A Nurse-Led Wellness Program for Migrant Backstretch Workers

Bailey, Denise Nagle; Dougherty, Amy

doi:10.1111/nuf.12048

Cited by 3 publications

(30 citation statements)

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“…Bailey and Dougherty's research revealed similar results after conducting a needs assessment of backstretch workers at a Pennsylvania thoroughbred racetrack. [5] Findings indicated that common issues in this population included work-related physical injuries and chronic, noninfectious diseases including diabetes and hypertension. Other significant areas of concern identified a of a need for bilingual communication between nursing staff and clients, access to healthcare services, women's healthcare issues, and improvement in nutritional status.…”

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

“…Multiple factors impeding women's care relate to cultural norms, religious or spiritual beliefs, chronic poverty, lack of health insurance, transportation, knowledge deficit, confidentiality, and psychological factors including embarrassment and the fear of cancer. [5,13,14] Language barriers and migratory patterns also are aspects that create barriers to women's health. [5,13,14] Fear of retribution for taking time off from work to seek procedures further delay mammography and PAP screenings.…”

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

“…Other significant areas of concern identified a of a need for bilingual communication between nursing staff and clients, access to healthcare services, women's healthcare issues, and improvement in nutritional status. [5] Housing for migrant backstretch workers on racetrack grounds is generally poor with living conditions that are sub-standard. Typically, workers come together forming small communities located behind the racetrack (backstretch).…”

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

“…Larger, more prestigious racetracks often offer backstretch workers and their families a more comprehensive selection of health services, which include medical services, health and wellness services, dormitories, schools, libraries, and churches. [5,9,10] The horseracing industry contributes an excess of 39 billion dollars to the U.S. economy each year, and it is estimated that 4.6 million individuals are directly involved in this commercial enterprise. [11] Individuals working within this industry are at greater risk for developing a decreased health status and ill health as a result of their repeated exposure to hazards lurking in the equine environment.…”

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

“…The absence of health insurance makes it difficult for migrant populations to access care, since two thirds of this population live in poverty. [4,5] There are a number of factors placing migrant workers at risk for poor outcomes relating to health. Lack of insurance or an underinsured status is only one concern.…”

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

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Mitigation of transcultural clinical barriers in a health and wellness program: A transcultural caring approach for vulnerable migrant backstretch workers

Bailey

2015

Clinical Nursing Studies

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This paper explores the mitigation of transcultural clinical barriers in a clinical setting where migrant backstretch workers receive health and wellness services from university faculty, staff, and nursing students at a nurse-led clinic located behind the stable area of a local thoroughbred racetrack. Caring for this vulnerable population is critical as these underserved individuals encounter many obstacles in the access of quality health care as a result of their marginalized status. Placing a heightened emphasis on providing culturally congruent care within the clinical setting and adopting a framework of transcultural caring principles using Ray's Transcultural Caring Dynamics in Nursing and Health-Care Model serve as a sound strategy to reduce cultural barriers and enhance the health of these workers who have inadequate or no healthcare coverage. This article examines the unique culture of migrant populations with a specific emphasis on migrant backstretch populations, and the health disparities that occur within this marginalized population. This article also addresses the importance of delivering clinical nursing services within the context of transcultural caring, applying the theoretical framework of Ray's Transcultural Caring Dynamics in Nursing and Health-Care to a nurse-led health and wellness program for migrant backstretch workers. It suggests clinical implications for nursing using a transcultural framework to improve the health status of this invisible population.

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Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

Section: Introduction 11 Vulnerable Populations' Overviewmentioning

confidence: 99%

See 3 more Smart Citations

Mitigation of transcultural clinical barriers in a health and wellness program: A transcultural caring approach for vulnerable migrant backstretch workers

Bailey

2015

Clinical Nursing Studies

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Discourse on culture in research on immigrant and migrant workers’ health

Premji

2019

American J Industrial Med

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Background Health and safety researchers and practitioners have proposed that cultural differences help explain inequalities between foreign and native‐born workers. While cultural explanations for inequalities have long been debated in other fields, there exists little critique of cultural discourses in occupational health. Methods This article examines and discusses the discourse on culture in 107 articles on immigrant or migrant workers’ health published between 2011 and 2015. For each article, passages on culture were identified and analysed for both the context and the manner in which culture was discussed. Results The discourse on culture was found to be generally simplistic, individualistic, and uncritical, intentionally or unintentionally supporting the worldview that workers’ “otherness” is both cause of inequalities and target for interventions. Conclusion The article argues that empirical, theoretical and interdisciplinary work is needed to document the mechanisms and pathways that underlie health and safety inequalities by foreign‐born status.

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