护士有机会减少与住房不稳定和无家可归相关的耻辱感
Donna J Biederman1, Heather O'Donohue2, Julia Gamble3
1Duke University School of Nursing, DUMC 3322, 307 Trent Drive, Durham, NC 27710, USA.
The Nursing clinics of North America
|January 25, 2024
概括
美国的无家可归人数正在上升,导致健康状况恶化和过早死亡. 护士可以帮助减少无家可归者的耻辱感,并改善无家可归者 (PEH) 的健康状况.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 护理研究 护理研究
背景情况:
- 在过去的五年中,美国无家可归者 (PEH) 人口增长了.
- 与住房人员相比,PEH面临重大健康挑战,包括较高的疾病负担和较高的死亡率.
- 社会耻辱加剧了PEH的健康和疾病管理困难.
研究的目的:
- 审查与无家可归相关的耻辱的概念.
- 定义住房和无家可归的人.
- 描述PEH所经历的健康和医疗保健差异,并提出利用社会生态模型的护理干预措施,以减轻耻辱和改善健康结果.
主要方法:
- 关于耻辱,住房和无家可归的文学评论.
- 对PEH的健康和医疗保健差异的分析.
- 应用社会生态模型来确定护理干预点.
主要成果:
- 耻辱是PEH人获得健康和医疗保健的重要障碍.
- PEH在健康状况和医疗保健利用方面存在严重差异.
- 社会生态模型为多层次的护理干预提供了一个框架.
结论:
- 护理干预对于解决PEH所面临的耻辱至关重要.
- 针对各种生态层面的耻辱,可以改善住房不稳定的人的健康结果.
- 需要进行系统性改变和有针对性的护理策略,以减少PEH的健康差异.
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