農村保健サービスの混乱:看護の専門的な"ポジショナリティ"の評価
Jessica G Smith1, Sharon Laver2
1University of Texas at Arlington College of Nursing and Health Innovation, Arlington, Texas, USA.
まとめ
田舎の保健サービスは,世界的に大きな混乱に直面しています. 看護師は,平等なアクセスを提唱し,課題を農村保健のシステム変化の機会に変えることができます.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 介護の実践について
- 田舎の保健医療システム
背景:
- 農村の保健サービスは,サプライチェーンの問題,労働力不足,気候現象などの障害によって世界中で挑戦されています.
- 米国における田舎の病院の閉鎖は,社会政治的行き詰まりや経済的要因に根ざした体系的な問題を強調しています.
- 混乱した農村地域の看護師は,ケアを提供しながら,システム上の障壁を乗り越えるのに相当な負担に直面しています.
研究 の 目的:
- 農村の実践に対する専門的な看護の姿勢に必要な哲学的基礎を探求する.
- 公平な農村保健医療へのアクセスを提唱するリーダーとして看護を位置づけること.
- 農村保健の変化の積極的なエージェントに反応的から移行するために看護師を奨励する.
主な方法:
- 農村の環境における看護の専門的な立場についての哲学的な分析.
- ソーシャル・コントラクトとアドボカシーに関するICN看護師倫理規範の検討.
- 農村保健改革における看護専門職の関与のための概念的枠組みの開発.
主要な成果:
- 定義された専門的な看護のポジショナリティは,田舎の健康障害に対処するために不可欠です.
- 人権としての健康は,農村部での看護の提唱のための基盤を提供します.
- 集団的看護活動は,公平な農村保健医療の提供のためのシステム改革を推進することができます.
結論:
- 看護師は,農村保健の変化を効果的にナビゲートし,主導するために,彼らの専門的な立場を定義する必要があります.
- 倫理的原則に基づく提唱は,農村部の人々のサービスへの平等なアクセスを促進することができます.
- プロフェッショナル・グループとして参加することで,看護師はシステム改革に影響を与え,社会政治的分断を克服することができます.
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