Hostname: page-component-669899f699-chc8l Total loading time: 0 Render date: 2025-04-25T03:33:02.607Z Has data issue: false hasContentIssue false

Pediatric Nurses’ Experiences in Refugee Children Care: A Qualitative Research

Published online by Cambridge University Press:  15 April 2025

Aslihan Güney*
Affiliation:
Prof. Dr. Cemil Tascioglu City Hospital, Pediatric Ward, Istanbul, Türkiye
Duygu Sonmez Düzkaya
Affiliation:
Faculty of Health Sciences, Nursing Department, Tarsus University, Mersin, Türkiye
Gülzade Uysal
Affiliation:
Faculty of Health Science, Nursing Department, Sakarya University of Applied Science, Sakarya, Türkiye
*
Corresponding author: Aslihan Güney; Email: [email protected]

Abstract

Objective

Communication is one of the main foundations for providing nursing care. Due to intercountry mobility, nurses encounter communication barriers with patients and their families, such as language and sociocultural differences.

Methods

This study was conducted to investigate the experiences of pediatric nurses in caring for refugee children. The phenomenological study was conducted between November 2023 and February 2024 with 16 pediatric nurses working in the inpatient wards of Istanbul Prof. Dr. Cemil Tascioglu City Hospital Pediatrics Clinic who agreed to participate in the study. Data were collected through face-to-face interviews and voice recordings. After the interviews were transcribed, the MAXQDA 2022 program was used for coding, creating themes, and analyzing the relationship between codes and sub-codes.

Results

The nurses revealed themes of the care process, difficulties related to the patient, communication methods, risks in patient safety, feelings experienced about the ineffective communication, and suggestions. The main codes obtained from the themes were loss of time, difficulties in communication and training, difficulties arising from cultural practices, using body language, wrong practices regarding patient safety, sadness and fatigue experienced when there is no communication, and the need for learning Turkish.

Conclusions

The pediatric nurses had problems with communication and felt sadness about caring for refugee children. The problem of loss of time in giving care due to language and sociocultural differences, and the suggestion of learning Turkish as the solution come to the fore. It is necessary to carry out comprehensive research on this subject.

