Purpose Worldwide, more than 214 million people have left their country of origin. This unprecedented mass migration impacts health care in host countries. This article explores and synthesizes... Show morePurpose Worldwide, more than 214 million people have left their country of origin. This unprecedented mass migration impacts health care in host countries. This article explores and synthesizes literature on the healthcare experiences of migrants. Design A meta-ethnography study of qualitative studies was conducted. Methods Eight databases (Medline, the Cumulative Index to Nursing and Allied Health Literature [CINAHL], PsycINFO, Embase, Web of Science, Migration Observatory, National Health Service Scotland Knowledge Network, and Adaptive Spectrum and Signal Alignment [ASSIA]) were searched for relevant full-text articles in English, published between January 2006 and June 2016. Articles were screened against inclusion criteria for eligibility. Included articles were assessed for quality and analyzed using Noblit and Hare's seven-step meta-ethnography process. Findings Twenty-seven studies were included in the review. Five key contextualization dimensions were identified: personal factors, the healthcare system, accessing healthcare, the encounter, and the healthcare experience. These five areas all underlined the uniqueness of each individual migrant, emphasizing the need to treat a person rather than a population. Within a true person-centered approach, the individual's cultural background is fundamental to effective care. Conclusions From the findings, a model has been designed using the five dimensions and grounded in a person-centered care approach. This may help healthcare providers to identify weak points, as well as to improve the organization and healthcare professionals' ability to provide person-centered care to migrant patients. Clinical Relevance The proposed model facilitates identification of points of weakness in the care of migrant patients. Employing a person-centered care approach may contribute to improve health outcomes for migrant patients. Show less
Commercial demand is the driving force behind the destruction of ironwood, locally called ulin (Eusideroxylon zwageri Teijsm. and Binn.) in Kalimantan, Indonesia. This tree species is perceived as... Show moreCommercial demand is the driving force behind the destruction of ironwood, locally called ulin (Eusideroxylon zwageri Teijsm. and Binn.) in Kalimantan, Indonesia. This tree species is perceived as a ‘people’s species’ or a ‘species reserved’ for local use in the village subsistence systems. However, the ironwood is threatened by overharvesting for commercial trade. The global demand for ironwood products is met with timber originating from the old-growth forests of Kalimantan through the clear-cutting of conversion forest in combination with illegal cutting from different status forests. Traditional forest management systems for a certain tree species, however, are not recognized. Forest islands, or simpukng, are created to protect tree stands or tree reserves, where clusters of trees are found. The simpukng also functions as an in situ conservation area for ironwood and other plants. From a land use system perspective, the simpukng and alas tuo systems offer an interesting challenge for ironwood conservation. This book provides an analysis of the external factors that contribute to the degradation of ironwood stands and investigates the potential of traditional forest management to counter-balance these factors. It also provides important insights into and addresses recent issues in this area. In addition, it formulates recommendations for a set of integrated policies in relation to the exploitation of forest timber, to support the sustainable management of ironwood and its cultural role in the life of local people in the research areas. Show less
