Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Professional Experiences of Immigrant Turkish Nurses in Berlin, Germany: A Descriptive PhenomenologicalQualitative Study
Göçmen Türk Hemşirelerin Mesleki Deneyimleri, Almanya Berlin Örneği: Betimsel Fenomenolojik Nitel Bir Çalışma
Neslihan YILMAZ SEZERa
aDepartment of Midwifery, Ankara University Faculty of Nursing, Ankara, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1129-38
doi: 10.5336/nurses.2023-98236
Article Language: EN
Full Text
ABSTRACT
 Objective: The escalating global demand for nurses has precipitated a surge in immigration, primarily characterized by a notable influx of individuals from low-income countries to high-income nations. This research aims to explore the professional experiences of Turkish nurses who have immigrated to Germany. Material and Methods: A descriptive phenomenological qualitative approach was utilized in this study. Due to the limited number of immigrants Turkish nurses, the snowball sampling method was employed. The data for the study were collected during the period of July to September 2018. Twelve nurses were selected as samples for the study. The interviews were conducted face-to-face using a semi-structured form, and the conversations were recorded. Results: The findings from the interviews yielded three main themes: (1) providing care to patients from diverse cultures, (2) caring for patients from the same culture, and (3) opinions about the country where the nurse works. Conclusion: Immigrant nurses have encountered some challenges in their professional lives, including high cultural diversity, communication barriers, racism, an inadequate number of nurses, and a heavy workload. However, having adequate insurance services, better earnings compared to their home country, and flexibility in working hours were found to have a positive impact on the nurses. Overall, the nurses' positive and negative experiences have led them to recommend immigration to their colleagues in their home country. The experiences of immigrant nurses hold crucial importance in guiding other nurses considering migration and addressing the challenges they may face in the future.

Keywords: Emigration and immigration; nursing
ÖZET
 Amaç: Hemşirelere olan küresel talep, özellikle düşük gelirli ülkelerden yüksek gelirli ülkelere göçü artırmıştır. Bu araştırmanın amacı, Almanya'ya göç etmiş Türk hemşirelerin mesleki deneyimlerini keşfetmektir. Gereç ve Yöntemler: Bu çalışmada, betimsel fenomenolojik nitel bir yaklaşım kullanılmıştır. Göçmen Türk hemşirelerin sınırlı sayıda olması nedeniyle kartopu örnekleme yöntemi uygulanmıştır. Araştırmanın verileri Temmuz-Eylül 2018 tarihleri arasında toplanmıştır. Çalışma için 12 hemşire örnekleme alınmıştır. Görüşmeler yarı yapılandırılmış form kullanılarak yüz yüze yapılmıştır ve ses kaydına alınmıştır. Bulgular: Görüşmelerden elde edilen bulgular 3 ana tema ortaya koymuştur: (1) farklı kültürlerden hastalara bakım sağlama, (2) aynı kültürden hastalara bakım sağlama ve (3) çalışılan ülke hakkındaki görüşler. Sonuç: Göçmen hemşireler mesleki yaşamlarında bazı zorluklarla karşılaşmışlardır, bunlar arasında yüksek kültürel çeşitlilik, iletişim engelleri, ırkçılık, yetersiz hemşire sayısı ve ağır iş yükü bulunmaktadır. Bununla birlikte, yeterli sigorta hizmetleri, kendi ülkelerine kıyasla daha iyi kazanç elde etme ve esnek çalışma saatleri, hemşireler tarafından olumlu deneyimler olarak vurgulanmıştır. Göçmen Türk hemşirelerin olumlu ve olumsuz deneyimleri sonucunda, kendi ülkelerindeki meslektaşlarına göçü önerdikleri görülmüştür. Göçmen hemşirelerin deneyimleri, göçü düşünen diğer hemşirelere rehberlik etmesi ve gelecekte karşılaşabilecekleri zorlukları ele alması açısından önem taşımaktadır.

