在护理网络中解构自我-他人二进制,通过交叉镜头揭开专业人士的观点
Aldiene Henrieke Hengelaar1,2, Margo van Hartingsveldt3, Tineke Abma4
1Department Ethics, Law and Humanities, Amsterdam Public Health Research Institute, Amsterdam University of Applied Science, Amsterdam UMC, location VUmc, Tafelbergweg 51, PO box 2557, 1000 CN, Amsterdam, The Netherlands. a.h.hengelaar@hva.nl.
概括
医疗保健专业人员面临着与来自不同背景的非正式照顾者合作的挑战. 了解这些紧张关系是改善护理网络和减少老龄化人口健康差异的关键.
科学领域:
- 老年学是一门学科.
- 卫生社会学 卫生社会学
- 医疗保健管理的管理
背景情况:
- 非正式的护理是满足西方国家日益增长的护理需求的关键策略.
- 正式和非正式护理人员之间的合作至关重要,特别是在多样化的老龄化人口中.
- 关于多样性如何影响专业非正式护理人员合作的理解有限.
研究的目的:
- 探索医疗保健专业人员与来自移民背景的非正式照顾者合作的观点是如何通过交叉多样性方面形成的.
- 在各种老龄化背景下,识别正式-非正式照顾者关系中的偏见和权力动态.
主要方法:
- 使用非正式对话 (N=12) 和与医疗保健专业人员进行半结构面试 (N=17) 的定性研究.
- 基于交叉性的方法,由批判性朋友和实践社区支持的分析.
主要成果:
- 出现了四个主题:"困难的他人" (感知到的挑战),"依赖的他人" (困难的背景加剧),"不舒服的自我" (影响职业行动的不安全感) 和"反射的自我" (对盲点的自我反射).
- 确定了正式和非正式照顾者之间的紧张关系,偏见和权力不平衡.
- 这些动态可以使护理网络中的健康差异持续存在.
结论:
- 专业人士对与多样化的非正式照顾者合作的观点是复杂的,并受到交叉多样性因素的影响.
- 解决专业偏见和权力不平衡对于公平的护理至关重要.
- 需要进一步的研究来缓解由护理人员协作动态产生的健康差异.
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