Table 1

Characteristics of articles included in the thematic synthesis

First authorPublication yearCountryEligible participants* and practice settingService users†Data collection methodAnalysis methodology Study aims/objectives
 Begg and Gill37 2005UKSeventeen general practitioners (GPs)
General practice
Refugees and asylum seekersSemi-structured interviewsThematic frameworkTo identify some of the concerns of 17 GPs working in an urban environment
 Bennett and Scammell38 2014UKTen midwives
Community, rotational, specialist and delivery suite midwives
Female asylum seekersSemi-structured interviewsThematic analysisTo gain an in-depth analysis of the experiences of midwives and their understanding of the specific needs of asylum-seeking women. The findings would be used to inform education, practice and policy to enable more effective delivery of woman-centred care for this group locally
 Burchill39§2011UKFourteen health visitors
London borough
Refugees and asylum seekersIn-depth interviewsFrameworkNot clearly stated
 Burchill and Pevalin18§2012UKFourteen health visitors
London borough
Refugees and asylum seekersIn-depth interviewsFrameworkTo determine the barriers to effective practice that health visitors when working with refugees and asylum seekers
 Burchill and Pevalin40§2014UKFourteen health visitors
London borough
Refugees and asylum seekersIn-depth interviewsFrameworkExplored the experiences of health visitors working with refugee and asylum-seeking families in central London, and assessed the dimensions of their cultural competency using Quickfall's model
 Carolan and Cassar41 2008AustraliaTwo midwives
African women's clinic (community health centre)
Female African refugeesObservational methods and semi-structured interviewsThematic analysisTo explore factors that facilitate or impede the uptake of antenatal care among African refugee women
 Crowley592005UKTen GPs
General practice
Asylum seekersTelephone interviewsNot specifiedTo assess the mental healthcare needs of adult asylum seekers in Newcastle upon Tyne
 Drennan and Joseph42 2005UKThirteen health visitors
Two London boroughs
Refugees and asylum seekersSemi-structured interviewsFrameworkDescribe health visitors’ experiences working in Inner London and identifying and addressing the health needs of refugee woman in the first 3 months after the birth of a baby.
Investigate health visitors’ perceptions of effective and ineffective strategies in identifying and addressing health needs of these women.
Investigate whether health visitors used a framework corresponding to Maslow's theory of a hierarchy of needs to prioritise their public health work
 Farley et al 43 2014AustraliaTwenty GPs
Five practice nurses
General practice
Newly arrived refugeesFocus groups and semi-structured interviewsThematic analysisExplored the experiences of primary healthcare providers working with newly arrived refugees in Brisbane…focusing on the barriers and enablers they continue to experience in providing care to refugees
 Feldmann et al 44 2007The NetherlandsTwenty-four GPs
General practice
Refugees (Afghan/Somali)In-depth interviewsThematic analysisTo confront the views of refugee patients and GPs in the Netherlands, focusing on medically unexplained physical symptoms
 Furler et al 45**2010AustraliaEight family physicians
Community health centre
Refugees with depressionSemi-structured interviewsThematic analysisThis study explores the complexities of this work (clinical care for depression) through a study of how family physicians experience working with different ethnic minority communities in recognising, understanding and caring for patients with depression
 Griffiths et al 46 2003AustraliaThirteen nurses
Two nurse managers
Refugee reception centre
RefugeesFocus groups and semi-structured interviewsThematic analysisTo identify the skills, knowledge and support nurses require to provide holistic and competent care to refugee children and their families and the nature of support that is required to assist their transition back to mainstream health services
 Jensen et al 17 2013DenmarkNine GPs
Medical clinics
RefugeesSemi-structured interviewsContent analysisTo qualitatively explore issues identified by GPs as important in their experiences of providing care for refugees with mental health problems
 Johnson et al 47 2008AustraliaTwelve GPs
General practice
RefugeesSemi-structured interviewsTemplate analysisTo document the existence and nature of challenges for GPs who do this work in South Australia.
To explore the ways in which these challenges could be reduced.
To discuss the policy implications of this in relation to optimising the initial healthcare for refugees
 Kokanovic et al 48**2010AustraliaFive GPs
Community health centre
Refugees with depressionIn-depth interviewsThematic analysisWe explore a set of cultural boundaries across which depression is contested: between recent migrants to Australia from East Timor and Vietnam, and their white ‘Anglo’ family doctors
 Kurth et al 192010SwitzerlandThree physicians
