The Difficulties Experienced by Nurses Working in A Tertiary Hospital in Turkey while Providing Health Care to Immigrant and Refugee Patients and Intercultural Sensitivity

Anahtar Kelimeler:

Health care, health services, immigrant, nurse, refugee, Turkey.

The Difficulties Experienced by Nurses Working in A Tertiary Hospital in Turkey while Providing Health Care to Immigrant and Refugee Patients and Intercultural Sensitivity

Objective: This research was carried out to evaluate the difficulties experienced by nurses during the delivery of health care to immigrant and refugee patients and their intercultural sensitivity. Methods: The descriptive-cross-sectional study was conducted with 132 nurses. In the study, "socio-demographic questions, questions about the difficulties experienced while caring for immigrant/refugee patients" and "Intercultural Sensitivity Scale (ISS)" were applied. Mean ± standard deviation, frequency, and percentage values, Kruskal Wallis, Mann Whitney-U test, and Spearman correlation analysis were used in the data analysis. The statistical significance level was accepted as p<0.05. Results: It was found that 65.2% of the nurses had no desire to care for migrant or refugee patients, 87.9% had difficulties while giving care, and 96.2% were found to be hindered by language differences while caring for patients. The mean total score of the ISS scale was determined as 61.58±9.96. When the ISS scale was evaluated in terms of the total score, the mean scores of those aged >30 years (p=0.021), those with undergraduate and graduate degrees (p=0.036), and those living in the city center were high (p=0.044). While the scale's total score was higher in those who benefited from the media and previous experiences as a source of cultural information (p=0.015, p=0.002, respectively), it was lower in those who had difficulties caring for immigrants and refugee patients (p=0.035). Conclusion: In our result, it is seen that the level of intercultural sensitivity in nurses is moderate, and age, education level, and place of residence for immigrant or refugee patients affect intercultural sensitivity. It is seen that nurses with low intercultural sensitivity have difficulties in giving care to immigrant and refugee patients.

Keywords:

