Immigrant women cancer survivors’ perceptions of healthcare services in Canada: A phenomenological study

Enam A. Alsrayheen, Khaldoun Aldiabat, Catherine Aquino-Russell
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Abstract

Middle Eastern immigrant women (MEIW) living in Canada have significantly increased. However, this group of women is under-represented in health research, and there is a gap in knowledge about their experiences when they access healthcare services for cancer care in Canada. This qualitative approach was conducted to uncover the meaning of the lived experiences of MEIW with healthcare services in Canada during their cancer survivorship (CS). Data were collected through unstructured interviews and one written description from three MEIW. Data were analyzed using a descriptive phenomenological approach developed by Giorgi. Four themes emerged to represent the essence (or meaning) of the participants’ lived experiences. Their healthcare was accompanied with delays and unmet needs. Yet, they found it helpful when they were provided with knowledge and information. The ability to communicate in English was equal to empowerment for each of them, while they faced cultural stigmatization of mental health issues. Thus, healthcare professionals need to identify immigrant women’s unmet support needs and psychosocial responses during their cancer survivorship. Language-specific and culturally competent cancer-care intervention programs must be developed within the Canadian healthcare system.
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加拿大移民妇女癌症幸存者对保健服务的看法:一项现象学研究
居住在加拿大的中东移民妇女(MEIW)显著增加。然而,这一妇女群体在健康研究中的代表性不足,而且在加拿大,她们在获得癌症护理保健服务时的经历方面存在知识差距。这种定性的方法是为了揭示加拿大的MEIW在癌症生存期间与医疗保健服务的生活经历的意义。数据通过非结构化访谈和来自三名MEIW的一份书面描述收集。使用Giorgi开发的描述现象学方法分析数据。四个主题代表了参与者生活经历的本质(或意义)。他们的医疗保健伴随着延误和未满足的需求。然而,当他们被提供知识和信息时,他们发现这很有帮助。当他们面临着精神健康问题的文化污名时,用英语交流的能力对他们每个人来说都等于赋权。因此,医疗保健专业人员需要确定移民妇女在癌症生存期间未得到满足的支持需求和心理社会反应。必须在加拿大医疗保健系统内制定语言特异性和文化能力强的癌症护理干预方案。
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