[Migration-sensitive hospice and palliative care in Germany: a qualitative interview study with healthcare workers].

IF 0.3 4区医学 Q4 NURSING

Pflege Pub Date : 2025-06-15 DOI:10.1024/1012-5302/a001042

Till Neugebauer, Fabian Erdsiek, Ilknur Özer Erdogdu, Yüce Yilmaz-Aslan, Patrick Brzoska

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引用次数: 0

Abstract

Migration-sensitive hospice and palliative care in Germany: a qualitative interview study with healthcare workers Abstract: Background: Migrants often do not receive hospice and palliative care tailored to their needs. Migration-sensitive strategies are often either not implemented or applied in an unsystematic manner. Objective: The study aimed to identify barriers and facilitators for the implementation of migration-sensitive care in hospice and palliative care facilities in Germany. Methods: Seventeen topic guided telephone interviews with staff from relevant facilities were conducted and analyzed using Mayring's summarizing qualitative content analysis. Results: Low acceptance by facility operators, financial and staffing shortages, and structural barriers hinder implementation in everyday care. Differing values between patients and facility operators can further complicate care provision. While ad-hoc measures provide temporary relief, they result in increased workloads and disrupted workflows. Factors that facilitate implementation include multilingual staff, enabling consideration of culture-specific needs. Partnerships and networks can support strategy implementation and enhance care quality. Conclusions: Failure to address patient needs can lead to conflict and complicate care delivery. Reactive measures provide only limited solutions. Proactive strategies, institutional and financial support, and fostering acceptance of diverse values among facility operators are essential.

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[移民敏感临终关怀和姑息治疗在德国：定性访谈研究与卫生保健工作者]。

摘要：背景：移民往往不接受临终关怀和姑息治疗量身定制的需求。对迁移敏感的策略通常要么没有实现，要么以非系统的方式应用。目的：该研究旨在确定障碍和促进移民敏感护理在德国临终关怀和姑息治疗设施的实施。方法：对相关机构工作人员进行17次主题引导电话访谈，采用Mayring总结定性内容分析法进行分析。结果：设施运营商接受度低，资金和人员短缺，以及结构性障碍阻碍了日常护理的实施。患者和设施经营者之间价值观的差异会进一步使护理服务复杂化。虽然临时措施提供了暂时的缓解，但它们会导致工作量增加和工作流程中断。促进实施的因素包括多语种工作人员，能够考虑到特定文化的需要。伙伴关系和网络可以支持战略实施并提高护理质量。结论：未能解决患者的需求可能导致冲突和复杂的护理交付。被动措施只能提供有限的解决方案。积极的战略、制度和财政支持，以及促进设施运营商对多样化价值观的接受是至关重要的。

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来源期刊

Pflege NURSING-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

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