Wilson Cornelia Ronan
Health Resource Center of Cincinnati Inc., USA.
Rehabil Nurs. 2009 May-Jun;34(3):105-9. doi: 10.1002/j.2048-7940.2009.tb00264.x.
The goal of this article is to demystify the process that healthcare providers must follow when working with homeless patients who sustain injuries or exhibit illnesses that necessitate rehabilitation care. Observations made over a period of more than 12 years at an inner-city medical/psychiatric nurse-managed free clinic that delivers cutting-edge services and educates multidisciplinary students to care for disenfranchised populations led the author to several conclusions: homeless people frequently lose their identity as individuals when facing healthcare providers; previous negative perceptions of homelessness can turn positive when care providers meet these patients on a person-to-person level; the concept of health and rehabilitation must be clearly understood in the same way by both providers and patients for nursing goals to be realistic and achievable; and a collaborative relationship must be formed between nurses and patients.
本文的目的是揭开医疗服务提供者在为受伤或患病且需要康复护理的无家可归患者提供服务时必须遵循的流程的神秘面纱。作者在一家市中心的医疗/精神科护士主导的免费诊所进行了超过12年的观察,该诊所提供前沿服务并教育多学科学生照顾弱势群体,由此得出了几个结论:无家可归者在面对医疗服务提供者时常常失去其个体身份;当护理人员与这些患者进行面对面接触时,以往对无家可归的负面看法可能会转变为积极看法;为了使护理目标切实可行,医护人员和患者必须以相同的方式清楚地理解健康和康复的概念;护士和患者之间必须建立合作关系。