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标题：‘It is a dilemma’: perspectives of nurse practitioners on health screening of newly arrived migrants
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作者：Faustine K. Nkulu Kalengayi ; Anna-Karin Hurtig ; Annika Nordstrand 等
期刊名称：Global Health Action
印刷版ISSN：1654-9716
电子版ISSN：1654-9880
出版年度：2015
卷号：8
期号：0
DOI：10.3402/gha.v8.27903
语种：English
出版社：Taylor & Francis
摘要：Background: Screening newly arrived migrants from countries with high burden of communicable diseases of public health significance is part of the Swedish national strategy against the spread of these diseases. However, little is known about its implementation.Objective: This study aimed at exploring caregivers’ experiences in screening newly arrived migrants to generate knowledge that could inform policy and clinical practice.Design: Using an interpretive description framework, we conducted semistructured interviews between November and December 2011 in four Swedish counties, with 15 purposively selected nurses with experience in screening migrants. Data were analyzed using thematic analysis.Results: Participants described a range of challenges including discordant views between migrants and the nurses about medical screening, inconsistencies in rules and practices, and conflicting policies. Participants indicated that sociocultural differences resulted in divergent expectations with migrants viewing the participants as agents of migration authorities. They also expressed concern over being given a new assignment without training and being expected to share responsibilities with staff from other agencies without adequate coordination. Finally, they indicated that existing policies can be confusing and raise ethical issues. All these were compounded by language barriers, making their work environment extremely complex and stressful.Conclusions: These findings illuminate complex challenges that could limit access to, uptake, and delivery of health screening and undermine public health goals, and highlight the need for a multilevel approach. This entails avoiding the conflation of migration with health issues, harmonizing existing policies to make health care services more accessible and acceptable to migrants, and facilitating health professionals’ work in promoting public health, improving interagency collaboration and the skills of all staff involved in understanding and effectively responding to migrants’ needs, and improving migrants’ health literacy through community outreach interventions.Keywords: migrants; nurses; language barriers; screening; cultural competence; thematic analysis; health policies; migration policy; interpretive description; Sweden(Published: 22 July 2015)Citation: Glob Health Action 2015, 8: 27903 - http://dx.doi.org/10.3402/gha.v8.27903
关键词：Public Health; Preventive Medicine; Health sysytems;migrants; nurses; language barriers; screening; cultural competence; thematic analysis; health policies; migration policy; interpretive description; Sweden;Public Health; Preventive Medicine