护理中的失败 - 我们对人类的价值 - 第一部分
J D Little1, M Burt2, C Sanderson3
1Retired, Te Whatu Ora Health New Zealand, Wellington, New Zealand.
概括
历史悠久的护理设施可能成为虐待的场所. 忽视,缺乏宣传和不良监督是关键因素,即使在现代护理模式中,也需要针对弱势个体制定降低风险的策略.
科学领域:
- 医疗保健的质量和安全.
- 社会福利和社会政策
- 在机构环境中预防滥用.
背景情况:
- 从历史上看,专用护理设施容易成为虐待的环境.
- 了解从照顾到虐待的过渡对于保护弱势群体至关重要.
研究的目的:
- 分析护理机构如何演变为虐待场所,使用历史例子,如爱丽丝湖.
- 评估当前权利和基于社区的护理模式中的滥用风险.
- 确定在当代护理环境中减轻虐待风险的策略.
主要方法:
- 历史案例研究分析 (爱丽丝湖).
- 审查当前的权利和基于社区的护理模式.
- 风险因素的识别和分析.
主要成果:
- 确定已知的风险因素:既得利益,资金不足,组织孤立.
- 突出了关键的潜在因素:忽视弱势群体,缺乏宣传,监管监督不足.
结论:
- 对弱势群体的忽视和缺乏倡导是虐待在护理机构的主要驱动因素.
- 监管监管不足有助于滥用行为持续存在.
- 解决这些系统性问题对于防止在历史和当前护理模式中的滥用至关重要.
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