- Title
- Challenges, coping and resilience among immigrant parents caring for a child with disability - An integrative review
- Creator
- Alsharaydeh, Ethar A.; Alqudah, Muhammad; Lee, Regina Lai Tong; Chan, Sally Wai-Chi
- Relation
- Journal of Nursing Scholarship Vol. 51, Issue 6, p. 670-679
- Relation
- https://doi.org/10.1111/jnu.12522
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2019
- Description
- Purpose: The aim of this integrative review is to synthesize quantitative and qualitative research evidences on challenges in caring for a child with a disability among immigrant parents and to understand their coping strategies and resiliency factors associated with their coping. Methods: A comprehensive literature search was conducted to identify relevant studies from databases: MEDLINE, CINAHL, Scopus, PsycINFO, Social work abstract, Cochrane library, and EMBASE. Findings: This review included 25 studies - one quantitative, 23 qualitative, and one narrative review. The main challenges that parents faced were language barrier, financial hardship, service utilisation challenges, poor adaptation to new culture, stigma related to mental illness, discrimination and social isolation. This review found poor communication and lack of cultural awareness among some healthcare professionals. Immigrant parents used problem-focused coping, avoidance coping, spiritual coping, and social support to manage their challenges. Parents who received social, emotional and instrumental support were more resilient. Personality traits and faith were protective factors that enhanced resilience. Conclusions: When immigration and disability are considered concurrently, burden of care multiplies. Immigrant parents with children with disabilities faced extra challenges related to adaptation, finance, service utilisation and stigma. Healthcare providers can play an important role in facilitating these parents in service utilisation and adaptation. Significance: This review adds new knowledge on immigrant parents' challenges in caring for their children with disabilities. Such knowledge could help health professionals to develop supportive interventions to enhance parental coping and resilience. Clinical relevance: Culturally appropriate and sensitive communication and care provided by healthcare providers can facilitate service utilisation and reduce perceived stigma. Special training provided to healthcare providers regarding the challenges of these families may enhance awareness. Information support and parental support groups may help to enhance parental coping and reduce isolation. Interpreting service should be provided in all aspects of care.
- Subject
- challenges; child; coping; disability; immigrant; parent
- Identifier
- http://hdl.handle.net/1959.13/1469987
- Identifier
- uon:48356
- Identifier
- ISSN:1527-6546
- Language
- eng
- Reviewed
- Hits: 702
- Visitors: 696
- Downloads: 0