Type
Original Research
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Karaca, M, Tülüce, NS. Determination of problems encountered in refugee health practices by AHP method. Hitit Journal of Social Sciences. 2023;16(2):267289.Google Scholar
Gamsizkan, Z, Onmez, A. Evaluation of immigrant and refugee patients applying to a university hospital. Sakarya Med J. 2021;11(1):122128.Google Scholar
Convention on the Rights of the Child. UNICEF. Accessed 20 July 2024. https://www.unicef.org/turkiye/en/convention-rights-childGoogle Scholar
Cetinkaya, B, Turan, T, Ceylan, SS, et al. Determining implementation status of pediatric nurses’ roles and functions. Pam Tip Derg. 2017;(2):152156.CrossRefGoogle Scholar
Korkmaz, AC. The problems caused to the health and nursing services by the asylum seeker. Journal of Health and Nursing Management. 2014;1(1):3742.Google Scholar
Zengin, M, Duken, ME, Yayan, EH, et al. Challenges experienced by nurses while caring for Syrian refugee children. Journal of Inonu University Health Services Vocational School. 2021;9(1):252263.Google Scholar
Pekdogan, EN, Saygun, M. Impact of migration on vulnerable groups. Kirikkale Uni Tip Fak Der. 2023;25(3):541552.Google Scholar
Stephen, JM, Zoucha, R. A call for nurse leader action: ethical nursing care of Latinx unauthorized immigrant children and families. Nurse Lead. 2021;19(4):395400.CrossRefGoogle Scholar
Tavallali, AG, Jirwe, M, Kabir, ZN. Cross-cultural care encounters in paediatric care: minority ethnic parents’ experiences. Scand J Caring Sci. 2017;31(1):5462.CrossRefGoogle ScholarPubMed
Orlando, IJ. The Dynamic Nursepatient Relationship, Function, Process and Principles. National League for Nursing. 1990;1:1523.Google Scholar
Graneheim, U, Lundman, B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105112.CrossRefGoogle ScholarPubMed
Lincoln, YS, Guba, EG, Pilotta, JJ. Naturalistic inquiry. Int J Intercult Relat. 1985;9(4):438439.CrossRefGoogle Scholar
Hadimli, A, Kocak, YC, Sener, AG, et al. The difficulties in communication of midwifery students with refugee women during clinical practices. Journal of Adnan Menderes University Health Sciences Faculty. 2022;6(1):19.Google Scholar
Akkoc, S, Tok, M, Hasiripi, A. The problems encountered by healthcare workers while offering an medical care to refugees and asylum seekers. Sag Aka Derg. 2017;4(1):2327.Google Scholar
Zurca, AD, Fisher, KR, Flor, RJ, et al. Communication with limited english proficient families in the PICU. Hosp Pediatr. 2017;7(1):915.CrossRefGoogle ScholarPubMed
Aydin, Y. Evaluation of health services provided to Syrian migrants in Turkey, problems and recommendations. Tibbi Sosyal Hizmet Dergisi. 2021;18:227248.CrossRefGoogle Scholar
Dreier, LA, Zernikow, B, Wager, J. Quantifying the language barrier-a total survey of parents’ spoken languages and local language skills as perceived by different professions in pediatric palliative care. Children (Basel). 2020;7(9):118.Google ScholarPubMed
Brisset, C, Leanza, Y, Laforest, K. Working with interpreters in health care: a systematic review and meta-ethnography of qualitative studies. Patient Educ Couns. 2013;91(2):131140.CrossRefGoogle Scholar
Squires, A. Evidence-based approaches to breaking down language barriers. Nursing. 2017;47(9):3440.CrossRefGoogle ScholarPubMed
Altindis, S, Inci, MB, Erkorkmaz, U. Access to health services in refugees. Value Health Sci. 2023;13(1):113118.Google Scholar
Adib, HM, Zare, M. The barriers to patient education from the viewpoint of nurses in Iran: a systematic review. Journal of Urmia University of Medical Sciences. 2017;15(7):544558.Google Scholar
Panter-Brick, C, Grimon, MP, Kalin, M, et al. Trauma memories, mental health, and resilience: a prospective study of Afghan youth. J Child Psychol Psychiatry. 2015;56(7):814825.CrossRefGoogle ScholarPubMed
Nikfarid, L, Rassouli, M, Shirinabadi, FA, et al. Perspectives of Afghan refugee mothers on the experience of caring for a child with cancer: a qualitative analysis. East Mediterr Health J. 2020;26(6):680686.CrossRefGoogle ScholarPubMed
Beykmirza, R, Nikfarid, L, Atashzadeh-Shoorideh, F, et al. Nursing adherence to ethical codes in pediatric oncology wards. Nurs Ethics. 2019;26(3):924936.CrossRefGoogle ScholarPubMed
Gonenc, IM, Goktas, M, Dursun, AR, et al. Opinions and cultural sensitivities of midwives and nurses about providing health care to women seeking asylum. Journal of Human Sciences. 2018;15(2):683696.CrossRefGoogle Scholar
Eris, H, Havlioglu, S, Kucukozkan, S, et al. The burnout levels of nurses and midwives working in the districts located near camps of Syrian refugees: case of Sanliurfa. Usaysad Derg. 2017;3(3):326339.Google Scholar
Kahraman, BY, Sahin, M. The effects of immigrants on the health burden in our country and their perspective: candidate example of medical personnel. GUJHS. 2021;10(1):98104.Google Scholar
Yesilyurt, O, Savasci, E. An evaluation on health communication problems of asylum seekers and refugees. Ictimaiyat Journal of Social Sciences, Goc ve Mültecilik Ozel Sayisi. 2022;1:286306.Google Scholar