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Barnmorskans upplevelse av att möta flyktingfamiljer på BB.
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Nursing.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Syftet med studien var att belysa barnmorskans upplevelse av att möta flyktingfamiljer på BB.Design: En intervjustudie baserad på enskilda semistrukturerade intervjuer med kvalitativ innehållsanalys.Omgivning: Två BB-enheter varav en i södra och en i norra Sverige.Deltagare: 10 barnmorskor, varav fem i södra och fem i norra Sverige intervjuades. Samtliga deltagare gav sitt muntliga och skriftliga samtycke till att delta i studien.Resultat: Barnmorskorna upplevde att de hade samma resurser som tidigare trots en ökad arbetsbelastning sedan flyktingkrisen. Vidare upplevde barnmorskorna svårigheter att kommunicera med flyktingarna trots professionell tolk vilket kunde leda till risker inom vården. Det önskades utbildning inom kulturella skillnader samt information och ett fördjupat samarbete med migrationsverket. Barnmorskorna upplevde möten med flyktingar lärorika och spännande samtidigt som det fanns en splittring inom arbetsgruppen vid vård av flyktingar som var svår att hantera. Majoriteten av barnmorskorna ansåg att de kunde ge en ändamålsenlig vård men att flyktingarna behövde få en ökad kunskap om det svenska vårdsystemet.Slutsats: Resultatet visar vikten av utbildning och samarbete. Barnmorskorna måste få bättre kunskap inom kulturella skillnader samt få redskap från arbetsgivaren för återkoppling och återhämtning. Det anses även vara av stor vikt att minska barnmorskornas ökade arbetsbelastning och fler tolkar behövs med bättre tolkkunskaper.Klinisk betydelse: Det behövs mer utbildning bland barnmorskorna för att möta kulturella skillnader på BB-enheter. Vidare anses det vara av stor vikt att barnmorskor får mer resurser i form av tid och mer personal för att minska barnmorskornas ökade arbetsbelastning. Barnmorskorna behöver en mer organiserad återkoppling på arbetsplatsen samt utbildning i hur de ska hantera familjer utsatta för traumatiska händelser. Studien skulle kunna leda till ny kunskap som kan vara ett redskap för att förbättra barnmorskornas arbetssituation samt flyktingfamiljers omhändertagande på BB.

Abstract [en]

Objective: The purpose of this study was to elucidate the midwife experience to meet refugee families in postnatal ward. Design: An interview based on individual semi-structured interviews with qualitative content analysis. Setting: Two maternity units, one in southern and one in northern Sweden. Participants: Ten midwives, five from southern Sweden and five from northern Sweden were interviewed. All participants gave their verbal and written consent to participate in the study. Findings: The midwives experienced that they worked with the same resources as before the refugee crisis despite the increased workload at the maternity unit. Furthermore, the midwives experienced difficulties in communicating with the refugees despite professional interpreter which could cause damage within the given care. The midwives request education in cultural differences and an enhanced information and cooperation with the immigration office. The midwives experienced the meetings with the refugee families as exiting and educational but they had noticed there was a split within the working group about the refugee families that was difficult to handle. The majority of the midwives felt like they could provide the appropriate care but that the refugees needed to get a better knowledge in the Swedish health care system. Key conclusion: The results show the importance of education and cooperation. The midwives must have improved knowledge of cultural differences and get improved ways of feedback and recovery from the employer. It is also considered to be of great importance to reduce the midwives increasing workloads and additional interpreters is needed to receive feasible interpreting skills. Implications for practice: We need more education among midwives to meet the cultural differences in maternity units. Furthermore, it is considered essential that midwives receive more resources in terms of time and more staff to reduce the midwives' workload. The midwives need a more organized feedback in the workplace and training in how to deal with families exposed to traumatic events. The study could generate the new knowledge that can be a tool to improve the midwives work situation and the refugee families’ disposal at prenatal ward.

Place, publisher, year, edition, pages
2016. , 25 p.
Keyword [en]
midwife, experiences, refugee, culture, postnatal ward, communication
Keyword [sv]
barnmorska, upplevelser, flykting, kultur, BB, kommunikation
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-122838OAI: oai:DiVA.org:umu-122838DiVA: diva2:941747
Subject / course
Magisterkurs i omvårdnad
Educational program
Graduate Programme in Midwifery
Supervisors
Examiners
Available from: 2016-06-23 Created: 2016-06-22 Last updated: 2016-06-23Bibliographically approved

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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf