Gagnon Marilou, Hazlehurst Emily
Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada.
Can J Nurs Res. 2021 Sep;53(3):222-232. doi: 10.1177/0844562120914425. Epub 2020 Mar 25.
In the past five years, we have seen a rapid expansion of harm reduction approaches, programs, and policies in Canada. To keep up with the changing policy landscape, a number of Canadian researchers have undertaken projects that seek to analyze policy documents published by provincial and territorial governments. Building on this important body of work, we undertook a similar analysis using documents published by nursing organizations.
To present key findings and propose ways that nursing organizations can strengthen their position on harm reduction.
We conducted an environmental scan with a two-part analysis. To complete the first part, we used the 17 quality indicators. To complete the second part, we analyzed the documents for specific harm reduction interventions.
A total of 39 documents were collected across 76 nursing organizations. The majority of the documents were press or public statements (n = 22), and the most frequently mentioned intervention was supervised injection services (n = 31). On average, documents met 5.6 quality indicators. Documents scored highest on indicator 12 (discuss low-threshold approaches to service provision) and lowest on indicator 3 (acknowledge that not all substance use is problematic).
Six areas were identified to strengthen nursing organizations' position on harm reduction.
在过去五年中，我们看到加拿大减少伤害的方法、项目和政策迅速扩展。为了跟上不断变化的政策形势，一些加拿大研究人员开展了旨在分析省级和地区政府发布的政策文件的项目。基于这一重要的工作成果，我们利用护理组织发布的文件进行了类似的分析。
呈现关键发现，并提出护理组织可加强其在减少伤害方面立场的方法。
我们进行了一项环境扫描，采用两部分分析。为完成第一部分，我们使用了17项质量指标。为完成第二部分，我们分析文件中的具体减少伤害干预措施。
共收集了76个护理组织的39份文件。大多数文件是新闻稿或公开声明（n = 22），最常提及的干预措施是监督下的注射服务（n = 31）。文件平均符合5.6项质量指标。文件在指标12（讨论提供低门槛服务的方法）上得分最高，在指标3（承认并非所有物质使用都有问题）上得分最低。
确定了六个领域以加强护理组织在减少伤害方面的立场。
