在社会不利的背景下,思考在息护理中的选择和责任
Maddy French1, Lorraine Hansford2, Tess Moeke-Maxwell3
1International Observatory on End of Life Care, Lancaster University, Health Innovation Campus, Sir John Fisher Drive, Lancaster LA1 4YW, UK.
Palliative care and social practice
|September 1, 2023
概括
解决息治疗中的社会不平等问题需要了解其结构性根源. 这项研究提供了一个新的框架,以帮助专业人士支持面临终身社会经济劣势的患者.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 社会不平等对生命末期的体验和息护理的提供产生了重大影响.
- 由于社会结构性约束,医疗保健专业人员在提供公平护理方面面临挑战.
- 现有的息护理方法可能过度强调个人选择,忽视更广泛的系统性问题.
研究的目的:
- 探索如何改善受社会不平等影响的个体的息护理.
- 为了解和解决终身不平等问题提供一个新的框架.
- 支持医疗保健专业人员应对与息治疗中的社会经济劣势相关的挑战.
主要方法:
- 文献综述和理论综合.
- 借鉴结构不公正,文化安全和能力方法的概念.
- 制定一个新的责任,代理和集体行动的框架.
主要成果:
- 发现了了解不平等如何产生以及谁在息护理中负有责任的差距.
- 提出了传统以患者为中心的方法的替代镜头.
- 强调需要建立能够承认社会结构力量的框架.
结论:
- 对息治疗不平等的有效行动必须与对它的生产和责任的理解保持一致.
- 整合外部理论可以重塑专业角色,并加强对弱势患者的支持.
- 需要进一步的研究,以了解专业和公众对生命末期不平等责任的看法.
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