJ, Riggs E, Yelland J. Common maternal health problems among Australian-born and migrant women: A prospective cohort study. PLoS One. 2019;14(2):e0211685. [Crossref]  [PubMed]  [PMC] 
  25. Jo Y. The significance of resilience in mental health promotion of marriage immigrant women: a qualitative study of factors and processes. BMC Women's Health. 2020;20:84. [Crossref]  [PubMed]  [PMC] 
  26. Ali PA, Watson R. Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses' perspectives. J Clin Nurs. 2018;27(5-6):e1152-e60. [Crossref]  [PubMed] 
  27. Gerchow L, Burka LR, Miner S, Squires A. Language barriers between nurses and patients: A scoping review. Patient Educ Couns. 2021;104(3):534-53. [Crossref]  [PubMed]  [PMC] 
  28. Akkoç S, Tok M, Hasiripi A. Mülteci ve sığınmacı hastalara sağlık hizmeti sunulurken sağlık çalışanlarının yaşadığı sorunlar [The problems encountered by healthcare workers while offering an medical care to refugees and asylum seekers]. Health Care Academician Journal. 2017;4(1):23-7. [Crossref] 
  29. Zengin M, Düken ME, Yayan EH, Suna Dağ Y. Hemşirelerin Suriyeli sığınmacı çocuklara bakım verirken yaşadığı güçlükler [Challenges experienced by nurses while caring for Syrian refugee children]. Journal of Inonu University Health Services Vocational School. 2021;9(1):252-63. [Crossref] 
  30. Patriksson K, Wigert H, Berg M, Nilsson S. Health care professional's communication through an interpreter where language barriers exist in neonatal care: a national study. BMC Health Serv Res. 2019;19(1):586. [Crossref]  [PubMed]  [PMC] 
  31. Alasagheirin MH, Clark MK. Skeletal growth, body composition, and metabolic risk among North Sudanese immigrant children. Public Health Nurs. 2018;35(2):91-9. [Crossref]  [PubMed] 
  32. Children of Syria in Turkey. UNICEF, 2016. [Cited: February 02, 2023] Available from: [Link] 
  33. Yağmur Y, Aytekin S. Mülteci kadınların üreme sağlığı sorunları ve çözüm önerileri [Reproductive health problems of refugee women and solutions]. Dokuz Eylul University Faculty of Nursing Electronic Journal. 2018;11(1):56-60. [Link] 
  34. Tek S, Karataş H, Erdemir F, Öztürk C. Challenges experienced of nurses caring for Syrian refugee children. Cyprus J Med Sci. 2021;6(1):74-9. [Crossref] 
  35. Akgül-Gündoğdu N, Taş F, Selçuk-Tosun A. Nursing care experiences with Syrian refugees in southern Turkey: a metaphor analysis. J Nurs Res. 2022;30(3):e208. [Crossref]  [PubMed] 

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