Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almeria, Spain.
Research Associate, Faculty of Health Sciences, Universidad Autónoma de Chile, Santiago, Chile.
Int Nurs Rev. 2022 Mar;69(1):69-79. doi: 10.1111/inr.12723. Epub 2021 Oct 10.
The aim of our study is to describe and understand the experiences of nurses providing emergency care to undocumented migrants who arrive in Spain in small boats.
Spain receives thousands of undocumented migrants every year who arrive by sea. Provision of appropriate emergency care to undocumented migrants is a public health problem.
Nurses, along with other health care providers, such as doctors or cultural mediators, make up the Spanish Red Cross Emergency Response Team. Nurses, in particular, are associated with all phases of emergency care to undocumented migrants who arrive in small boats, offering first aid as well as clinical and humanitarian care.
Qualitative descriptive study. Seventeen nurses from the Spanish Red Cross Emergency Response Team participated in face-to-face interviews. Thematic analysis was used to analyse the qualitative data.
Three main themes emerged: (i) guaranteeing comprehensive emergency care, (ii) the nurse, the key member of the multidisciplinary care team for undocumented migrants and (iii) 'making a difference', volunteering as a nurse's role.
Nurses try to guarantee comprehensive care provision for undocumented migrants, even though they face stigma, ethical concerns or an impossibility to prescribe pharmacological treatments. Personalised care, more time and protocols, better training and the incorporation of debriefing are elements that are required to improve the emergency care given to undocumented migrants.
Institutions must develop policies to support provsion of emergency care to undocumented migrants. A public health issue cannot depend upon volunteer healthcare providers. Governments must guarantee funding, training and established care teams. Understanding nurses' experiences could increase awareness of the problem, reduce stigma and improve the comprehensive emergency care provided to undocumented migrants.
本研究旨在描述和理解护士为乘船抵达西班牙的无证移民提供紧急护理的经验。
西班牙每年都会接收数千名乘船抵达的无证移民。为无证移民提供适当的紧急护理是一个公共卫生问题。
护士与医生或文化调解员等其他医疗保健提供者一起组成了西班牙红十字会应急反应小组。护士与乘船抵达的无证移民的所有紧急护理阶段都有关联，提供急救以及临床和人道主义护理。
定性描述性研究。来自西班牙红十字会应急反应小组的 17 名护士参加了面对面的访谈。采用主题分析对定性数据进行分析。
出现了三个主要主题：（i）保证全面的紧急护理，（ii）护士，无证移民多学科护理团队的关键成员，以及（iii）“有所作为”，作为护士的志愿角色。
护士试图为无证移民提供全面的护理，尽管他们面临耻辱、道德问题或不可能开出处方药。个性化护理、更多时间和协议、更好的培训以及包括汇报在内的纳入是改善对无证移民的紧急护理所需的要素。
各机构必须制定政策，支持为无证移民提供紧急护理。公共卫生问题不能依赖于志愿医疗保健提供者。政府必须保证资金、培训和既定的护理团队。了解护士的经验可以提高对问题的认识，减少耻辱感，并改善对无证移民的全面紧急护理。
