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冲突与关怀:以色列的医疗服务提供者以及以色列境内的叙利亚患者与护理人员

Conflict and Care: Israeli Healthcare Providers and Syrian Patients and Caregivers in Israel.

作者信息

Young Savannah S, Lewis Denise C, Gilbey Peter, Eisenman Arie, Schuster Richard, Seponski Desiree M

机构信息

University of Georgia, Athens, Georgia, USA.

Bar Ilan University, Safed, Israel.

出版信息

Glob Qual Nurs Res. 2016 Sep 2;3:2333393616666584. doi: 10.1177/2333393616666584. eCollection 2016 Jan-Dec.

Abstract

Israel has provided immediate healthcare to Syrian children, civilians and fighters since early 2013 despite being in an official state of war with Syria since 1973. We present qualitative findings from a larger mixed-methods phenomenological study to understand how the geopolitical and social history of Israel and Syria influences healthcare providers and Syrian patient caregivers in northern Israel. Theories of humanization and cognitive dissonance guided this study and frame the beliefs and experiences of healthcare providers who treated wounded Syrians in Israeli hospitals. Findings indicate healthcare providers and Syrian caregivers adjusted their beliefs to allow for positive healthcare experiences. Qualitative analysis revealed two major themes: supportive and hindering systemic elements contributing to the healthcare provider-patient-caregiver relationship. Internal psychological developments, contextual factors, and relational processes influenced humanization of within the relationship. This study illuminates unique ethical and humanitarian demands relevant for healthcare workers and those with whom they interact.

摘要

自2013年初以来,以色列尽管自1973年起就与叙利亚处于正式战争状态,但仍为叙利亚儿童、平民和战士提供即时医疗服务。我们展示了一项更大规模的混合方法现象学研究的定性结果,以了解以色列和叙利亚的地缘政治及社会历史如何影响以色列北部的医疗服务提供者和叙利亚患者的护理人员。人性化和认知失调理论指导了这项研究,并构建了在以色列医院治疗受伤叙利亚人的医疗服务提供者的信念和经历。研究结果表明,医疗服务提供者和叙利亚护理人员调整了他们的信念,以获得积极的医疗体验。定性分析揭示了两个主要主题:有助于医疗服务提供者-患者-护理人员关系的支持性和阻碍性系统因素。内部心理发展、背景因素和关系过程影响了关系中的人性化。这项研究阐明了与医护人员及其互动对象相关的独特伦理和人道主义需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45e7/5415285/35b6fc00e14c/10.1177_2333393616666584-fig1.jpg

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