Marti-Castaner Maria, Poulsen Vivian Rueskov, Di Nucci Ezio, Villadsen Sarah Fredsted
Department of Public Health, Section of Health Services Research, University of Copenhagen, Øster Farimagsgade 5, Room 15.0.11, Copenhagen, DK-1014, Denmark.
Department of Public, Health, Section of Social Medicine, University of Copenhagen, Copenhagen, Denmark.
Arch Womens Ment Health. 2025 Apr;28(2):245-255. doi: 10.1007/s00737-024-01529-y. Epub 2024 Nov 19.
To explore the experiences of refugee mothers and community health nurses participating in a nurse home visiting program in Denmark, focusing on the program's effects on the psychosocial well-being of refugee mothers during the transition to motherhood.
The nurse home visiting program was an add-on the public care offered to all families, with extra training of the community health nurses and more time to engage with the families with immigrant and refugee backgrounds. Community health nurses (12) and participating women (9) participated in qualitative interviews between September and December 2020, following the program's conclusion.
Utilizing the Resource-Based Model of refugee adaptation as a theoretical framework, we identified four main themes: (i) negotiating parenting norms and gaining confidence through parenting resources; (ii) finding emotional support to cope with integration pressures; (iii) expanding social resources, (iv) building bridges with welfare state services. These themes captured the resources gained by mothers through the home visiting program, positively influencing their psychosocial well-being, while also acknowledging the impact of the socio-political context on community health nurses' work and mothers' daily lives.
Findings offer insights about the potential and limitations of tailored nurse home visiting programs for refugee families, emphasizing the positive impact on mental health. However, challenges such as assimilation pressures, unwelcoming immigration policies, and discrimination may hinder program effectiveness.
探讨丹麦难民母亲和社区健康护士参与护士家访计划的经历，重点关注该计划对难民母亲向母亲角色转变过程中心理社会幸福感的影响。
护士家访计划是向所有家庭提供的公共护理的附加内容，对社区健康护士进行了额外培训，并给予更多时间与有移民和难民背景的家庭接触。在该计划结束后，12名社区健康护士和9名参与的女性在2020年9月至12月期间参与了定性访谈。
以基于资源的难民适应模型作为理论框架，我们确定了四个主要主题：（i）通过育儿资源协商育儿规范并获得信心；（ii）寻找情感支持以应对融入压力；（iii）扩大社会资源；（iv）与福利国家服务建立联系。这些主题体现了母亲们通过家访计划获得的资源，对她们的心理社会幸福感产生了积极影响，同时也承认了社会政治背景对社区健康护士工作和母亲日常生活的影响。
研究结果提供了关于为难民家庭量身定制的护士家访计划的潜力和局限性的见解，强调了对心理健康的积极影响。然而，同化压力、不友好的移民政策和歧视等挑战可能会阻碍计划的有效性。
