Aim To explore the experience of anaesthetist nurses in brief meetings with immigrant patients in the perioperative setting. Methods The study was conducted through open individualised interviews using open-ended questions. Eighteen anaesthetist nurses (six men and twelve women) participated in the interviews. Their age varied between 35 and 65 and they had worked as anaesthetist nurses for a period between six and twenty eight years. The text was analysed using qualitative content analysis. Results Meetings with immigrant patients made nurses with less experience to prepare more, to study behaviour of these patients and to ask their older colleagues for advice. More experienced nurses acted on the basis of their previous experience and treated the patients in the same way as before. They also emphasised the great responsibility and wider scope of assistance needed by these patients than those born in Sweden. The majority of nurses begin the meetings with these patients by requesting an interpreter, while some nurses begin the meeting directly with the patient and, if they see it is not going well, they request an interpreter. Conclusion Nurses need better guidelines and education in how to deal with the legislation relating to immigrant patients in order to handle the situation more effectively. Training in cross-cultural care should be improved to help nurses deal with stress through cooperation with the Migration Board and others. In order to provide for good communication and patient safety professional interpreters should be used.
Laczko F, Appave G, Haque S, Helke J. World migration report. International Organization for Migration; 2013.
2.
Global Refugees trends. UNHCR (United Nation High Commissioner for Refugees; 1AD.
3.
Taylor G. Transcultural health and social care: development of culturally competent practitioners. Churchill Livingstone Elsevier Publishing; 2006.
4.
Purnell L, Paulanka B. Transcultural health care: a culturally competent approach. 2nd ed. Philadelphia. FA Davis Publishing; 2003.
5.
Fishman J. Ethnicity as being, doing and knowing. Ethnicity. Oxford University Press; 1996.
6.
Taylor G, Papadopoulos I, Dudau V, Maerten M, Peltegova A, Ziegler M. Intercultural education of nurses and health professionals in Europe (IENE). Int Nurs Rev. 2011. p. 188–95.
7.
Wilow K, Författningshandbok, Stockholm. Liber; 2003.
8.
Who. Basic documents, 43rd ed. World Health Organization; 2001.
9.
Leininger M, Faraland M, M. Culture Care Diversity and Universality: A Worldwide Nursing Theory. Jones and Barlett; 2006.
10.
Ginger N, Davidhiziar E. Transcultural Nursing Assessment and Intervention. Mosby Elsevier; 2008.
11.
Gandhi R, Razak F, Davey J, Mahomed N. Ethnicity and patients’ perception of risk in joint replacement surgery. J Rheumatol. 2008. p. 1664–7.
12.
Lumer H. Symbolic interactionism -perspective and method. University of California Press; 1969.
13.
Halldorsdottir S. Caring and uncaring encounters in nursing and health care -Developing a theory. 1996.
14.
Travelbee J. Interpersonal aspects of nursing. Philadelphia. Davis; 1977.
15.
Wiman E. Encounters between patients and staff in the emergency department. 2005.
16.
Holmberg M, Fagerberg I. The encounter with the unknown: Nurses’ lived experiences of their responsibility for the care of the patient in the Swedish ambulance service. Int J Qual Stud Health Well-being. 2010. p. 5098.
17.
Rudolfsson G, Post V, Eriksson I, K. The expression of caring within the perioperative dialogue: A hermeneutic study. Int J Nurs Stud. 2007. p. 905–15.
18.
Schreiber R, Macdonald M. Keeping vigil over the patient: a grounded theory of nursing anaesthesia practice. J Adv Nurs. 2010. p. 552–61.
19.
Krupic F, Määttä S, Garellick G, Lyckhage E, Kärrholm J. Preoperative information provided to Swedish and immigrant patients before total hip replacement. Med Arch. 2012. p. 399–404.
20.
Hultsjö S, Hjelm K. Immigrants in emergency care: Swedish health care staff’s experiences. Int Nurs Rev. 2005. p. 276–85.
21.
Moore R, Brodsgaard I. Cross-cultural investigations of pain. Epidemiology of pain. IASP Press; 1999. p. 53–80.
22.
Payne R, Medina E, Hampton J. Quality of life concerns in patients with breast cancer: Evidence for disparity of outcomes and experiences in pain management and palliative care among African-American women. Cancer. 2003. p. 311–7.
23.
Selim A, Fincke G, Ren X, Deyo R, Lee A, Skinner K, et al. Racial differences in the use of lumbar spine radiographs: Results from the veterans health study. Spine. 2001. p. 1364–9.
24.
Harlow B, Stewart E. A population-based assessment of chronic unexplained vulvar pain: have we underestimated the prevalence of vulvodynia? J Am Med Womens Assoc. 2003. p. 82–8.
25.
Burke-Ramirez P, Asgharnejad M, Webster C, Davis R, Laurenza A. Efficacy and tolerability of subcutaneous sumatriptan for acute migraine: a comparison between ethnic groups. Headache. 2001. p. 873–82.
26.
Creamer P, Lethbridge-Cejku M, Hochberg M. Determinants of pain severity in knee osteoarthritis: Effect of demographic and psychosocial variables using 3 pain measures. J Rheumatol. 1999. p. 1785.
27.
Edwards R, Doleys D, Fillingim R, Lowery D. Ethnic differences in pain tolerance: Clinical implications in a chronic pain population. Psychosom Med. 2001. p. 316–23.
28.
Mccracken L, Matthews A, Tang T, Cuba S. A comparison of blacks and whites seeking treatment for chronic pain. Clin J Pain. 2001. p. 249–55.
29.
Krupic F, Eisler T, Garellick G, Kärrholm J. Influence of ethnicity and socioeconomic factors on outcome after total hip replacement. Scand J Caring Sci. 2013. p. 139–46.
30.
Ekman I, Swedberg K, Taft C, Lindseth A, Norberg A, Brink E, et al. Person-centered care -ready for prime time. Eur J Cardiovasc Nurs. 2011. p. 248–51.
31.
Kvale S. Den kvalitativa forskningsintervjun (The qualitative research interview). Studentliteratur Lund; 1997.
32.
Graneheim U, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004. p. 105–12.
33.
Leininger M. Leininger´s theory of nursing: cultural care diversity and universality. Nurs Sci Q. 1988. p. 152–60.
34.
Suurmond J, Seeleman C, Rupp I, Goosen S, Stronks K. Cultural competence among nurse practitioners working with asylum seekers. Nurse Education Today. 2010. p. 821–6.
35.
Hanssen I. Lund: Studentlitteratur. 2007.
36.
Hultsjö S, Hjelm K. Immigrants in emergency care: Swedish health care staff’s experiences. Int Nurs Rev. 2005. p. 276–85.
37.
Krupić F, Sadić S, Seffo N, Bišćevic M, Fazlić M, Čustović S, et al. Experience of registered nurses in assessing postoperative pain in hip fracture patients with dementia. Med Glas (Zenica). 2018. p. 75–80.
38.
Seffo N, Krupic F, Grbic K, Fatahi N. From immigrant to patient: experiences of Bosnian immigrants in the Swedish healthcare system. Mater Sociomed. 2014. p. 84–9.
39.
Krupic F, Sadic S, Fatahi N. Contact with health-care service expectation and reality of situation experienced by immigrants seeking Swedish health-care. Mater Sociomed; 2016. p. 141–5.
40.
Sjöstedt L, Hellström R, Stomberg W, M. Patients’ need for information prior to colonic surgery. Gastroenterol Nurs. 2011. p. 390–7.
41.
Samarasinghe K, Fridlund B, Arvidsson B. Primary health care nurses’ promotion of involuntary migrant families’ health. Int Nurs Rev. 2010. p. 224–31.
42.
Johnstone M, Kanitsaki O. Culture, language, and patient safety: making the link. Int J Qual Health Care. 2006. p. 383–8.
43.
Lindwall L. Kroppen som bärare av hälsa och lidande (The Body as a Vessel for Health and Suffering). Åbo: Åbo Akademis förlag. 2004.
44.
Lindwall L, Post V, I. Continuity created by nurses in the perioperative dialogue -a literature review. Scand J Caring Sci. 2009. p. 395–401.
45.
Rudolfsson G, Hallberg L. von Post I. The nurse has time for me: the perioperative dialogue from the perspective of patients. J Adv Perioper Care. 2003. p. 77–84.
46.
Lindholm L, Holmberg M, Mäkelä C. Hope and hopelessness -nourishment for the patient’s vitality. Int J Hum Caring. 2005. p. 33–8.
The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.
,
