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让我们谈谈性:在医疗保健环境中解决性健康问题的女权主义后结构主义方法。

Let's talk about sex: A feminist poststructural approach to addressing sexual health in the healthcare setting.

机构信息

School of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

J Clin Nurs. 2019 Feb;28(3-4):695-702. doi: 10.1111/jocn.14685. Epub 2018 Nov 9.

Abstract

AIMS AND OBJECTIVES

To explore the use of feminist poststructuralism (FPS) as a way to critique, understand and improve sexual health care and policy in healthcare settings.

BACKGROUND

Sexual health is an important aspect of health; however, in healthcare settings, it often goes unaddressed by both healthcare providers and patients due to stigma, taboo, fear of embarrassment or uncertainty. Lack of attention to sexual health has been stated as a legitimate concern for patients across the lifespan; there remain gaps in implementing sexual health care discussions into practice in healthcare settings.

DESIGN

A critical analysis will be presented to explore sexual health care and attitudes in the healthcare setting from patient and nursing perspectives using FPS.

METHODS

Feminist poststructuralism is used to examine the meaning of experience that is personally, socially and institutionally constructed through relations of power. FPS will also be applied to understand how sexual health discourses are negotiated in healthcare settings. SQUIRE guidelines were used in the preparation of this paper (See Appendix S1).

RELEVANCE TO CLINICAL PRACTICE

The application of a feminist poststructural lens to sexual health care in healthcare settings may be used by healthcare professionals to understand, question and challenge how social and institutional beliefs, values and practices surrounding sexual health, inclusive of a patient's sexual pleasure or sexual activity, are experienced by healthcare professionals and patients. This theoretical and methodological approach could lead to identifying possibilities for change in healthcare settings that are inclusive and supportive of sexual health care.

摘要

目的和目标

探讨使用女性主义后结构主义(FPS)作为一种批判、理解和改善医疗保健环境中的性保健和政策的方法。

背景

性健康是健康的一个重要方面;然而,在医疗保健环境中,由于耻辱感、禁忌、尴尬或不确定性的恐惧,医护人员和患者都经常忽视它。缺乏对性健康的关注被认为是患者在整个生命周期中的一个合理关注点;在医疗保健环境中,将性保健讨论纳入实践仍然存在差距。

设计

将进行批判性分析,从患者和护理人员的角度使用 FPS 探讨医疗保健环境中的性保健和态度。

方法

女性主义后结构主义用于通过权力关系来检查个人、社会和机构构建的经验的意义。FPS 还将用于理解在医疗保健环境中如何协商性健康话语。本论文的准备工作中使用了 SQUIRE 指南(见附录 S1)。

对临床实践的相关性

在医疗保健环境中,将女性主义后结构主义视角应用于性保健,医护人员可以用来理解、质疑和挑战围绕性健康的社会和机构信仰、价值观和实践,包括患者的性愉悦或性活动,是如何被医护人员和患者体验的。这种理论和方法方法可以确定在医疗保健环境中进行变革的可能性,使其具有包容性和支持性保健。

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