.: ORİJİNAL ARAŞTIRMA
Pediatri Kliniklerinde Afgan Göçmeni Hastaların Ebeveynlerinin Yaşadıkları Güçlükler: Fenomenolojik Bir Çalışma
Difficulties Experienced by Parents of Afghan Immigrant Patients in Pediatric Clinics: A Phenomenological Study
Turkiye Klinikleri J Nurs Sci. 2024;16(3):681-90
doi: 10.5336/nurses.2024-101668
Makale Dili: TR
Tam Metin
Ücretsiz Erişim
ÖZET
Amaç: Bu çalışmanın amacı, pediatri kliniklerinde Afgan göçmeni hastaların ebeveynlerinin yaşadıkları güçlükleri fenomenolojik bir yaklaşımla değerlendirmektir. Gereç ve Yöntemler: Fenomenolojik araştırma yönteminin kullanıldığı bu çalışmada, Türkiye'nin kuzeyinde bulunan bir ildeki hastanenin pediatri kliniğinde çocuğu tedavi gören 12 Afgan göçmeni ebeveyn ile yarı yapılandırılmış derinlemesine görüşmeler gerçekleştirilmiştir. Örneklem grubuna ulaşmak için amaçlama örnekleme yöntemlerinden ölçüt örneklem yöntemi kullanılmıştır. Araştırmanın verileri tematik analiz kullanılarak değerlendirilmiştir. Çalışma, Niteliksel Araştırmayı Raporlamak İçin Birleştirilmiş Kriterleri kontrol listesine göre yapılmış ve raporlanmıştır. Bulgular: Çalışmaya katılan ebeveynlerin yaş ortalaması 31,66±8,27'dir. Katılımcıların 11'i kadın, tamamı Afganistanlıdır, ortalama çocuk sayısı 3,1±1,1 ve Türkiye'de kalma ortalama yılı 3,3±1,7'dir. Verilerin analizinde 4 kategori (çocuğun hastalığının ebeveyne olan etkileri, hastane ortamında yaşanan güçlükler, farklı bir ülkede olmaktan kaynaklanan sorunlar ve sağlık hizmetleri konusunda beklentiler ve öneriler), 10 alt tema (ruhsal, fiziksel, sosyal etkiler ve durumlar, sosyokültürel sorunlar, dil ve iletişim sorunları, sosyal destek algısı ve sağlık personelinden beklentiler) saptanmıştır. Sonuç: Dil ve iletişim probleminin ebeveynlerin yaşadığı en önemli sorunlardan biri olduğu saptanmıştır. Çocukların hastane sürecinde ebeveynlerin baş etmede zorlandıkları, aynı zamanda ruhsal, fiziksel ve sosyal açıdan etkilendiği belirlendi. Benzer şekilde, göçmen nüfuslara yönelik bilgi boşluklarını doldurmaya yönelik stratejiler konusunda daha fazla araştırmaya ihtiyaç vardır.
Anahtar Kelimeler: Göçmenler; pediatri; ebeveyn
Amaç: Bu çalışmanın amacı, pediatri kliniklerinde Afgan göçmeni hastaların ebeveynlerinin yaşadıkları güçlükleri fenomenolojik bir yaklaşımla değerlendirmektir. Gereç ve Yöntemler: Fenomenolojik araştırma yönteminin kullanıldığı bu çalışmada, Türkiye'nin kuzeyinde bulunan bir ildeki hastanenin pediatri kliniğinde çocuğu tedavi gören 12 Afgan göçmeni ebeveyn ile yarı yapılandırılmış derinlemesine görüşmeler gerçekleştirilmiştir. Örneklem grubuna ulaşmak için amaçlama örnekleme yöntemlerinden ölçüt örneklem yöntemi kullanılmıştır. Araştırmanın verileri tematik analiz kullanılarak değerlendirilmiştir. Çalışma, Niteliksel Araştırmayı Raporlamak İçin Birleştirilmiş Kriterleri kontrol listesine göre yapılmış ve raporlanmıştır. Bulgular: Çalışmaya katılan ebeveynlerin yaş ortalaması 31,66±8,27'dir. Katılımcıların 11'i kadın, tamamı Afganistanlıdır, ortalama çocuk sayısı 3,1±1,1 ve Türkiye'de kalma ortalama yılı 3,3±1,7'dir. Verilerin analizinde 4 kategori (çocuğun hastalığının ebeveyne olan etkileri, hastane ortamında yaşanan güçlükler, farklı bir ülkede olmaktan kaynaklanan sorunlar ve sağlık hizmetleri konusunda beklentiler ve öneriler), 10 alt tema (ruhsal, fiziksel, sosyal etkiler ve durumlar, sosyokültürel sorunlar, dil ve iletişim sorunları, sosyal destek algısı ve sağlık personelinden beklentiler) saptanmıştır. Sonuç: Dil ve iletişim probleminin ebeveynlerin yaşadığı en önemli sorunlardan biri olduğu saptanmıştır. Çocukların hastane sürecinde ebeveynlerin baş etmede zorlandıkları, aynı zamanda ruhsal, fiziksel ve sosyal açıdan etkilendiği belirlendi. Benzer şekilde, göçmen nüfuslara yönelik bilgi boşluklarını doldurmaya yönelik stratejiler konusunda daha fazla araştırmaya ihtiyaç vardır.
