Primary health care nurses' promotion of involuntary migrant families' health.
BACKGROUND
Involuntary migrant families in cultural transition face a number of challenges to their health and to family cohesion. Primary health care nurses (PHCNs) therefore play a vital role in the assessment and promotion of their health.


OBJECTIVE
The aim of this study was to describe the promotion of health in involuntary migrant families in cultural transition as conceptualized by Swedish PHCNs.


METHODS
Interviews were conducted with 34 strategically chosen PHCNs covering the entire range of the primary health care sector in two municipalities of Southern Sweden. A contextual approach with reference to phenomenography was used in interpreting the data.


RESULTS
There are three qualitatively different descriptive categories epitomizing the characteristics of the PHCNs' promotion of health: (1) an ethnocentric approach promoting physical health of the individual, (2) an empathic approach promoting mental health of the individual in a family context, and (3) a holistic approach empowering the family to function well in everyday life.


CONCLUSIONS
For nurses to promote involuntary migrant families'health in cultural transition, they need to adopt a holistic approach. Such an approach demands that nurses cooperate with other health care professionals and community authorities, and practise family-focused nursing; it also demands skills in intercultural communication paired with cultural self-awareness in interacting with these families. Adequate knowledge regarding these skills should therefore be included in the education of nurses, both at under- and at post-graduate level.
Samarasinghe
K
K
School of Health and Society, Kristianstad University College, S-291 88 Kristianstad, Sweden. kerstin.samarasinghe@hkr.se
Fridlund
B
B
Arvidsson
B
B
D000328:Adult; D001291:Attitude of Health Personnel / Q000208:ethnology; D001294:Attitude to Health / Q000208:ethnology; D054521:Cultural Competency; D018864:Cultural Diversity; D005192:Family Health / Q000208:ethnology; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006694:Holistic Health; D006801:Humans; D008019:Life Style / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology*; D011320:Primary Health Care / Q000458:organization & administration*; D036301:Qualitative Research; D012036:Refugees / Q000523:psychology* / Q000706:statistics & numerical data; D013548:Sweden; D016746:Transcultural Nursing; D014171:Transients and Migrants / Q000523:psychology / Q000706:statistics & numerical data