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移民长期护理工作者在长期护理机构中的经历:范围综述。

The Experiences of Migrant Care Workers in Long-term Care Facilities: A Scoping Review.

机构信息

University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

Department of Nursing, College of Medicine, National Cheng Kung University, 1 University Road, Tainan, 70101, Taiwan.

出版信息

J Immigr Minor Health. 2024 Oct;26(5):936-944. doi: 10.1007/s10903-024-01618-1. Epub 2024 Jul 16.

DOI:10.1007/s10903-024-01618-1
PMID:39012365
Abstract

The employment of migrant care workers provides a remedy to face the challenges of increased demand for care of older adults. A scoping review aimed to identify, categorize, and summarize the existing knowledge about migrant care workers' working experiences in long-term care facilities. Identifying gaps in the literature can inform future research. Five electronic databases were searched in April 2024 in addition to a manual search for articles published in English. Forty-five articles were reviewed. A few studies described migrant care assistants' main tasks as assisting physical care and care assistants' characteristics grouped into personal and acquired qualities to provide good quality care. Migrant care workers experienced work satisfaction, achievement, adaptability and adjustment, organizational support, work burden, sense of loneliness, low wages, low social status, and loss of profession. They faced challenges involving inadequate knowledge of palliative care, communication and language barriers, cultural and religious differences, and health concerns. Friendly and discriminatory relationships were found between migrant care workers and stakeholders. Existing evidence regarding the experiences of migrant care workers in delivering palliative care to dying residents or facilitating death preparation is limited. Additionally, there is a notable absence of data from the perspectives of employers and residents on discrimination issues. Further research is necessary to investigate these areas.

摘要

移民护理员的就业为应对老年人护理需求增加的挑战提供了一种补救措施。一项范围综述旨在确定、分类和总结关于移民护理员在长期护理设施中的工作经验的现有知识。确定文献中的差距可以为未来的研究提供信息。除了对以英文发表的文章进行手动搜索外,还于 2024 年 4 月在五个电子数据库中进行了搜索。审查了 45 篇文章。有几项研究描述了移民护理助理的主要任务是协助身体护理,将护理助理的特征分为个人和后天素质,以提供高质量的护理。移民护理员经历了工作满意度、成就感、适应性和调整、组织支持、工作负担、孤独感、低工资、低社会地位和职业流失。他们面临着姑息治疗知识不足、沟通和语言障碍、文化和宗教差异以及健康问题等挑战。在移民护理员与利益相关者之间发现了友好和歧视的关系。关于移民护理员为临终居民提供姑息治疗或促进死亡准备的经验的现有证据有限。此外,关于歧视问题,雇主和居民的观点也没有数据。需要进一步研究这些领域。

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J Transcult Nurs. 2023 May;34(3):229-237. doi: 10.1177/10436596231152204.
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Experience of internationally qualified nurses providing palliative care in a New Zealand aged residential care facility.具有国际资质的护士在新西兰老年护理机构提供姑息治疗的经验。
Int J Palliat Nurs. 2021 Dec 2;27(10):515-523. doi: 10.12968/ijpn.2021.27.10.515.
3
The plight of migrant care workers in Japan: A qualitative study of their stressors on caregiving.
日本移民护理工作者的困境:对其护理压力源的定性研究
J Migr Health. 2020 Sep 29;1-2:100001. doi: 10.1016/j.jmh.2020.100001. eCollection 2020.
4
Caring during the COVID-19 crisis: Intersectional exclusion of immigrant women health care aides in Canadian long-term care.新冠疫情期间的关怀:加拿大长期护理中移民女性医护助理的交叉性排斥。
Health Soc Care Community. 2022 Jul;30(4):e1343-e1351. doi: 10.1111/hsc.13541. Epub 2021 Aug 15.
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Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study.台湾老年人入住长期护理机构的搬迁体验:一项定性研究。
BMC Geriatr. 2020 Aug 6;20(1):280. doi: 10.1186/s12877-020-01679-5.
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Nurs Ethics. 2021 May;28(3):402-413. doi: 10.1177/0969733020921487. Epub 2020 Jun 18.
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J Nurs Res. 2020 Apr;28(2):e78. doi: 10.1097/jnr.0000000000000355.
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