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医生为乘坐小船抵达西班牙的无证移民提供紧急护理的经历。

Physicians' experiences of providing emergency care to undocumented migrants arriving in Spain by small boats.

作者信息

Granero-Molina José, Jiménez-Lasserrotte María Del Mar, Ruiz-Fernández María Dolores, Hernández-Padilla José Manuel, Fernández-Medina Isabel María, López-Rodríguez María Del Mar, Fernández-Sola Cayetano

机构信息

Department of Nursing, Physiotherapy and Medicine, University of Almeria, Spain; Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile.

Department of Nursing, Physiotherapy and Medicine, University of Almeria, Spain; Cruz Roja Española, Almería, Spain.

出版信息

Int Emerg Nurs. 2021 May;56:101006. doi: 10.1016/j.ienj.2021.101006. Epub 2021 May 12.

Abstract

INTRODUCTION

Access to emergency care for undocumented migrants (UMs) is a public health problem. Spain receives thousands of UMs who arrive by sea. A multidisciplinary team of the Spanish Red Cross, made up of physicians, nurses, police, and cultural mediators, developed emergency care for UMs.

AIM

The aim of our study is to describe and understand the experiences of physicians in emergency care for UMs who arrive in Spain by small boats METHODS: Qualitative study, based on Gadamer's phenomenology. Convenience and purposive sampling was carried out and included sixteen in-depth interviews with physicians, between June 2019 and March 2020 in Spain.

RESULTS

Three main themes emerged: 1) Rediscovering humanistic medicine; 2) Leaving the personal and professional comfort zone; 3) Improving medical emergency care.

CONCLUSIONS

Triage, pharmacological prescription, and the closure of the emergency care process are the key contributions of medical care. Cultural, language and security barriers make emergency care difficult.

摘要

引言

无证移民获得紧急护理是一个公共卫生问题。西班牙接收了数千名经海路抵达的无证移民。由医生、护士、警察和文化调解人组成的西班牙红十字会多学科团队为无证移民提供紧急护理。

目的

我们研究的目的是描述和理解医生为乘坐小船抵达西班牙的无证移民提供紧急护理的经历。

方法

基于伽达默尔现象学的定性研究。在2019年6月至2020年3月期间于西班牙进行了便利抽样和立意抽样,包括对医生的16次深度访谈。

结果

出现了三个主要主题:1)重新发现人文医学;2)离开个人和职业舒适区;3)改善医疗急救护理。

结论

分诊、药物处方和紧急护理流程的结束是医疗护理的关键贡献。文化、语言和安全障碍使紧急护理变得困难。

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