Anahtar Kelimeler: Göçmenler; pediatri; ebeveyn
ABSTRACT
Objective: The aim of this study is to evaluate the difficulties experienced by parents of Afghans immigrant patients in pediatric clinics with a phenomenological approach. Material and Methods: In this study, in which phenomenological research method was used, semi-structured in-depth interviews were conducted with 12 Afghan immigrant parents whose children were being treated in the paediatric clinic of a hospital in a province in northern Türkiye. Criterion sampling method, one of the purpose sampling methods, was used to reach the sample group. The data of the research were evaluated using thematic analysis. The study was conducted and reported according to the Consolidated Criteria for Reporting Qualitative Research checklist. Result: The mean age of the parents in the study was 31.66±8.27 years. Eleven of the participants were female, all were from Afghanistan, the average number of children was 3.1±1.1 and the average year of stay in Türkiye was 3.3±1.7. In the analysis of the data, four categories (effects of the child's illness on the parent, difficulties experienced in the hospital environment, problems arising from being in a different country, and expectations and suggestions about health services) and ten sub-themes (psychological, physical, social effects and situations, sociocultural problems, language and communication problems, perception of social support and expectations from healthcare personnel) were determined. Conclusion: It has been determined that language and communication problems are one of the most important problems experienced by parents. It was determined that the parents had difficulty in coping with the children's hospitalization process and were also affected psychologically, physically and socially. Similarly, more research is needed on strategies to fill knowledge gaps for immigrants' populations.
Keywords: Immigrants; pediatrics; parent
Objective: The aim of this study is to evaluate the difficulties experienced by parents of Afghans immigrant patients in pediatric clinics with a phenomenological approach. Material and Methods: In this study, in which phenomenological research method was used, semi-structured in-depth interviews were conducted with 12 Afghan immigrant parents whose children were being treated in the paediatric clinic of a hospital in a province in northern Türkiye. Criterion sampling method, one of the purpose sampling methods, was used to reach the sample group. The data of the research were evaluated using thematic analysis. The study was conducted and reported according to the Consolidated Criteria for Reporting Qualitative Research checklist. Result: The mean age of the parents in the study was 31.66±8.27 years. Eleven of the participants were female, all were from Afghanistan, the average number of children was 3.1±1.1 and the average year of stay in Türkiye was 3.3±1.7. In the analysis of the data, four categories (effects of the child's illness on the parent, difficulties experienced in the hospital environment, problems arising from being in a different country, and expectations and suggestions about health services) and ten sub-themes (psychological, physical, social effects and situations, sociocultural problems, language and communication problems, perception of social support and expectations from healthcare personnel) were determined. Conclusion: It has been determined that language and communication problems are one of the most important problems experienced by parents. It was determined that the parents had difficulty in coping with the children's hospitalization process and were also affected psychologically, physically and socially. Similarly, more research is needed on strategies to fill knowledge gaps for immigrants' populations.
Keywords: Immigrants; pediatrics; parent
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