Trajkovski Suza, Al-Dabbas Mahmoud A, Raman Shanti, Giannoutsos Nicolette, Langman Margaret, Schmied Virginia
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
NICM Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
J Clin Nurs. 2025 Mar;34(3):737-753. doi: 10.1111/jocn.17402. Epub 2024 Aug 23.
To examine immigrant and minority parents' experiences of having a newborn infant in the neonatal intensive care unit and explore healthcare professionals' experiences in delivering care to immigrant and minority families.
A meta-ethnographic review informed by eMERGe guidelines.
We conducted a systematic literature review. Studies were included if they explored immigrant or minority parent experiences in neonatal intensive care units and health professional experiences delivering care to immigrant and minority families in neonatal intensive care. Reporting followed ENTREQ guidelines.
Database searches included CINAHL, MEDLINE, PubMed, PsycINFO, Scopus and Google Scholar. Boolean search strategies were used to identify qualitative studies. No limitations on commencement date; the end date was 23rd August 2022. PRISMA guidelines used for screening and article quality assessed using Joanna Briggs Institute criteria for qualitative studies.
Initial search yielded 2468 articles, and nine articles met criteria for inclusion. Three overarching themes were identified: (1) Overwhelming Emotions, (subthemes: Overwhelming Inadequacy; Cultural Expressions of Guilt; Not Belonging), (2) Circles of Support, (subthemes: Individual Level-Spirituality; External Level-Connecting with Family; Structured Peer-to-Peer Support), (3) Negotiating Relationships with Healthcare Professionals (subthemes: Connecting; Disconnected; Linguistic Barriers). Interactions between healthcare professionals and immigrant and minority parents were the strongest recurring theme.
There can be a mismatch between immigrant and minority families' needs and the service support provided, indicating improvements in neonatal intensive care are needed. Despite challenges, parents bring cultural and family strengths that support them through this time, and many neonatal intensive care staff provide culturally respectful care.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Professionals should be encouraged to identify and work with family strengths to ensure parents feel supported in the neonatal intensive care unit. Findings can inform policy and practice development to strengthen health professionals capabilities to support immigrant and minority families in neonatal units.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklists were used to report the screening process.
探讨移民和少数族裔父母在新生儿重症监护病房（NICU）照料新生儿的经历，并探究医护人员为移民和少数族裔家庭提供护理的经验。
一项遵循eMERGe指南的元民族志综述。
我们进行了一项系统的文献综述。纳入的研究需探讨移民或少数族裔父母在新生儿重症监护病房的经历，以及医护人员在新生儿重症监护中为移民和少数族裔家庭提供护理的经验。报告遵循ENTREQ指南。
数据库检索包括CINAHL、MEDLINE、PubMed、PsycINFO、Scopus和谷歌学术。使用布尔检索策略识别定性研究。对开始日期无限制；结束日期为2022年8月23日。采用PRISMA指南进行筛选，并使用乔安娜·布里格斯研究所定性研究标准评估文章质量。
初步检索得到2468篇文章，9篇文章符合纳入标准。确定了三个总体主题：（1）压倒性的情绪（子主题：压倒性的不足；内疚的文化表达；归属感缺失），（2）支持圈子（子主题：个人层面——精神性；外部层面——与家人联系；结构化的 peer-to-peer 支持），（3）与医护人员协商关系（子主题：建立联系；脱节；语言障碍）。医护人员与移民和少数族裔父母之间的互动是最常见的反复出现的主题。
移民和少数族裔家庭的需求与所提供的服务支持之间可能存在不匹配，这表明新生儿重症监护需要改进。尽管存在挑战，但父母带来了文化和家庭优势，这些优势在此期间支持着他们，并且许多新生儿重症监护工作人员提供了具有文化尊重的护理。
对专业和/或患者护理的启示：应鼓励专业人员识别并利用家庭优势开展工作，以确保父母在新生儿重症监护病房中感到得到支持。研究结果可为政策和实践发展提供参考，以增强医护人员在新生儿病房支持移民和少数族裔家庭的能力。
使用系统评价和元分析的首选报告项目清单来报告筛选过程。
