Nicholas David, Fleming-Carroll Bonnie, Durrant Michele, Hellmann Jonathan
a Faculty of Social Work , University of Calgary, Central and Northern Alberta Region , Edmonton , Alberta , Canada.
b The Hospital for Sick Children, Lawrence S. Bloomberg Faculty of Nursing , University of Toronto , Toronto , Ontario , Canada.
Soc Work Health Care. 2017 May-Jun;56(5):335-351. doi: 10.1080/00981389.2017.1292985. Epub 2017 Mar 21.
Respect for the ethnicity and cultural background of families are important components of health care delivery. However, the needs of new immigrants in pediatric care systems remain under-addressed in the literature. This study utilized a qualitative approach of interpretive description to elicit the pediatric health care experiences and needs of new immigrants to Canada, from the perspective of health care providers who worked extensively with newcomers. Two focus groups of multidisciplinary health care providers were conducted in a tertiary-level pediatric hospital. Results identify that the needs of new immigrant families are often insufficiently met by existing pediatric care practices. Needs include subsistence requirements such as income, transportation, and family understanding about the complex processes of health care in the new society. Newly immigrated families reportedly experience emotional adjustment and social support struggles and needs. Information and support to navigate the health care system are warranted. These formidable challenges invite proactive approaches, including navigation and resource finding supports as well as culturally responsive family-centered care.
尊重家庭的种族和文化背景是医疗服务的重要组成部分。然而，儿科护理系统中新移民的需求在文献中仍未得到充分关注。本研究采用解释性描述的定性方法，从与新移民广泛合作的医疗服务提供者的角度，了解加拿大新移民的儿科医疗经历和需求。在一家三级儿科医院对两组多学科医疗服务提供者进行了焦点小组访谈。结果表明，现有的儿科护理实践往往无法充分满足新移民家庭的需求。需求包括诸如收入、交通等基本生活需求，以及家庭对新社会中复杂医疗过程的了解。据报道，新移民家庭在情绪调整和社会支持方面存在困难和需求。提供医疗系统导航方面的信息和支持很有必要。这些巨大挑战需要积极主动的应对方法，包括导航和资源查找支持以及具有文化敏感性的以家庭为中心的护理。
