PhD, RN, Assistant Professor, Department of Public Health Nursing, Faculty of Health Science, Bandirma Onyedi Eylül University, Bandirma, Balikesir, Turkey.
PhD, RN, Associate Professor, Department of Nursing, Faculty of Health Sciences, Kahramanmaraş Sütçü İmam University Nursing, Kahramanmaraş, Turkey.
J Nurs Res. 2022 Jun 1;30(3):e208. doi: 10.1097/jnr.0000000000000489.
Healthcare professionals' "cultural prejudices" toward individuals' cultural beliefs, attitudes, and perceptions affect the care they provide. Their awareness of their bias is closely associated with the quality of healthcare provided.
This study was designed to assess nurses' perceptions regarding providing care to Syrian refugee patients using metaphors and to evaluate their views based on these metaphors.
The participants in this qualitative study consisted of 80 nurses who worked in Level 1 and Level 2 health institutions. Data were collected using an interview form prepared by the researchers. The form included descriptive characteristics of the nurses and two expressions used to determine the nurses' opinions on providing care for Syrian refugee patients. The nurses were given an incomplete sentence, which was "Providing care for a Syrian refugee patient…because…," and were asked to complete the blanks. The data were analyzed using the content analysis method.
On the basis of "providing care for Syrian refugee patients," four categories of metaphors were determined: occupational awareness, health promotion, a difficult process/resistance, and providing service in vain. The participants generated 50 metaphors, with "humanity," "a baby/little child," and "a barrier" as the three most used metaphors, belonging to the "occupational awareness" and "a difficult process/resistance" categories, respectively.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The metaphors of nurses regarding giving care to Syrian refugee patients were mostly concentrated in the categories of "occupational awareness" and "a difficult process/resistance." Metaphors generated by the nurses offer a powerful research tool to reveal, understand, and explain nurses' personal perceptions and to develop and support nursing care accordingly. In addition, the subject of transcultural nursing should be discussed more extensively in nursing education programs. Understanding the social context of refugees is very important during the nursing care process.
医疗保健专业人员对个人文化信仰、态度和观念的“文化偏见”会影响他们提供的护理。他们对偏见的认识与所提供的医疗保健质量密切相关。
本研究旨在使用隐喻评估护士对照顾叙利亚难民患者的看法，并根据这些隐喻评估他们的观点。
这项定性研究的参与者包括在一级和二级医疗机构工作的 80 名护士。数据收集使用由研究人员编制的访谈表。该表包括护士的描述性特征和两个表达式，用于确定护士对为叙利亚难民患者提供护理的看法。护士们得到了一个不完整的句子，即“为叙利亚难民患者提供护理……因为……”，并被要求填写空白。使用内容分析法对数据进行分析。
基于“为叙利亚难民患者提供护理”，确定了四类隐喻：职业意识、促进健康、困难过程/阻力和徒劳无益的服务。参与者生成了 50 个隐喻，其中“人性”、“婴儿/小孩”和“障碍”是使用最多的三个隐喻，分别属于“职业意识”和“困难过程/阻力”类别。
结论/对实践的启示：护士对照顾叙利亚难民患者的隐喻主要集中在“职业意识”和“困难过程/阻力”两个类别。护士生成的隐喻提供了一个强大的研究工具，可以揭示、理解和解释护士的个人看法，并相应地发展和支持护理。此外，应在护理教育计划中更广泛地讨论跨文化护理的主题。在护理过程中，了解难民的社会背景非常重要。
