Johnson Karen E, Guillet Nancy, Murphy Linda, Horton Shalonda E B, Todd Ana T
J Nurs Educ. 2015 Sep;54(9):S116-9. doi: 10.3928/01484834-20150814-22.
Poverty is linked to poorer health outcomes across the life span. Nurses must understand how poverty impacts health and the ability to achieve social mobility. This article describes a poverty simulation exercise, In Their Shoes.
Scenarios of clients in need of community resources were developed. Using public transportation, students travelled to agencies to collect information about accessing resources. Students were introduced to content about poverty, income inequality, social mobility, and critical social theory prior to the simulation exercise. After the simulation, students returned to the classroom and reflected on the experience.
In Their Shoes received positive feedback. Students expressed surprise at the number of community resources, frustration by the challenges encountered, and dedication to being aware and compassionate advocates for underserved clients.
Nursing programs should develop and evaluate similar activities to expose students to the challenges of living in poverty, and how this affects health and nursing practice.
贫困与一生较差的健康结果相关。护士必须了解贫困如何影响健康以及实现社会流动的能力。本文描述了一项贫困模拟活动,“设身处地”。
制定了需要社区资源的服务对象情景。学生乘坐公共交通工具前往各机构收集有关获取资源的信息。在模拟活动之前,向学生介绍了有关贫困、收入不平等、社会流动和批判社会理论的内容。模拟结束后,学生回到教室并反思这次经历。
“设身处地”活动得到了积极反馈。学生们对社区资源的数量表示惊讶,对遇到的挑战感到沮丧,并致力于成为弱势群体的敏锐且富有同情心的倡导者。
护理专业课程应开展并评估类似活动,让学生了解生活在贫困中的挑战,以及这如何影响健康和护理实践。