当前多重危机背景下医疗保健和行政人员与寻求庇护者合作的经验：一项定性研究。
Experiences of healthcare and administrative staff working with asylum seekers in the current polycrisis context: a qualitative study.
作者信息
Grosjean Léa, Sancosme Yann, Morisod Kevin, François Allison, Caitlin Rose, Jachmann Anne, Grazioli Véronique S, Bodenmann Patrick
机构信息
Department of Vulnerabilities and Social Medicine, Center for Primary Care and Public Health, Chair of Medicine for Vulnerable Populations, University of Lausanne, Unisanté, Rue de la Corniche 10, Lausanne, 1011, Switzerland.
Department of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, 3012, Bern, Switzerland.
出版信息
BMC Health Serv Res. 2025 Apr 30;25(1):620. doi: 10.1186/s12913-025-12758-x.
BACKGROUND
Healthcare and administrative staff working with asylum seekers are at risk of burnout, compassion fatigue and vicarious traumatization. Moreover, they face a series of crises, with the refugee crisis in 2015-2016, the Covid-19 pandemic, the war in Ukraine and climate change, complexifying their daily practice and increasing the number of asylum seekers. Despite this alarming context, scarce research has explored the personal experiences of healthcare and administrative staff working with asylum seekers. In response, this qualitative study aimed to explore their work-related experiences, resources and needs in the current polycrisis context in Switzerland.
METHODS
Participants (N = 24) were part of the front-line care team working with asylum seekers in the Canton of Vaud (Switzerland). The sample included nurses, administrative staff, physicians and psychologists. They participated in semi-structured interviews exploring the personal experiences of their work, difficulties and challenges encountered and their resources and needs. Inductive content analysis was used to organize data and identify themes.
RESULTS
Main findings highlighted a significant emotional burden for staff related to their patients' migratory journey and experiences in the asylum system. Next, participants expressed various challenges associated with their work, such as heavy workload, lack of partners in the healthcare network, communication barriers and the polycrisis context. Further, findings documented that participants' strong intrinsic motivation and personal and institutional resources support them in overcoming these difficulties. Finally, participants made some suggestions for the improvement of their working environment, including promotion of exchange between colleagues, collaboration with partners and hiring additional staff.
CONCLUSIONS
Healthcare and administrative staff working with asylum seekers are exposed to multiple challenges and emotional difficulties linked to their patients' experiences. Findings suggest the need to address the well-being of this population by developing measures to enhance support for them at individual and structural levels, particularly within the current polycrisis context.
背景
与寻求庇护者打交道的医护人员和行政人员面临职业倦怠、同情疲劳和替代性创伤的风险。此外，他们还面临一系列危机，包括2015 - 2016年的难民危机、新冠疫情、乌克兰战争和气候变化，这些使他们的日常工作变得复杂，并增加了寻求庇护者的数量。尽管情况令人担忧，但很少有研究探讨与寻求庇护者打交道的医护人员和行政人员的个人经历。为此，这项定性研究旨在探讨他们在瑞士当前多重危机背景下与工作相关的经历、资源和需求。
方法
参与者（N = 24）是瑞士沃州与寻求庇护者打交道的一线护理团队的成员。样本包括护士、行政人员、医生和心理学家。他们参与了半结构化访谈，探讨工作中的个人经历、遇到的困难和挑战以及他们的资源和需求。采用归纳式内容分析法来组织数据并确定主题。
结果
主要研究结果凸显了工作人员因其患者在移民过程及庇护系统中的经历而承受的巨大情感负担。其次，参与者表达了与工作相关的各种挑战，如工作量大、医疗网络中缺乏合作伙伴、沟通障碍以及多重危机背景。此外，研究结果表明，参与者强烈的内在动力以及个人和机构资源帮助他们克服了这些困难。最后，参与者对改善工作环境提出了一些建议，包括促进同事之间的交流、与合作伙伴协作以及招聘更多工作人员。
结论
与寻求庇护者打交道的医护人员和行政人员面临与患者经历相关的多重挑战和情感困难。研究结果表明，有必要通过制定措施在个人和结构层面加强对他们的支持，尤其是在当前多重危机背景下，以关注这一群体的福祉。
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