Health care, health services, immigrant, nurse, refugee, Turkey.,

PDF

___

1. Demirhan Y, Aslan S. Türkiye’nin Sınır Ötesi Göç Politikaları Ve Yönetimi. Birey Ve Toplum Sosyal Bilimler Dergisi. 2015;5(1), 23-62
2. UN-DESA (2021) United Nations Department of Economic and Social Affairs. (cited 28 November 2022). Available from: https://www.un.org/development/desa/pd/content/international-migrant-stock.
3. Baksi A, Sürücü Ha, Duman M. Hemşirelik Öğrencilerinin Kültürler Arası Duyarlılıkları ve İlişkili Faktörlerin Değerlendirilmesi. Jaren. 2019;5(1):31-9.
4. Chen G-M. A Review of the Concept of Intercultural Sensitivity. 1997.
5. Mao Y, Hale CL. Relating intercultural communication sensitivity to conflict management styles, technology use, and organizational communication satisfaction in multinational organizations in China. Journal of Intercultural Communication Research. 2015; 44(2):132-50.
6. Bhawuk DP, Brislin R. The measurement of intercultural sensitivity using the concepts of individualism and collectivism. International journal of intercultural relations. 1992;16(4):413-36.
7. Sung DH, Jin KN, Kim, JM. The preparation of medical institutions in Seoul for attracting foreign patients. Korean J Hosp Manag. 2012;17(4):58-70.
8. Ministry of Health. Health Statistics Yearbook. 2017. Ankara: Kuban Matbaacılık Yayıncılık; 2017. (cited 22 November 2022). Available from: https://dosyasb.saglik.gov.tr/Eklenti/30148,ingilizcesiydijiv1pdf.pdf?0.
9. Chen G-M, Starosta WJ. The development and validation of the intercultural sensitivity scale. Human Communication. 2000;3:1-15.
10. Bulduk S, Tosun H, Ardıç E. Türkçe kültürler arası duyarlılık ölçeğinin hemşirelik öğrencilerinde ölçümsel özellikleri. Turkiye Klinikleri Journal of Medical Ethics-Law and History. 2011;19(1):25-31.
11. Aydın D, Şahin N, Akay B. Göç olayının çocuk sağlığı üzerine etkileri. İzmir Dr. Behçet uz Çocuk Hast. Dergisi. 2017;7(1):8-14.
12. Gönderen Çakmak H, Özer Küçük E, Ağadayı E, Kahveci R. Bir Araştırma Hastanesinde Çalışan Hemşirelerin Kültürlerarası Duyarlılıkları Ve Göçmen Hastalar İle İlgili Görüşleri. Ankara Medical Journal. 2020;20(4).
13. Hadımlı A, Koçak YÇ, Şener AG, Üredi N. Ebelik Öğrencilerinin Klinik Uygulamaları Sırasında Mülteci/Sığınmacı Kadınlarla İletişimde Yaşadıkları Güçlükler. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2019; 6(1), 1-9.
14. Akkoç S, Tok M, Hasıripi A. Mülteci ve sığınmacı hastalara sağlık hizmeti sunulurken sağlık çalışanlarının yaşadığı sorunlar. Sağlık Akademisyenleri Dergisi. 2017;4(1), 23-27.
15. İldan Çalım S, Kavlak O, Sevil Ü. Evrensel bir sorun: Göç eden kadınların sağlığı ve sağlık hizmetlerinde yaşanan dil engeli. Sağlık ve Toplum. 2012; 22(2), 11-19.
16. Gönenç İM, Göktaş M, Dursun RA, Çökelek F, Ercan N, Şahin D. Opinions and cultural sensitivities of midwives and nurses about providing health care to women seeking asylum. Journal of Human Sciences. 2018;15(2), 683-696.
17. Afyonoğlu MF, Harputlu Ç. Covid-19 Pandemisinde Göç Alanında Çalışan Sosyal Çalışmacı Olmak. Journal of Society & Social Work. 2021;32(5).
18. Özdemir F, Evgin D, İnci F. Pediatri Hemşirelerinin Kültürel Duyarlılıkları ve Mülteci Hastalara Yönelik Aile Merkezli Bakım Uygulamaları: Kesitsel Bir Çalışma. Turkiye Klinikleri Journal of Nursing Sciences. 2022;14(2).
19. Yilmaz M, Toksoy S, Direk ZD, Bezirgan S, Boylu M. Cultural sensitivity among clinical nurses: a descriptive study. J Nurs Scholarsh. 2017;49(2):153-61.
20. Uzun Ö, Sevinç S. The relationship between cultural sensitivity and perceived stress among nurses working with foreign patients. Journal of clinical nursing. 2015;24(23-24):3400-8.
21. Kürtüncü M, Arslan N, Çatalçam S, Yapıcı G, Hırçın G. Yataklı tedavi kurumlarında çalışan hemşirelerin kültürlerarası duyarlılıkları ile sosyo-demografik özellikleri ve empati düzeyleri arasındaki ilişkisi Hemşirelikte Araştırma Geliştirme Dergisi. 2018;20(1):44- 56.
22. Karlıdağ Arlı Ş, Bakan AB. Cerrahi hemşirelerde merhamet ve kültürlerarası duyarlılığı etkileyen faktörler. Sürekli Tıp Eğitimi Dergisi. 2018;27(4):277-83.
23. Quine A, Hadjistavropoulos HD, Alberts NM. Cultural self-efficacy of Canadian nursing students caring for Aboriginal patients with diabetes. Journal of Transcultural Nursing. 2012;23(3):306-312. doi: 10.1177/1043659612441023.
24. Jeffreys MR, Dogan E. Evaluating the influence of cultural competence education on students’ transcultural self-efficacy perceptions. Journal of Transcultural Nursing. 2012;23(2):188-197.
25. Lin C-N, Mastel-Smith B, Alfred D, Lin Y-H. Cultural competence and related factors among Taiwanese nurses. Journal of Nursing Research. 2015;23(4):252-61.
26. Chang H-Y, Yang Y-M, Kuo Y-L. Cultural sensitivity and related factors among community health nurses. Journal of Nursing Research. 2013;21(1):67-73.
27. Plaza Del Pino F, Soriano E, Higginbottom G. Sociocultural and linguistic boundaries influencing intercultural communication between nurses and Moroccan patients in southern Spain: a focused ethnography. BMC Nursing. 2013;12: 2-8.