Anahtar Kelimeler: Göç ve göçmenlik; hemşirelik
REFERENCES:
  1. Troy PH, Wyness LA, McAuliffe E. Nurses' experiences of recruitment and migration from developing countries: a phenomenological approach. Hum Resour Health. 2007;5:15. [Crossref]  [PubMed]  [PMC] 
  2. Kingma M. Nurses on the move: a global overview. Health Serv Res. 2007;42(3 Pt 2):1281-98. [Crossref]  [PubMed]  [PMC] 
  3. World Health Organization. Global Strategic Directions for Nursing and Midwifery 2021-2025. Geneva: World Health Organization; 2021. [Link] 
  4. Öncü E, Vayısoğlu SK, Karadağ G, Alaçam B, Göv P, Selçuk Tosun A, et al. Intention to migrate among the next generation of Turkish nurses and drivers of migration. J Nurs Manag. 2021;29(3):487-96. [Crossref]  [PubMed] 
  5. World Health Organization. Retention of the Health Workforce in Rural and Remote Areas: A Systematic Review: Web Annex B: descriptive Evidence Profiles. Geneva: World Health Organization; 2020. [Link] 
  6. Buchan J, Calman L. The global shortage of registered nurses: An overview of issues and actions. Burdett Trust for Nursing. 2004. [Link] 
  7. Simoens S, Villeneuve M, Hurst J. Tackling Nurse Shortages in OECD Countries. France: OECD; 2005. [Link] 
  8. Genel MG. Almanya'ya giden ilk Türk işçi göçünün Türk basınındaki izdüşümü "Sirkeci Garı'ndan Munchen Hauptbahnhof'a [The projection of the first Turkish labour migration to Germany on Turkish media "from sirkeci Terminal to Munchen Hauptbahnhof]. Selçuk İletişim. 2014;8(3):301-38. [Link] 
  9. Creswell JW, Poth CN. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 4th ed. Thousand Oaks: Sage Publications; 2016.
  10. Rubin A, Babbie E. Research Methods for Social Work. 7th ed. Belmont, CA, USA: Brooks/Cole; 2011.
  11. Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Adm Policy Ment Health. 2015;42(5):533-44. [Crossref]  [PubMed]  [PMC] 
  12. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19(6):349-57. [Crossref]  [PubMed] 
  13. Larsen R, Mangrio E, Persson K. Interpersonal communication in transcultural nursing care in India: a descriptive qualitative study. J Transcult Nurs. 2021;32(4):310-7. [Crossref]  [PubMed]  [PMC] 
  14. Shiao J, Woody A. The meaning of "racism". Sociological Perspectives. 2021;64(4):495-517. [Crossref] 
  15. Pressley C, Newton D, Garside J, Simkhada P, Simkhada B. Global migration and factors that support acculturation and retention of international nurses: a systematic review. International Journal of Nursing Studies Advances. 2022;4:100083. [Link] 
  16. Schilgen B, Nienhaus A, Handtke O, Schulz H, Mösko M. Health situation of migrant and minority nurses: A systematic review. PLoS One. 2017;12(6):e0179183. [Crossref]  [PubMed]  [PMC] 
  17. Ceylantekin Y, Öcalan D. Hemşirelik öğrencilerinin kültürel farkındalığı ve kültürlerarası hemşirelik dersine yönelik düşünceler [The cultural awareness of the nursing students and their ideas about transcultural nursing]. Gumushane University Journal of Health Sciences. 2016;5(4):45-53. [Link] 
  18. Leininger MM, McFarland MR. Transcultural Nursing: Concepts, Theories, Research, and Practice. 3rd ed. New York: McGraw-Hill; 2002.
  19. Beykmirza R, Negarandeh R, Varzeshnejad M. Experiences of Iranian pediatric nurses in providing care to hospitalized children of different language backgrounds: a qualitative study. J Transcult Nurs. 2022;33(1):79-86. [Crossref]  [PubMed] 
  20. Choi MS, Cook CM, Brunton MA. Power distance and migrant nurses: The liminality of acculturation. Nurs Inq. 2019;26(4):e12311. [Crossref]  [PubMed] 
  21. Al Shamsi H, Almutairi AG, Al Mashrafi S, Al Kalbani T. Implications of language barriers for healthcare: a systematic review. Oman Med J. 2020;35(2):e122. [Crossref]  [PubMed]  [PMC] 
  22. Ali PA, Watson R. Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses' perspectives. J Clin Nurs. 2018;27(5-6):e1152-e60. [Crossref]  [PubMed] 
  23. World Health Organization [Internet]. [Cited: April 01, 2023]. Global strategic directions for strengthening nursing and midwifery 2016-2020. Available from: [Link] 
  24. Gerchow L, Burka LR, Miner S, Squires A. Language barriers between nurses and patients: A scoping review. Patient Educ Couns. 2021;104(3):534-53. [Crossref]  [PubMed]  [PMC] 
  25. Erişen M, Sivrikaya SK. Manevi bakım ve hemşirelik [Spiritual care and nursing]. Gümüşhane University Journal of Health Sciences. 2017;6(3):184-90. [Link] 
  26. Yelen Akpınar Y, Aşti N. Maneviyat, manevi bakım ve manevi bakımın hemşirelikte önemi [Spirituality, spiritual care and the importance of spiritual care in nursing]. Yobu Faculty Of Health Sciences Journal. 2021;2(3):127-40. [Link] 
  27. International Council of Nurses Policy Brief. The global nursing shortage and nurse retention. Cited: April 21, 2022. Available from: [Link] 
  28. Moyce S, Lash R, de Leon Siantz ML. Migration experiences of foreign educated nurses: a systematic review of the literature. J Transcult Nurs. 2016;27(2):181-8. [Crossref]  [PubMed] 

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