Transcultural challenges in the nurse-migrant patient caring relationship: a phenomenological study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-04-16 DOI:10.1016/j.apnr.2025.151954

Arianna Anzini , Gabriele Caggianelli , Rita Patrizia Tomasin , Alessia Segala , Stefania Giangrazi , Chiara Paccagnella , Stefano Mancin , Fabio Petrelli , Valentina Vanzi , Giovanni Cangelosi , Irene Dello Iacono

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引用次数: 0

Abstract

Background/aim

The rising migration to EU Member States has increased demographic diversity, posing challenges for healthcare systems in delivering culturally competent care. Nurses, often the first healthcare providers to interact with migrant patients, play a crucial role in addressing cultural differences. However, a lack of awareness and preparedness can negatively impact the nurse-patient relationship and overall care quality. This study aimed to explore the transcultural challenges nurses encounter when caring for migrant patients.

Methods

A qualitative phenomenological approach was used to examine the experiences of 19 nurses from two hospitals in Italy. Semi-structured interviews were conducted between June and August 2024. Giorgi's phenomenological method was applied to analyze the data and identify key themes related to transcultural care challenges.

Results

The findings revealed that language barriers significantly hinder communication, often requiring nurses to rely on non-verbal strategies. Cultural differences in health beliefs and expectations necessitate continuous adaptation of care plans. Building trust and empathy is crucial in fostering effective relationships, yet nurses face emotional and ethical challenges when patient values conflict with standard practices. Culturally competent staff act as essential mediators, bridging gaps in understanding and care delivery.

Conclusions

This study highlights the need for tailored interventions to support nurses in managing transcultural challenges. Addressing communication barriers and ethical dilemmas through training and the inclusion of cultural mediators is crucial to improving care quality for migrant patients. Further research is needed to develop evidence-based strategies for culturally competent nursing care.

查看原文本刊更多论文

护士-流动病人护理关系中的跨文化挑战：现象学研究

背景/目的向欧盟成员国移民的增加增加了人口多样性，对医疗保健系统在提供文化上合格的护理方面提出了挑战。护士通常是第一个与移民患者互动的医疗保健提供者，在解决文化差异方面发挥着至关重要的作用。然而，缺乏意识和准备会对护患关系和整体护理质量产生负面影响。本研究旨在探讨护士在照顾流动病人时所遇到的跨文化挑战。方法采用定性现象学方法对意大利两所医院19名护士的护理经历进行分析。半结构化访谈于2024年6月至8月进行。Giorgi的现象学方法被用于分析数据，并确定与跨文化护理挑战相关的关键主题。结果研究发现，语言障碍严重阻碍了护士的沟通，往往需要依靠非语言策略。在健康信仰和期望方面的文化差异要求不断调整护理计划。建立信任和同理心对于培养有效的关系至关重要，然而，当患者的价值观与标准做法发生冲突时，护士面临情感和道德上的挑战。具有文化能力的工作人员充当重要的调解人，弥合理解和提供护理方面的差距。结论：本研究强调需要有针对性的干预措施来支持护士应对跨文化挑战。通过培训和接纳文化调解人来解决沟通障碍和道德困境，对于提高流动患者的护理质量至关重要。需要进一步的研究来制定基于证据的文化能力护理策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.