Perceptions, Motivations and Empowerment Experiences of Nurses in Refugee Camps: Systematic Review and Meta-Synthesis

Aim: To explore the experiences, perceptions, motivations, and empowerment experiences of nurses working in refugee camps. Background/Introduction: Refugee camps are frequently marked by resource scarcity, instability, and cultural diversity, shaping how health care is delivered. Nurses are essentia...

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Detalhes bibliográficos
Autores: Macías-Maroto, Emanuel, da-Silva-Domingues, Henrique, Moreno-Cámara, Sara
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Recursos:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:dnet:ruja________::d26ca8a2da284a025aa24520ff484ed8
Acesso em linha:https://onlinelibrary.wiley.com/doi/10.1111/inr.70175
https://hdl.handle.net/10953/7614
Access Level:acceso abierto
Palavra-chave:empowerment
international cooperation
meta-synthesis
nursing
qualitative research
refugee camps
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Descrição
Resumo:Aim: To explore the experiences, perceptions, motivations, and empowerment experiences of nurses working in refugee camps. Background/Introduction: Refugee camps are frequently marked by resource scarcity, instability, and cultural diversity, shaping how health care is delivered. Nurses are essential in providing care in these settings, yet their experiences remain understudied. Methods: A systematic review and meta-synthesis were conducted using Sandelowski and Barroso’s approach. The protocol was registered in PROSPERO (CRD42024541434). Searches were conducted in April 2025 across PubMed, CINAHL, Scopus, LILACS, CuidenPlus, and PsycINFO. Results: Sixteen articles were included. Eight themes and 28 subthemes emerged, grouped into two meta-themes: (1) Motivations and empowerment experiences; and (2) Challenges faced by nurses. Motivations included prior experiences in international cooperation, inspiration from others, satisfaction from contributing, personal values, and professional and personal development. Challenges were linked to the refugee population, the context, and healthcare delivery. Discussion: Findings highlight the importance of addressing systemic and cultural barriers in refugee healthcare. Cross-cultural training, psychological support, and adequate resources are critical to sustaining nurses’ well-being and care quality in these challenging settings. Conclusion: Nurses working in refugee camps navigate a complex balance between strong professional motivation and substantial workplace challenges. Strengthening support systems and improving working conditions are crucial for promoting both nursing well-being and high-quality care in humanitarian contexts. Implications for nursing: Nursing education and professional development should integrate cultural competence, communi- cation skills for multilingual settings, and strategies for managing emotional strain in humanitarian environments. Implications for nursing and health policy: Health policies should prioritize integrated support frameworks that strengthen health systems in refugee contexts, ensure adequate staffing and resources, and provide sustained psychological and organizational support for nurses delivering care in humanitarian settings.