Caggianelli Gabriele, Cangelosi Giovanni, Iacono Irene Dello, Petrelli Fabio, Fiorda Maurizio, Pettinari Samanda, Palomares Sara Morales, Marfella Francesca, Mancin Stefano
Department of Healthcare Professions, Azienda Ospedaliera Complesso Ospedaliero San Giovanni Addolorata, Rome, Italy.
Units of Diabetology, ASUR Marche, Fermo, Italy.
Int J Nurs Stud Adv. 2025 May 15;8:100352. doi: 10.1016/j.ijnsa.2025.100352. eCollection 2025 Jun.
Wars worldwide inflict immense suffering and drive mass migrations to neighbouring countries. The Ukraine conflict has forced millions to flee, often lacking healthcare and family support. In response, volunteer health and social care networks, including nurses and doctors, were established to assist refugees. Among these, the "Coordination of Volunteer Nurses for Health Emergencies Association" (CIVES) played a key role in providing frontline care.
This study explored the experiences of Italian volunteer nurses delivering health and social care to refugees during the Ukrainian conflict.
A qualitative phenomenological approach was used to examine the experiences of volunteer nurses from CIVES.
The study involved volunteer nurses participating in a mission to support Ukrainian refugees.
A total of 17 volunteer nurses (47.1 % female) from CIVES took part in the study.
Data were collected through semi-structured interviews conducted between June and August 2024. Giorgi's phenomenological method was employed for data analysis, identifying key challenges and experiences among the nursing staff.
The analysis identified five central themes. First, a holistic approach to care was prominent, with nurses addressing not only physical health needs but also providing critical emotional and psychological support. Second, language and communication challenges emerged, often requiring nurses to rely on non-verbal cues and collaborative teamwork to bridge language barriers effectively. Third, a strong emphasis on multidisciplinary collaboration was evident, with nurses frequently working alongside psychologists, social workers, and cultural mediators to deliver comprehensive care. Fourth, the crisis revealed significant emotional and psychological impacts, particularly due to the trauma endured by refugees, including unaccompanied minors, which had a profound effect on the nurses themselves. Finally, personal adaptation and growth surfaced as a key theme, as participants described both personal fulfilment and professional development through their experiences.
Volunteer nurses providing care to refugees face significant challenges, including emotional burdens and ethical dilemmas. The findings suggest a need for specialized training in holistic care and crisis management, emphasizing the importance of psychological support and multidisciplinary collaboration in disaster and conflict situations.
世界各地的战争带来了巨大的苦难，并导致大规模人口向邻国迁移。乌克兰冲突迫使数百万人逃离，他们往往缺乏医疗保健和家庭支持。作为回应，包括护士和医生在内的志愿者健康和社会护理网络得以建立，以协助难民。其中，“健康紧急情况志愿者护士协调协会”（CIVES）在提供一线护理方面发挥了关键作用。
本研究探讨了意大利志愿者护士在乌克兰冲突期间为难民提供健康和社会护理的经历。
采用定性现象学方法来审视CIVES志愿者护士的经历。
该研究涉及参与支持乌克兰难民任务的志愿者护士。
共有17名来自CIVES的志愿者护士（47.1%为女性）参与了该研究。
2024年6月至8月期间通过半结构化访谈收集数据。采用 Giorgi 的现象学方法进行数据分析，确定护理人员面临的关键挑战和经历。
分析确定了五个核心主题。首先，整体护理方法突出，护士不仅满足身体健康需求，还提供关键的情感和心理支持。其次，出现了语言和沟通挑战，护士常常需要依靠非语言线索和团队协作来有效跨越语言障碍。第三，明显强调多学科协作，护士经常与心理学家、社会工作者和文化调解人合作提供全面护理。第四，危机揭示了重大的情感和心理影响，特别是由于难民（包括无人陪伴的未成年人）所遭受的创伤，这对护士自身产生了深远影响。最后，个人适应和成长成为一个关键主题，因为参与者通过他们的经历描述了个人成就感和职业发展。
为难民提供护理的志愿者护士面临重大挑战，包括情感负担和道德困境。研究结果表明需要在整体护理和危机管理方面进行专门培训，强调心理支持以及灾难和冲突情况下多学科协作的重要性。
