School of Nursing and Midwifery, Queens University Belfast, Belfast, UK.
J Adv Nurs. 2020 Jul;76(7):1509-1519. doi: 10.1111/jan.14358. Epub 2020 Apr 30.
To explore voluntary immigrant parents' experiences of child healthcare services in host countries.
Thomas and Harden's qualitative thematic synthesis method.
Five electronic databases (CINAHL, Medline, PubMed, Psych INFO and Web of Science), were systematically searched from January 2000 - October 2018.
Included studies focused on voluntary migrant/immigrant parents' experiences of child healthcare services. Data were abstracted independently by two authors. Critical Appraisal Skills Programme tools were applied, and qualitative thematic synthesis was performed.
Nine studies were eligible for inclusion. Five descriptive themes were identified: (a) seeking information and reassurance, (b) seeking information from "people like me", (c) comparison between child healthcare services in home and host countries, (d) effective communication, and (e) cultural isolation and perceived discrimination. Three analytical themes emerged: navigation of parenting in a health context in a new environment; trust; and balance.
Many immigrant families reported positive experiences, others felt patronized and disrespected, leading to a lack of trust and making them less willing to access universal child health care. Trusted advocates, who are culturally competent, have a role in helping immigrant parents navigate the child healthcare system and negotiate with healthcare professionals. Health registration of children of immigrants may encourage the uptake of universal healthcare services. More research is required into the specific health needs of voluntary immigrants.
Less is known about the experiences of voluntary immigrants than those of refugees/asylum seekers in accessing child healthcare. Navigating health systems is difficult. This can be due to language difficulties, differences in systems of healthcare, and differences in culture/health beliefs. When both parties have some understanding of the others' healthcare practices and beliefs, balance can be found; helping the families to positively compare healthcare and incentivising them to engage in universal child healthcare.
探讨自愿移民父母在东道国儿童保健服务方面的体验。
托马斯和哈登的定性主题综合方法。
从 2000 年 1 月至 2018 年 10 月，系统地在五个电子数据库（CINAHL、Medline、PubMed、PsychINFO 和 Web of Science）中进行了搜索。
纳入的研究重点是自愿移民/移民父母对儿童保健服务的体验。两名作者独立摘录数据。应用了批判性评估技能计划工具，并进行了定性主题综合。
有 9 项研究符合纳入标准。确定了五个描述性主题：（a）寻求信息和安心，（b）从“像我这样的人”那里寻求信息，（c）比较母国和东道国的儿童保健服务，（d）有效沟通，以及（e）文化孤立和感知歧视。出现了三个分析性主题：在新环境中以健康为背景的育儿行为的导航；信任；以及平衡。
许多移民家庭报告了积极的体验，而另一些家庭则感到被光顾和不被尊重，导致缺乏信任，使他们不太愿意接受普及儿童保健。信任的倡导者，具有文化能力，在帮助移民父母了解儿童保健系统并与医疗保健专业人员协商方面发挥作用。为移民儿童登记健康状况可能会鼓励普及医疗服务的使用。需要进一步研究自愿移民的具体健康需求。
在获得儿童保健方面，自愿移民的体验比难民/寻求庇护者的体验了解得更少。在医疗保健系统中进行导航是困难的。这可能是由于语言困难、医疗保健系统的差异以及文化/健康观念的差异所致。当双方都对彼此的医疗保健实践和观念有一定的了解时，可以找到平衡；帮助家庭积极比较医疗保健，并激励他们参与普及儿童保健。
