背景:医疗保健和支持工作者在为寻求庇护所的人们提供优质服务和支持方面发挥着关键作用,这些人经历了与先前创伤有关的不良身心健康,搬迁和自由的丧失。然而,他们在日常工作中经常遇到各种挑战,从沟通障碍到资源限制。这项定性研究旨在深入研究医疗保健和支持工作者的变通办法经验的观点,被用来克服提供护理的障碍。
目的:本研究旨在描述医疗保健提供者从业者和卫生和第三部门支持工人关于为寻求庇护的人提供护理的障碍和变通办法的观点,为政策和实践提供信息。
方法:使用半结构化电话访谈进行了一项定性研究。
方法:本研究集中于初级,次要,为在威尔士寻求庇护的人们提供社区和专业国家卫生服务(NHS)支持服务,英国(2018年)。
方法:我们采访了32个医疗保健提供者,初级保健和第三部门组织雇用的从业人员和支持人员。我们的方法包括在数字记录和转录所有访谈之前获得口头知情同意。为了分析数据,我们使用四个层次的变化提高质量模型作为解释的指导框架。
结果:我们的研究结果表明,某些受访者在满足寻求庇护所的人们的需求方面提出了挑战;特别是,他们提供护理的经验因护理环境而异。具体来说,那些参与提供NHS专科护理的人认为还有改进的空间.主流主要,由于资源限制,二级和社区卫生从业人员面临局限性,并且缺乏针对寻求庇护者的独特情况和需求的量身定制的信息。为了弥补这些差距,解决方法出现在个人和地方层面(团队/部门和组织层面)。这些措施包括在供应商之间建立非正式的沟通渠道,促进跨服务协作以填补空白,并调整现有服务以增强可访问性。
结论:了解医疗保健提供者\',“从业者”和“支持工作者”的观点为如何加强向寻求庇护者提供医疗保健提供的方法提供了宝贵的见解。认识到挑战并利用创新的解决方法可以为这一弱势群体提供更有效和更富有同情心的服务。
■HEAR研究积极让公众贡献者参与设计,研究的交付和传播。两个公共贡献者(S.M.和G.R.)具有寻求庇护的个人经验的人担任研究共同申请人。他们通过参与研究的开发和获得资金,在塑造研究方面发挥了关键作用。与其他共同申请人一起,S.M.和G.R.成立了研究管理小组,监督研究交付。他们的贡献扩展到战略决策和关键时刻的具体反馈,包括参与者招募,数据收集,分析和报告。此外,S.M.和G.R.在招募和支持一组同行研究人员方面发挥了重要作用,加强寻求庇护者之间的受访者参与。为了促进公众的有效参与,我们提供了指定的联系人支持(A.K.和R.F.),研究培训,酬金,根据最佳实践报销费用和可获得的信息。
BACKGROUND: Healthcare and support workers play a pivotal role in delivering quality services and support to people seeking sanctuary who have experienced poor physical and mental health linked to previous trauma, relocation and loss of freedoms. However, they often encounter various challenges in their daily work, ranging from communication barriers to resource constraints. This qualitative study seeks to delve into the perspectives of healthcare and support workers\' experience of workarounds, employed to overcome barriers to providing care.
OBJECTIVE: This
study aims to describe healthcare providers\', practitioners\' and health and third sector support workers\' views on barriers and workarounds to providing care for people seeking sanctuary, to inform policy and practice.
METHODS: A qualitative
study was carried out using semi-structured telephone interviews.
METHODS: This
study focused on primary, secondary, community and specialist National Health Service (NHS) support services for people seeking sanctuary in Wales, United Kingdom (2018).
METHODS: We interviewed 32 healthcare providers, practitioners and support workers employed by primary care and third sector organisations. Our approach involved obtaining verbal informed consent before digitally recording and transcribing all interviews. To analyse the data, we used the Four Levels of Change for Improving Quality model as a guiding framework for interpretation.
RESULTS: Our study findings reveal that certain respondents expressed challenges in meeting the needs of people seeking sanctuary; notably, their experience of delivering care differed by care settings. Specifically, those involved in providing specialist NHS care believed that there was room for improvement. Mainstream primary, secondary and community health practitioners faced limitations due to resource constraints and lacked tailored information to address the unique circumstances and needs of sanctuary seekers. To address these gaps, workarounds emerged at both individual and local levels (team/departmental and organisational level). These included establishing informal communication channels between providers, fostering cross service collaboration to fill gaps and adapting existing services to enhance accessibility.
CONCLUSIONS: Understanding healthcare providers\', practitioners\' and support workers\' perspectives offers invaluable insights into ways to enhance healthcare delivery to sanctuary seekers. Acknowledging challenges and harnessing innovative workarounds can foster a more effective and compassionate service for this vulnerable population.
UNASSIGNED: The HEAR study actively involved public contributors in the design, delivery and dissemination of the research. Two public contributors (S. M. and G. R.) who had personal experience of seeking asylum served as
study co-applicants. They played pivotal roles in shaping the research by participating in its development and securing funding. Alongside other co-applicants, S. M. and G. R. formed the Research Management Group, overseeing
study delivery. Their contributions extended to strategic decision-making and specific feedback at critical junctures, including participant recruitment, data collection, analysis and reporting. Additionally, S. M. and G. R. were instrumental in recruiting and supporting a team of peer researchers, enhancing respondent participation among people seeking sanctuary. To facilitate effective public involvement, we provided named contacts for support (A. K. and R. F.), research training, honoraria, reimbursement of expenses and accessible information in line with best practice.