在使用物质的人中,急诊室的护理经验:一种定性研究
Dana Rajab1, Jamie K Fujioka2, Melanie Walker2,3,4
1Department of Medicine, Queen's University, Kingston, ON, Canada. d.rajab99@gmail.com.
International journal for equity in health
|December 4, 2023
概括
使用物质的人 (PWUS) 在急诊室 (ED) 面临重大障碍. 解决耻辱,改善提供者培训和增强系统资源对于公平的护理提供至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
- 药物使用障碍 药物使用障碍
背景情况:
- 紧急诊所 (ED) 是为使用物质的人 (PWUS) 提供医疗保健的关键接入点,他们经常面临严重的护理障碍.
- 了解ED经验对于解决PWUS面临的健康不平等至关重要.
研究的目的:
- 探索PWUS在ED环境中的医疗保健经验.
- 确定影响PWUS在ED患者获得护理质量的因素.
- 为改善PWUS公平护理提供提供策略提供信息.
主要方法:
- 使用参与者共享故事的诱导性主题分析进行定性研究.
- 这是一项更大规模的混合方法研究的一部分,该研究涉及各种服务不足和配资应有的群体的ED经验.
- 从246名自我认同为PWUS.US的参与者收集的数据.
主要成果:
- 患者层面的因素,如药物使用史和交叉性,对护理感知产生了负面影响.
- 提供者层面的问题包括耻辱,歧视和负面的护理看法.
- 系统层面的障碍包括护理的及时性和心理健康资源的不足.
结论:
- 在EDs中,PWUS遇到重大挑战,需要改善员工支持和护理服务.
- 建议包括整合以公平为导向的方法,提供物质使用培训,并投资专家资源.
- 解决这些问题对于增强对PWUS患者的信任,寻求护理的行为以及对护理质量的认知至关重要.
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