Globalization: Migrant nurses' acculturation and their healthcare encounters as consumers of healthcare

From Wiley via Jisc Publications RouterHistory: received 2023-06-30, rev-recd 2023-09-25, accepted 2023-09-26, epub 2023-10-08Article version: VoRPublication status: PublishedTemitayo Odewusi - ORCID: 0000-0002-1746-6080 https://orcid.org/0000-0002-1746-6080Globally, one of every eight nurses is a migrant, but few studies have focused on the healthcare experiences of migrant nurses (MNs) as consumers or recipients of healthcare. We address this gap by examining MNs and their acculturation, barriers to healthcare access, and perceptions of healthcare encounters as consumers. For this mixed‐methods study, a convenience sample of MNs working in Europe and Israel was recruited. The quantitative component's methods included testing the reliability of scales contained within the questionnaire and using Hayes Process Model #4 to test for mediation. The qualitative component's methods included analyzing interviews with iterative inductive thematic analysis. Quantitative findings on MNs (n = 73) indicated that the association between acculturation and perception of the healthcare encounter, which MNs experienced as healthcare consumers, was mediated by barriers to healthcare access, even after adjusting for age and gender (p = 0.03). Qualitative interviews with MNs (n = 13) provided possible explanations for the quantitative findings. Even after working in the host country's healthcare system for several years, MNs reported difficulties with their healthcare encounters as healthcare consumers, not only due to their limited knowledge about the culture and healthcare resources but also due to the biased responses they received.pubpu

Lessons learned from 11 countries on programs promoting intergenerational solidarity

Objective: The goal of this project was to develop a systematic framework through which interventions promoting intergenerational solidarity in 11 countries could be assessed. Background: Although intergenerational solidarity—the exchange of material, social, and emotional support and care between family generations—benefits both the country's economic well-being (macro-level) and the individual's physical, mental, and social well-being (micro-level), decreasing intergenerational solidarity is evident in many industrialized countries. Interventions promoting intergenerational solidarity are increasingly being developed, but few are described in the literature. Moreover, no unifying framework describing them exists. Method: Representatives from 11 countries convened to identify interventions promoting intergenerational solidarity. After several meetings, a unifying framework was created. Representatives selected a convenience sample of programs and abstracted information based on the framework. Results: The outcome of social well-being was virtually ubiquitous in most programs. Countries appeared to take a broad view of intergenerational solidarity, focusing on interactions among generations, rather than interactions within families. Discussion and Implications: The framework enabled the systematic abstraction and assessment of programs. Most programs had no standard method of evaluating their outcomes. Longitudinal evaluations would be optimal if we want to identify the best practices in intergenerational solidarity programs

Relationship between social support and postpartum depression in migrant and non-migrant first-time mothers

Aims and objectives: This study examines the relationship between social status and postpartum depression by migrant generation and determines whether social support moderates the relationship between migrant generations and postpartum depression. Background: Postpartum depression (PPD) afflicts more than 1 in 10 childbearing women worldwide; and this mental health problem may be higher among vulnerable populations of women such as migrants, an increasingly prevalent group in many countries. Social support and migrant generation (1st generation—mother and her parents born outside the host country; 2nd generation—mother born in the host country but not her parents; 2.5 generation—mother and one parent born in the host country) may contribute to the conflicting findings on migrant mothers and postpartum depression. Design: This study used a cross-sectional design. Methods: Sample recruitment of migrant and non-migrant first-time mothers (n=515) was implemented through an online platform. A STROBE checklist guided the reporting of this study. Results: PPD was lower among mothers with social support. While social support was negatively associated with PPD for all mothers, PPD was not associated with migrant generation nor was a moderation effect found. Conclusions: Social support is negatively associated with PPD for all mothers, but levels of PPD for migrant mothers may be linked to country-specific healthcare resources and immigration policies. Immigrant policies influence migrant mothers’ healthcare access; thus, immigration policies may influence PPD among first-time migrant mothers and the manner in which nurses can provide formal support. This study finds that social support, including the formal social support provided by nurses, decreases the likelihood of PPD. Demands on nurses’ technical and assessment skills are high, but nurses also need to remember that their skills of providing social support are equally important, and for first-time mothers, may contribute to decreasing PPD