Student nurses’ attitudes to vulnerable groups: A study examining the impact of a social inclusion module

Wray, Jane; Walker, Liz; Benedict,

doi:10.1016/j.nedt.2007.09.011

Cited by 17 publications

(10 citation statements)

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“…Furthermore, support through training and guidance for providers is usually neglected, as shown in many articles discussing the need for more training for health care providers who are "ill-equipped to deal with difficulties in service provision." 27 The following areas can be found in different sources as requiring training and/or support: 14,16,17,[37][38][39] • Legal processes and entitlements underlying refugee status;…”

Section: Lack Of Knowledge and Skillsmentioning

confidence: 99%

The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review

Kavukcu

Altıntaş

2019

Prehosp. Disaster med.

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Background:All over the world, migration is affecting millions of people who either choose or are forced to leave their countries of origin. Health is considered to be one of the important aspects of migration that is highly influenced by the circumstances created by mobility within or across countries. In the context of forced migration, it is well-established that refugees are susceptible to various diseases and other health conditions which might occur or deteriorate based on the health systems and health care provision in receiving countries. There is a considerable amount of research on the challenges encountered by refugees in receiving countries, in terms of health care systems and services. However, there seems to be little focus on the health care providers’ perspectives of the challenges in health care provision in refugee settings. This review aims to explore some of the articles discussing the challenging issues surrounding refugee health from a provider’s perspective.Methods:A systematic review was conducted through five main online databases: Medline (US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA); Science Direct (Elsevier; Amsterdam, Netherlands); Scopus (Elsevier; Amsterdam, Netherlands); Sage (Sage Publications; Thousand Oaks, California USA); and Google Scholar (Google Inc.; Mountain View, California USA), including only the articles published in English. In addition, grey literature resources available online were used.Results:Forty-eight articles were included in this review, mainly based on the amount of emphasis they placed on providers’ viewpoints in refugee health settings. Most of the articles were retrieved based on their availability in the databases which Hacettepe University (Ankara, Turkey) is subscribed to. Almost all of the articles mentioned the challenges caused by linguistic and cultural barriers, and some focused on providers’ limited knowledge and skills, as well as inefficient health care systems. There was little emphasis on ethical discussions, and the physical and emotional impact of caring for refugees on health care professionals. In the few articles discussing ethical and personal dimensions, issues concerning stress, burnout, and safety risks were found to be the recurring themes.Conclusions:Evidence gathered suggests that the challenges faced by health care providers involve a variety of factors that are specific to health care settings involving refugees, such as linguistic and cultural barriers, and a lack of proper support and training. It seems that the challenges that health care providers face in refugee settings could be further investigated both from professional and personal aspects for a better understanding of refugee health care.Kavukcu N, Altıntaş KH. The challenges of the health care providers in refugee settings: a systematic review. Prehosp Disaster Med. 2019;34(2):188–196

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Section: Lack Of Knowledge and Skillsmentioning

confidence: 99%

The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review

Kavukcu

Altıntaş

2019

Prehosp. Disaster med.

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“…Thirty-six papers were included in the review. Eleven papers described research in low- and middle-income country (LMIC) contexts (Uganda, South Africa, Indonesia, Kenya, Cameroon, Rwanda and Tanzania) [ 39 – 49 ] and 25 from high-income contexts (HIC) (Germany, the United Kingdom, the United States, Canada, Australia, The Netherlands, New Zealand) [ 50 – 74 ]. Four papers were concerned with outcomes related to midwife-led interventions (antenatal, intrapartum and postnatal care and prevention of child abuse) [ 41 , 50 , 57 , 58 ], while 32 focus on nursing, some on specific health issues including asthma [ 62 ], eczema [ 54 , 69 ], cardiovascular disease [ 44 ], diabetes care [ 42 , 45 , 51 , 66 , 72 ], HIV/AIDS [ 39 , 47 , 48 ], mental health [ 40 , 61 , 65 ] and women’s health [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some populations had multiple vulnerabilities such as families described in the Ayerle et al paper [ 50 ]. Most studies were quantitative [ 39 – 47 , 49 , 51 – 53 , 56 , 61 , 62 , 64 , 66 – 70 , 72 – 74 ], followed by mixed methods [ 48 , 50 , 54 , 57 , 58 , 60 , 65 ] and qualitative [ 59 , 63 , 71 ] research. Most studies were intervention studies where a new or existing nurse or midwife-led initiative was evaluated, while other research examined the effect of a service where the nurse or midwife had played an important role.…”

Section: Resultsmentioning

confidence: 99%

“…Other studies analysed in this review involved the secondary analysis of data to examine the impact of nursing or midwifery care over time [ 41 , 43 , 52 ]. One study focused on an education intervention to prepare student nurses to care for vulnerable populations [ 74 ]…”

Section: Resultsmentioning

confidence: 99%

“…Physical health status improved significantly; however, mental health status and health locus of control scores showed minimal change. (Wray, Walker and Fell 2008) [ 74 ] UK: Hull Quantitative descriptive design using a survey 160 nursing and midwifery university students To examine student attitudes prior to and on completion of a module on social inclusion/exclusion The data demonstrated that the majority of students surveyed held views that were generally positive and inclusive. Yet, a small group of respondents held stereotypical views potentially compromising their ability to provide health care.…”

Section: Methodsmentioning

confidence: 99%

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Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review

2015

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BackgroundDespite considerable evidence showing the importance of the nursing and midwifery workforce, there are no systematic reviews outlining how these cadres are best supported to provide universal access and reduce health care disparities at the primary health care (PHC) level. This review aims to identify nursing and midwifery policy, staffing, education and training interventions, collaborative efforts and strategies that have improved the quantity, quality and relevance of the nursing and midwifery workforce leading to health improvements for vulnerable populations.MethodsWe undertook a structured search of bibliographic databases for peer-reviewed research literature using a focused review question and inclusion/exclusion criteria. The quality of retrieved papers was appraised using standard tools. The characteristics of screened papers were described, and a deductive qualitative content analysis methodology was applied to analyse the interventions and findings of included studies using a conceptual framework.ResultsThirty-six papers were included in the review, the majority (25) from high-income countries and nursing settings (32). Eleven papers defined leadership and governance approaches that had impacted upon the health outcomes of disadvantaged groups including policies at the national and state level that had led to an increased supply and coverage of nursing and midwifery staff and scope of practice. Twenty-seven papers outlined human resource management strategies to support the expansion of nurse’s and midwives’ roles that often involved task shifting and task sharing. These included approaches to managing staffing supply, distribution and skills mix; workloads; supervision; performance management; and remuneration, financial incentives and staffing costs. Education and training activities were described in 14 papers to assist nurses and midwives to perform new or expanded roles and prepare nurses for inclusive practice. This review identified collaboration between nurses and midwives and other health providers and organizations, across sectors, and with communities and individuals that resulted in improved health care and outcomes.ConclusionsThe findings of this review confirm the importance of a conceptual framework for understanding and planning leadership and governance approaches, management strategies and collaboration and education and training efforts to scale up and support nurses and midwives in existing or expanded roles to improve access to PHC for vulnerable populations.

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Social Inclusion and the Role of Nurses

Parry

Sivertsen

2021

Handbook of Social Inclusion

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Student nurses’ attitudes to vulnerable groups: A study examining the impact of a social inclusion module

Cited by 17 publications

References 10 publications

The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review

The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review

Approaches to improving the contribution of the nursing and midwifery workforce to increasing universal access to primary health care for vulnerable populations: a systematic review

Social Inclusion and the Role of Nurses

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