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移民和难民人群的护理研究面临的挑战:方法学和实用考虑。

Challenges of nursing research with immigrant and refugee populations: methodological and pragmatic considerations.

机构信息

Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brazil.

Universidade Federal de Mato Grosso do Sul, Três Lagoas, MS, Brazil.

出版信息

Rev Esc Enferm USP. 2024 May 20;58:e20230417. doi: 10.1590/1980-220X-REEUSP-2023-0417en. eCollection 2024.

DOI:10.1590/1980-220X-REEUSP-2023-0417en
PMID:38767848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11110891/
Abstract

The objective of the study was to identify the main challenges in conducting research with immigrants and refugees and to provide seven methodological and pragmatic strategies. The analyses presented, based on the Theory of Culture Care Diversity and Universality, are extracted from insights of the authors' experiences as researchers and the literature. The main challenges are related to cultural, moral, political, and educational differences between researcher and researched; identification of the universe and sampling; access to informants through the barrier of distrust; and communication and language difficulties. Strategies to make research more successful involve: developing a thorough research protocol; creatively recruiting participants; developing strategies to facilitate communication; having a sensitive look; offering a structure of reciprocity; increasing trust, and triangulating research. The main methodological and pragmatic issues in studies with immigrants and refugees were explored, providing valuable guidance for future projects. However, in different migration situations, researchers must be aware of the possibility of other challenges arising during the investigative process.

摘要

本研究旨在确定与移民和难民进行研究的主要挑战,并提供七种方法学和实用策略。基于文化关怀多样性和普遍性理论的分析,是从作者作为研究人员的经验和文献中得出的见解中提取的。主要挑战涉及研究人员与研究对象之间的文化、道德、政治和教育差异;宇宙和抽样的识别;通过不信任的障碍获得信息提供者的机会;以及沟通和语言困难。使研究更加成功的策略包括:制定全面的研究方案;创造性地招募参与者;制定促进沟通的策略;具有敏锐的眼光;提供互惠结构;增加信任,并进行三角研究。本研究探讨了移民和难民研究中的主要方法学和实用问题,为未来的项目提供了有价值的指导。然而,在不同的移民情况下,研究人员必须意识到在调查过程中可能会出现其他挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91a8/11110891/737fa3478f51/1980-220X-reeusp-58-e20230417-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91a8/11110891/737fa3478f51/1980-220X-reeusp-58-e20230417-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91a8/11110891/737fa3478f51/1980-220X-reeusp-58-e20230417-gf01.jpg

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本文引用的文献

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Experiences of Providers and Immigrants/Refugees with Health Care: A Meta-Synthesis of the Latin American Context.提供者和移民/难民的医疗保健体验:拉丁美洲背景的元综合分析。
Can J Nurs Res. 2024 Jun;56(2):151-163. doi: 10.1177/08445621231215845. Epub 2023 Nov 20.
2
[Relevance of the transcultural approach to improve the care relationship in the perinatal period].[跨文化方法对改善围产期护理关系的相关性]
Gynecol Obstet Fertil Senol. 2023 Jun;51(6):342-347. doi: 10.1016/j.gofs.2023.04.007. Epub 2023 Apr 18.
3
International migration and its influence on health.
国际移民及其对健康的影响。
Res Nurs Health. 2022 Oct;45(5):503-511. doi: 10.1002/nur.22262. Epub 2022 Sep 15.
4
Depressive Symptoms in Older African Immigrants with Mobility Limitations: A Descriptive Study.老年行动受限的非洲移民中的抑郁症状:一项描述性研究。
Clin Gerontol. 2023 Jan-Feb;46(1):14-26. doi: 10.1080/07317115.2021.1976893. Epub 2021 Sep 16.
5
[Healthcare experiences of primary care workers with Bengalese immigrants in Paraná State, Brazil].[巴西巴拉那州基层医疗工作者与孟加拉移民的医疗保健经历]
Cad Saude Publica. 2020;36(8):e00087019. doi: 10.1590/0102-311x00087019. Epub 2020 Aug 17.
6
Leininger's Ethnonursing Research Method: Historical Retrospective and Overview.莱宁格的民族护理研究方法:历史回顾与概述。
J Transcult Nurs. 2020 Jul;31(4):337-349. doi: 10.1177/1043659620912308. Epub 2020 Mar 13.
7
Leininger's Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future.莱宁格的文化关怀多样性和普遍性理论:历史回顾与未来展望的概述。
J Transcult Nurs. 2019 Nov;30(6):540-557. doi: 10.1177/1043659619867134. Epub 2019 Aug 13.
8
Recruiting African Immigrant Women for Community-Based Cancer Prevention Studies: Lessons Learned from the AfroPap Study.招募非洲移民妇女参与社区癌症预防研究:来自 AfroPap 研究的经验教训。
J Community Health. 2019 Oct;44(5):1019-1026. doi: 10.1007/s10900-019-00677-y.
9
Undocumented migrants' life situations: An exploratory analysis of quality of life and living conditions in a sample of undocumented migrants living in Norway.无证件移民的生活状况:对居住在挪威的无证件移民样本的生活质量和生活条件的探索性分析。
J Clin Nurs. 2019 Jun;28(11-12):2073-2087. doi: 10.1111/jocn.14743. Epub 2019 Jan 25.
10
Cohort Analysis of Immigrant Rhetoric on Timely and Regular Access of Prenatal Care.队列分析移民言论对及时和定期获得产前护理的影响。
Obstet Gynecol. 2019 Jan;133(1):117-128. doi: 10.1097/AOG.0000000000003023.