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护士在中低收入国家短期人道主义护理中的贡献:文献综述的综合评价。

Nurses' contribution to short-term humanitarian care in low- to middle-income countries: An integrative review of the literature.

机构信息

Avondale College of Higher Education - Sydney Campus, Wahroonga, NSW, Australia.

Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.

出版信息

J Clin Nurs. 2017 Dec;26(23-24):3950-3961. doi: 10.1111/jocn.13816. Epub 2017 Jun 28.

DOI:10.1111/jocn.13816
PMID:28334465
Abstract

AIMS AND OBJECTIVES

To appraise the literature related to voluntary humanitarian work provided by international nurses in low- to middle-income countries.

BACKGROUND

Nurses and other health professionals are engaged with both governmental and nongovernmental organisations to provide care within international humanitarian relief and development contexts. Current literature describes accounts of charitable health professional activity within short-term health-focused humanitarian trips; however, there is minimal research describing the care that nurses provide and the professional roles and tasks they fulfil whilst participating in international volunteer healthcare service.

DESIGN

Integrative review.

METHODS

A search of articles published between 1995-2015 was conducted using seven bibliographic databases. Inclusion criteria incorporated nurses and allied health professionals' involvement in a volunteer short-term medical team capacity. Papers describing military and/or disaster response with a service-learning focus were excluded. Nineteen papers were selected for review, description and discussion of findings.

RESULTS

Findings revealed limited data describing the care nurses provide and the professional roles and tasks they fulfil within the context of international humanitarian short-term medical trips. Issues raised included a description of demographic data regarding participants and sending agencies, motivation for volunteer participation, perceptions of effectiveness of particular programmes and sustainability issues related to cultural, ethical or moral obligations of foreign health professionals working in a low- to middle-income countries.

CONCLUSION

Study findings highlighted that although nurses are recruited and participate in health-focused humanitarian activities in low- to middle-income countries, there is extremely limited documented research about the amount and type of care that nurses specifically provide in this context. Furthermore, when identified, it is most often hidden within studies outlining services provided by healthcare teams and not specific to the discipline of nursing. Further research is therefore required to enable greater understanding of nursing care in this context and to inform prospective volunteers of expected nursing practice.

RELEVANCE TO CLINICAL PRACTICE

This article provides an analysis of available literature describing nursing involvement within the particular context of short-term medical teams delivering charitable health care.

摘要

目的和目标

评估国际护士在中低收入国家提供的志愿人道主义工作相关文献。

背景

护士和其他卫生专业人员与政府和非政府组织合作,在国际人道主义救援和发展背景下提供护理。目前的文献描述了短期以健康为重点的人道主义旅行中慈善卫生专业人员活动的情况;然而,几乎没有研究描述护士提供的护理以及他们在参与国际志愿医疗保健服务时所扮演的专业角色和任务。

设计

综合审查。

方法

使用七个文献数据库对 1995 年至 2015 年期间发表的文章进行了搜索。纳入标准包括护士和相关卫生专业人员以志愿短期医疗队的形式参与。排除描述以服务学习为重点的军事和/或灾害应对的论文。选择了 19 篇论文进行综述、描述和讨论研究结果。

结果

研究结果表明,关于国际人道主义短期医疗旅行中护士提供的护理以及他们所扮演的专业角色和任务,仅有有限的数据描述。提出的问题包括参与者和派遣机构的人口统计学数据描述、志愿参与的动机、对特定计划的有效性的看法以及与在中低收入国家工作的外国卫生专业人员的文化、道德或道德义务相关的可持续性问题。

结论

研究结果强调,尽管护士在中低收入国家招募并参与以健康为重点的人道主义活动,但关于护士在这种情况下提供的护理数量和类型的文献记录非常有限。此外,当确定时,它最常隐藏在概述医疗团队提供的服务的研究中,而不是特定于护理学科。因此,需要进一步研究,以更好地了解这方面的护理,并向未来的志愿者通报预期的护理实践。

临床相关性

本文对描述短期医疗队提供慈善医疗保健服务中护理参与的现有文献进行了分析。

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