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预期护理中的耻辱:一个概念分析,由大麻使用披露提供信息
1College of Nursing, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.
Journal of advanced nursing
|January 27, 2026
概括
预期的耻辱感,对歧视的恐惧,会对患者与医疗服务提供者的沟通产生负面影响,尤其是在护理中使用大麻方面. 解决这种耻辱对于有效,以人为中心的护理至关重要.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 预期的耻辱感,对负面判断的期望,在医疗保健中没有得到充分的理论化.
- 披露像使用大麻这样的耻辱行为受到这种恐惧的阻碍.
- 这影响了护理中的治疗沟通和以患者为中心的护理.
研究的目的:
- 为了澄清预期耻辱的概念.
- 检查其与护理中大麻使用披露的相关性.
- 应用一个进化概念分析方法.
主要方法:
- 利用了罗杰斯和Knafl的进化概念分析方法.
- 在护理,公共卫生,心理学和社会学方面进行了跨学科文献综述 (1963-2024年).
- 综合了专注于耻辱,披露和大麻使用的经验和理论来源.
主要成果:
- 定义预期的耻辱感作为对值的以未来为导向的预期.
- 确定了五个核心属性,前例 (身份,规范,结构) 和后果 (困境,隐藏,减少参与).
- 开发了一个示范案例,说明其在护理中的应用.
结论:
- 预期的耻辱是一种动态的概念,阻碍了治疗沟通和以人为中心的护理护理.
- 概念的清晰度支持在护理教育和实践中的耻辱知情方法.
- 对于解决大麻使用和其他污名化的健康行为至关重要.
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