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电子健康与公平:运用女性主义后结构框架探索围产期电子健康资源对健康公平的影响。

eHealth versus equity: Using a feminist poststructural framework to explore the influence of perinatal eHealth resources on health equity.

机构信息

Dalhousie University School of Nursing, Halifax, NS, Canada.

Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada.

出版信息

J Clin Nurs. 2018 Nov;27(21-22):4224-4233. doi: 10.1111/jocn.14592. Epub 2018 Jul 27.

Abstract

AIMS AND OBJECTIVES

To explore whether and how eHealth resources targeted to families during the perinatal period effectively reach a diverse population or further oppress marginalised groups.

BACKGROUND

eHealth is often intended to reach a broad population, thus health content must be relatively generalised which limits the ability to tailor health education and interventions to individual needs. Generalisation of health information has historically represented a hegemonic depiction of the health consumer, especially within the perinatal period, often disregarding the diversity that exists in the world and perpetuating heteronormative constructs within healthcare systems as a result.

DESIGN

A critical review of the literature regarding perinatal eHealth resources was conducted using a feminist poststructuralist approach for analysis. Included literature addresses the development, implementation and/or evaluation of perinatal eHealth resources.

DISCUSSION

This approach uncovered hegemonic discourses related to the current state of perinatal eHealth resources. Nurses and midwives have the unique advantage of interacting and understanding diverse populations. Thus, nurses and midwives are integral to the development, implementation and evaluation of eHealth resources to reduce social health inequity.

RELEVANCE TO CLINICAL PRACTICE

This paper acts as an exemplar on how to apply feminist poststructuralism to highlight inequities that exist and identifies strategies for nurses and midwives to become involved in the development of eHealth resources or advocate for greater visibility within current resources.

摘要

目的与目标

探讨围产期的电子健康资源是否以及如何有效地覆盖到不同的人群,或者是否会进一步压迫边缘化群体。

背景

电子健康通常旨在覆盖广泛的人群,因此健康内容必须相对普遍化,这限制了根据个人需求调整健康教育和干预措施的能力。健康信息的普遍化在历史上代表了对健康消费者的霸权描述,尤其是在围产期,往往忽略了世界上存在的多样性,并因此在医疗保健系统中延续了异性恋规范结构。

设计

采用女性主义后结构主义方法对围产期电子健康资源的文献进行了批判性回顾,用于分析。纳入的文献涉及围产期电子健康资源的开发、实施和/或评估。

讨论

这种方法揭示了与当前围产期电子健康资源状况相关的霸权话语。护士具有与不同人群互动和理解的独特优势。因此,护士是电子健康资源的开发、实施和评估的重要组成部分,可以减少社会健康不平等。

对临床实践的意义

本文作为一个范例,展示了如何应用女性主义后结构主义来突出存在的不平等,并确定了护士和助产士参与电子健康资源开发或倡导在现有资源中提高可见度的策略。

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