Three nurses/midwives
Women's clinic
Female asylum seekersSemi-structured interviewsGrounded theoryTo investigate the reproductive healthcare provided for women asylum-seekers attending the Women's Clinic of the University Hospital in the city of Basel, Switzerland. To identify the health needs of asylum seekers attending the Women's Clinic and to investigate the healthcare they received in a health maintenance organisation) specifically established for asylum seekers. Explored the perceptions of the healthcare professionals involved, about providing healthcare for this group in this setting
 Lawrence and Kearns49 2005New ZealandFive medical practitioners
Community health centre
RefugeesIn-depth interviewsThematic analysisThis paper reports on research that sought to reveal the barriers faced by refugees in accessing health services, and the challenges faced by providers in endeavouring to meet needs in an effective and culturally appropriate manner
 Riggs et al 50 2012AustraliaTwelve nurses
Maternal and child health services
Refugee background mothersFocus groups and InterviewsThematic analysisTo explore the utilisation and experience of maternal and child health services in Melbourne, Victoria for parents of refugee background from the perspective of users and providers
 Samarasinghe et al 51 2010SwedenThirty-four primary healthcare nurses
Various: maternity, child, school, community healthcare, nurse-led clinics
Involuntary migrant familiesInterviewsContextual analysisThe aim of this study was to describe the promotion of health in involuntary migrant families in cultural transition as conceptualised by Swedish primary health care nurses
 Suurmond et al 53††2013The NetherlandsThirty-six nurse practitioners
Ten public health physicians
Asylum seeker centres
Newly arrived asylum seekersGroup interviewsFrameworkTo describe the tacit knowledge of Dutch healthcare providers about the care to newly arrived asylum seekers and to give insight into the specific issues that healthcare providers need to address in the first contacts with newly arrived asylum seekers
 Suurmond et al 52††2010The NetherlandsEighty-nine nurse practitioners (questionnaires)
Thirty-six nurse practitioners
(group interviews)
Asylum seeker centres
Asylum seekersQuestionnaires and group interviewsFrameworkWe explored the cultural competences that nurse practitioners working with asylum seekers thought were important
 Tellep et al 54 2001USASix school nurses
Schools
RefugeesFocus groupUnspecifiedTo describe the nature and meaning of school nurses’ and Cambodian liaisons’ experiences of caring for Cambodian refugee children and families and to explore whether those meanings validated Dobson's conceptual framework of transcultural health visiting
 Tobin and Murphy-Lawless55 2014IrelandTen midwives
Maternity hospitals
Female asylum seekersIn-depth unstructured interviewsContent analysisTo explore midwives’ perceptions and experiences of providing care to women in the asylum process and to gain insight into how midwives can be equipped and supported to provide more effective care to this group in the future
 Twohig et al 56 1999CanadaSix family practice nurses
Ten family physicians
Clinic at refugee processing centre
RefugeesSemi-structured interviewsTextual analysisTo explore roles of family physicians and family practice nurses who provided care to Kosovar refugees at Greenwood, Nova Scotia
 Yelland et al 57§2014AustraliaTen midwives
Maternity services
Refugee background familiesInterviews and focus groupsThematic analysis(1) investigate Afghan women and men's experience of the way that health professionals approach inquiry about social factors affecting families having a baby in a new country and (2) investigate how health professionals identify and respond to the settlement experience and social context of families of refugee background
 Yelland et al 58§2016AustraliaTen midwives
Maternity services
Refugee background familiesInterviews and focus groupsThematic analysis(1) Describe Afghan women's and men's experiences of language support during pregnancy check-ups, labour and birth; (2) explore health professionals’ experiences of communicating with Afghan and other refugee clients with low English proficiency and (3) consider implications for health services and health policy
  • *Some studies included some participants not eligible for this review. These participants have not been included in this table.

  • †Service users as described by the authors.

  • ‡The aims and objectives are from the author (ie, extracted directly from papers).

  • §These articles were based on data from the same sample, but reported different aspects.

  • ¶Mixed methods were used in these studies. This table only includes characteristics of the qualitative element relevant to this review.

  • **The five GPs in Kokanovic 2010 are included within the eight physicians in Furler et al, 45 but report different aspects.

  • ††The 36 nurse practitioners are common between articles, but report different aspects.