当耻辱,披露和获得护理的机会碰撞时:mopox疫苗接种推广的伦理反思
Lane Birch1, Adam Bindert1, Susy Macias1
1College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
Public health reports (Washington, D.C. : 1974)
|October 17, 2023
概括
医疗保健机构的耻辱使LGBTQ+个人不愿透露重要信息,影响了获得像mopox疫苗接种这样的预防护理的机会. 学生护士在移动推广期间探索了围绕披露的伦理挑战.
科学领域:
- 公共卫生 公共卫生
- 护理伦理学 护理伦理学
- 健康 公平 卫生 公平
背景情况:
- 对LGBTQ+ (女同性恋,男同性恋,双性恋,跨性别者和酷儿/质疑) 个人的耻辱和歧视在医疗保健中造成了重大障碍.
- 历史上的边缘化和对污名化的恐惧导致不愿意向医疗保健提供者披露性行为和性别认同.
- 这些障碍可能会阻碍人们获得必要的预防性卫生服务和治疗.
研究的目的:
- 检查学生护士在mopox (以前是水) 移动推广期间面临的患者披露的伦理考虑.
- 了解性行为或性取向披露的要求如何影响获得预防性护理的机会,例如mopox疫苗接种.
- 探索LGBTQ+个人在医疗保健中面临的历史耻辱,犯罪化和披露挑战之间的关系.
主要方法:
- 对学生护士在芝加哥提供移动mopox外展的经验进行定性反思 (2022年秋至2023年春).
- 分析与患者披露性行为和性别认同相关的伦理困境.
- 考虑患者对耻辱和犯罪的描述.
主要成果:
- 学生护士发现,强制披露性行为或性取向可能成为进入重要预防服务 (如mopox疫苗接种) 的障碍.
- 该研究强调了历史上的耻辱和刑事犯罪对LGBTQ+个体愿意披露个人健康信息的持续影响.
- 在平衡公共卫生干预信息需求与患者隐私和信任方面,出现了道德挑战.
结论:
- 医疗保健系统必须解决污名化问题,以提高LGBTQ+人口的信任和鼓励披露.
- 重新考虑预防性护理的披露要求至关重要,以确保所有个人的公平获取.
- 护理教育需要包括在不同患者群体中应对披露和耻辱的伦理复杂性方面的培训.
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