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Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary

Ashra Khanom Orcid Logo, Bridie Evans Orcid Logo, Wdad Alanazy, Lauren Couzens, Lucy Fagan, Rebecca Fogarty, Ann John Orcid Logo, Talha Khan, Mark Kingston Orcid Logo, Samuel Moyo, Alison Porter Orcid Logo, Gillian Richardson, Grace Rungua, Victoria Williams, Helen Snooks Orcid Logo

Health Expectations, Volume: 27, Issue: 3

Swansea University Authors: Ashra Khanom Orcid Logo, Bridie Evans Orcid Logo, Ann John Orcid Logo, Mark Kingston Orcid Logo, Alison Porter Orcid Logo, Helen Snooks Orcid Logo

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DOI (Published version): 10.1111/hex.14061

Abstract

BackgroundHealthcare 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 the...

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Published in: Health Expectations
ISSN: 1369-6513 1369-7625
Published: Wiley 2024
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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.AimThis 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.DesignA qualitative study was carried out using semi-structured telephone interviews.SettingThis study focused on primary, secondary, community and specialist National Health Service (NHS) support services for people seeking sanctuary in Wales, United Kingdom (2018).MethodWe 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.ResultsOur 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.ConclusionUnderstanding healthcare providers', practitioners' and support workers' perspectives offers invaluable insights into ways to enhance healthcare delivery to sanctuary seekers. 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spelling v2 63508 2023-05-19 Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary 1f0f14742e3a36e8fd6d29f59374a009 0000-0002-5735-6601 Ashra Khanom Ashra Khanom true false 6098eddc58e31ac2f3e070cb839faa6a 0000-0003-0293-0888 Bridie Evans Bridie Evans true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 3442763d6ff0467963e0792d2b5404fa 0000-0003-2242-4210 Mark Kingston Mark Kingston true false fcc861ec479a79f7fb9befb13192238b 0000-0002-3408-7007 Alison Porter Alison Porter true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false 2023-05-19 MEDS BackgroundHealthcare 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.AimThis 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.DesignA qualitative study was carried out using semi-structured telephone interviews.SettingThis study focused on primary, secondary, community and specialist National Health Service (NHS) support services for people seeking sanctuary in Wales, United Kingdom (2018).MethodWe 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.ResultsOur 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.ConclusionUnderstanding 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. Journal Article Health Expectations 27 3 Wiley 1369-6513 1369-7625 asylum seekers; delivery of healthcare; health personnel; primary healthcare; qualitative research refugees 1 6 2024 2024-06-01 10.1111/hex.14061 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University; Public Health Wales 2024-06-06T14:35:05.3995169 2023-05-19T12:47:57.1927023 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Ashra Khanom 0000-0002-5735-6601 1 Bridie Evans 0000-0003-0293-0888 2 Wdad Alanazy 3 Lauren Couzens 4 Lucy Fagan 5 Rebecca Fogarty 6 Ann John 0000-0002-5657-6995 7 Talha Khan 8 Mark Kingston 0000-0003-2242-4210 9 Samuel Moyo 10 Alison Porter 0000-0002-3408-7007 11 Gillian Richardson 12 Grace Rungua 13 Victoria Williams 14 Helen Snooks 0000-0003-0173-8843 15 63508__30552__7d9a56afa7c44516b166679a47f403ee.pdf 63508.VoR.pdf 2024-06-06T14:32:43.2716365 Output 780040 application/pdf Version of Record true © 2024 The Authors. This is an open access article under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
spellingShingle Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
Ashra Khanom
Bridie Evans
Ann John
Mark Kingston
Alison Porter
Helen Snooks
title_short Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
title_full Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
title_fullStr Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
title_full_unstemmed Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
title_sort Navigating challenges and workarounds: A qualitative study of healthcare and support workers' perceptions on providing care to people seeking sanctuary
author_id_str_mv 1f0f14742e3a36e8fd6d29f59374a009
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author_id_fullname_str_mv 1f0f14742e3a36e8fd6d29f59374a009_***_Ashra Khanom
6098eddc58e31ac2f3e070cb839faa6a_***_Bridie Evans
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
3442763d6ff0467963e0792d2b5404fa_***_Mark Kingston
fcc861ec479a79f7fb9befb13192238b_***_Alison Porter
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
author Ashra Khanom
Bridie Evans
Ann John
Mark Kingston
Alison Porter
Helen Snooks
author2 Ashra Khanom
Bridie Evans
Wdad Alanazy
Lauren Couzens
Lucy Fagan
Rebecca Fogarty
Ann John
Talha Khan
Mark Kingston
Samuel Moyo
Alison Porter
Gillian Richardson
Grace Rungua
Victoria Williams
Helen Snooks
format Journal article
container_title Health Expectations
container_volume 27
container_issue 3
publishDate 2024
institution Swansea University
issn 1369-6513
1369-7625
doi_str_mv 10.1111/hex.14061
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description BackgroundHealthcare 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.AimThis 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.DesignA qualitative study was carried out using semi-structured telephone interviews.SettingThis study focused on primary, secondary, community and specialist National Health Service (NHS) support services for people seeking sanctuary in Wales, United Kingdom (2018).MethodWe 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.ResultsOur 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.ConclusionUnderstanding 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.
published_date 2024-06-01T14:35:06Z
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