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“尽管面临挑战,但我仍然充满激情”:护士在难民护理中努力前行。

"I am still passionate despite the challenges": Nurses navigating the care for refugees.

机构信息

School of Nursing and Midwifery, Western Sydney University, Hawkesbury, NSW, Australia.

Centre for Nursing Research and Practice Development, School of Nursing and Midwifery/Nepean Blue Mountains Local Health District, Western Sydney University, Nepean Hospital, Penrith, NSW, Australia.

出版信息

J Clin Nurs. 2018 Sep;27(17-18):3335-3344. doi: 10.1111/jocn.13863. Epub 2017 Dec 5.

DOI:10.1111/jocn.13863
PMID:28426892
Abstract

AIMS AND OBJECTIVES

To report the challenges faced by the nursing workforce in refugee health.

BACKGROUND

Nurses are in the forefront of care provision for refugees who are recognised as one of the most vulnerable population groups in the world. The number of refugees in Australia is increasing, and more nurses are needed as care providers. Research on the challenges faced by refugee health nurses is sparse.

DESIGN

Qualitative research methodology was used to study the experience of refugee health nurses. Using a descriptive qualitative research approach, a better understanding of the ongoing challenges of caring for refugees is presented.

METHOD

Semi-structured interview with a convenience sample of registered nurses who worked in New South Wales refugee health services was conducted and digitally recorded in 2013. Responses were transcribed verbatim and analysed for themes.

RESULTS

Six refugee health nurses who have been working in New South Wales refugee health services between 1-8 years participated in this study. A thematic analysis of the data led to three main themes: caring for clients with challenging needs; challenges in the course of caring for refugees; and passion in caring for refugees. Participants reported what it means to be refugee health nurses, they explored their roles and emphasised the need to understand refugee health issues.

CONCLUSIONS

This study provides more insight into the unique experiences nurses have when caring for refugees. More debriefing opportunities and resources may reduce the challenges of caring.

RELEVANCE TO CLINICAL PRACTICE

The refugee health nurses' stories support the need for further role refinement for nurses caring for refugees in the community, rural areas and health clinics. This is essential in promoting their well-being and that of the vulnerable population they are caring for.

摘要

目的和目标

报告护理人员在难民健康方面面临的挑战。

背景

护士在为难民提供护理方面处于前沿,难民被认为是世界上最脆弱的人群之一。澳大利亚的难民人数不断增加,需要更多的护士作为护理人员。关于难民健康护士所面临挑战的研究很少。

设计

采用定性研究方法研究难民健康护士的经验。使用描述性定性研究方法,更深入地了解照顾难民的持续挑战。

方法

对在新南威尔士州难民健康服务机构工作的注册护士进行了便利样本的半结构化访谈,并于 2013 年进行了数字记录。对回复进行逐字转录并进行主题分析。

结果

六名在新南威尔士州难民健康服务机构工作 1-8 年的难民健康护士参加了这项研究。对数据的主题分析导致了三个主要主题:照顾有挑战性需求的客户;照顾难民过程中的挑战;以及照顾难民的热情。参与者报告了作为难民健康护士的意义,他们探讨了自己的角色,并强调了了解难民健康问题的必要性。

结论

本研究更深入地了解了护士在照顾难民时的独特体验。更多的汇报机会和资源可能会减少护理的挑战。

临床相关性

难民健康护士的故事支持进一步完善社区、农村地区和诊所中照顾难民的护士的角色,这对于促进他们和他们所照顾的弱势群体的福祉至关重要。

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