Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Midwife and Nurse Students' Perceptions of Caring for Refugees in Türkiye: A Metaphor Analysis Study
Ebelik ve Hemşirelik Öğrencilerinin Türkiye'deki Mültecilerin Bakımına İlişkin Algıları: Bir Metafor Analizi Çalışması
Ferdane KOÇOĞLUa , Özlem AŞCIb , Meltem DEMİRGÖZ BALc
aNiğde Ömer Halisdemir University Zübeyde Hanım Faculty of Health Sciences, Department of Nursing, Division of Public Health Nursing, Niğde, Türkiye
bNiğde Ömer Halisdemir University Zübeyde Hanım Faculty of Health Sciences, Department of Midwifery, Niğde, Türkiye
cMarmara University Faculty of Health Sciences, Department of Midwifery, İstanbul, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(4):770-80
doi: 10.5336/healthsci.2024-103759
Article Language: EN
Full Text
ABSTRACT
 Objective: Existing knowledge suggests that the perceptions of midwifery and nursing students regarding the provision of care to refugees can significantly influence the quality of the health services they provide in the future. The aim of this study was to determine the perceptions of midwifery and nursing students regarding the provision of care to refugees using metaphors. Material and Methods: This qualitative study employed a metaphor analysis technique based on the phenomenological method and included 156 students. Results: The students' perceptions of caring for refugees were categorized into three main themes: ''compliance with ethical principles,'' ''non-compliance with ethical principles,'' and ''barriers to ethical care.'' The identified metaphors were further classified into seven categories: ''Humanistic approach,'' ''human rights-based approach,'' ''professional role awareness,'' ''negative attitudes towards care,'' ''prejudices,'' ''language/cultural differences,'' and ''difficulty managing care.'' Conclusion: This article proposes that midwifery and nursing education processes should address students' prejudices and negative attitudes toward refugee health services. This adds to the mounting evidence indicating that the education provided in midwifery and nursing falls short of delivering care to individuals from diverse cultures. By internalizing ethical care principles in health service delivery, students can graduate with a strong foundation for providing compassionate care. Including initiatives in the course curricula that promote culturally sensitive medical services and foster professional awareness, which can help educate students as healthcare providers who embrace universal standards.

Keywords: Nursing; midwife; refugee; metaphor; caregivers
ÖZET
 Amaç: Mevcut bilgiler, ebelik ve hemşirelik öğrencilerinin mültecilere bakım sağlanmasına ilişkin algılarının, gelecekte sağlayacakları sağlık hizmetlerinin kalitesini önemli ölçüde etkileyebileceğini göstermektedir. Bu çalışmanın amacı, ebelik ve hemşirelik öğrencilerinin mültecilere bakım sağlanmasına ilişkin algılarını metaforlar kullanarak belirlemektir. Gereç ve Yöntemler: Bu nitel çalışmada, fenomenolojik yönteme dayalı metafor analizi tekniği kullanılmış ve 156 öğrenci çalışmaya dâhil edilmiştir. Bulgular: Öğrencilerin mültecilere bakım vermeye ilişkin algıları 3 ana temada kategorize edilmiştir: ''Etik ilkelere uyum'', ''etik ilkelere uymama'' ve ''etik bakımın önündeki engeller''. Belirlenen metaforlar ayrıca 7 kategoride sınıflandırılmıştır: ''İnsancıl yaklaşım'', ''insan hakları temelli yaklaşım'', ''mesleki rol bilinci'', ''bakıma yönelik olumsuz tutumlar'', ''ön yargılar'', ''dil/kültür farklılıkları'' ve ''bakımı yönetme güçlüğü''. Sonuç: Bu makale, ebelik ve hemşirelik eğitim süreçlerinin, öğrencilerin mülteci sağlık hizmetlerine yönelik ön yargılarını ve olumsuz tutumlarını ele alması gerektiğini önermektedir. Bu durum, ebelik ve hemşirelik alanında verilen eğitimin farklı kültürlerden gelen bireylere bakım sağlama konusunda yetersiz kaldığını gösteren kanıtlara bir yenisini eklemektedir. Öğrenciler, sağlık hizmeti sunumunda etik bakım ilkelerini içselleştirerek, şefkatli bakım sağlamak için güçlü bir temelle mezun olabilirler. Ders müfredatlarına kültüre duyarlı tıbbi hizmetleri teşvik eden ve mesleki farkındalığı artıran girişimlerin dâhil edilmesi, öğrencilerin evrensel standartları benimseyen sağlık hizmeti sağlayıcıları olarak yetiştirilmesine yardımcı olabilir.

Anahtar Kelimeler: Hemşirelik; ebe; mülteci; metafor; bakım verenler
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