文化为中心的息护理:一个公平神经临床护理框架
Paula M Magee1, Tessie W October2
1Division of Pediatric Critical Care Medicine, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, 3401 Civic Center Blvd, 9 Main Suite 9NW45, Philadelphia, PA, 19104, USA. mageep@chop.edu.
Neurocritical care
|July 2, 2024
概括
种族和民族差异对神经损伤重症患者的息护理有重大影响. 解决结构性种族主义和健康的社会决定因素对于在神经重症监护病房实现健康平等至关重要.
科学领域:
- 神经临界护理是指神经临界护理.
- 抚慰性护理是一种缓解性护理.
- 健康 公平 卫生 公平
- 健康差异 在健康上的差异
背景情况:
- 在美国,种族和少数民族患者的健康差异仍然存在.
- 这些差异在重症监护机构中很明显,特别是在神经损伤患者和临终期患者中.
- 在神经重症监护室 (NICU) 中,在息治疗中存在的不平等现象需要紧急关注.
研究的目的:
- 突出在神经临床护理和息治疗方面的种族和民族差异.
- 为新生儿重症监护室的息治疗提供反种族主义方法的建议.
- 促进在关键神经病治疗中服务不足的人群的健康公平.
主要方法:
- 关于神经临床和息治疗中的健康差异现有文献的综述.
- 分析结构性种族主义和健康的社会决定因素对护理的影响.
- 制定反种族主义框架的建议.
主要成果:
- 在神经损伤患者的息护理获取和质量方面存在显著的种族和民族差异.
- 结构性种族主义和健康的社会决定因素是这些差异的关键驱动因素.
- 目前在NICU中的息护理方法可能会延续不平等.
结论:
- 在神经临床护理和息护理中实现健康平等,需要承认和积极解决结构性种族主义.
- 实施反种族主义方法对于公平的护理提供至关重要.
- 临床医生必须具备减轻差异和促进所有患者终身护理公正的策略.
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