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促进社区机构伙伴关系,以改善经历无家可归的亲密伴侣暴力幸存者的健康状况。

Promoting community institutional partnerships to improve the health of intimate partner violence survivors experiencing homelessness.

作者信息

Jagasia Emma, Lee Jennifer J, Wilson Patty R

机构信息

Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.

出版信息

J Adv Nurs. 2023 Apr;79(4):1303-1313. doi: 10.1111/jan.15357. Epub 2022 Jul 16.

Abstract

BACKGROUND

Disparities faced by individuals experiencing homelessness pose significant threats to the health and wellbeing of communities. Survivors of intimate partner violence are at heightened risk, with over 80% experiencing homelessness at some point in time. The intersection of homelessness and survivorship creates numerous barriers to care including safety concerns, stable housing, employment and childcare needs. The establishment of community institutional partnerships offers an opportunity to provide healthcare in transitional housing settings.

AIMS

The aim of this paper is to discuss the need for community institutional partnerships in addressing the health needs of intimate partner violence survivors and provide a working example of an existing partnership.

METHODS

A critical literature review of the literature was conducted. Multiple databases were searched to identify articles relating to health services, community institutional partnerships, intimate partner violence and sheltered housing. Articles were reviewed using The Johns Hopkins Nursing Evidence-Based Practice Quality Guide.

FINDINGS

Three types of partnerships that can be leveraged to address the needs of individuals experiencing homelessness were identified: academic-community, hospital-community, and large-scale partnerships. Only one article was identified that focused on the health needs of survivors experiencing homelessness, pointing to the need for implementation of more community institutional partnerships to address the unique needs of homeless intimate partner violence survivors. We highlighted a current successful community institutional partnership that addresses the health needs of survivors living in an emergency shelter.

IMPLICATIONS

Addressing the complex needs of this population is imperative to dismantle health inequities and structural barriers to healthcare. Holistic, nurse-led approaches to care are essential to address the health of intimate partner violence survivors experiencing homelessness. The example of a successful community institutional partnership provides a framework for delivering a wide range of healthcare services. Future nursing research is needed to evaluate programmes and provide foundational support for increased funding.

摘要

背景

无家可归者面临的差异对社区的健康和福祉构成重大威胁。亲密伴侣暴力的幸存者风险更高,超过80%的人在某个时间点经历过无家可归。无家可归与幸存者身份的交织造成了诸多护理障碍,包括安全问题、稳定住房、就业和儿童保育需求。社区机构伙伴关系的建立为在过渡性住房环境中提供医疗保健提供了机会。

目的

本文旨在探讨社区机构伙伴关系在满足亲密伴侣暴力幸存者健康需求方面的必要性,并提供一个现有伙伴关系的实际案例。

方法

对相关文献进行了批判性综述。搜索了多个数据库,以识别与卫生服务、社区机构伙伴关系、亲密伴侣暴力和庇护性住房相关的文章。使用约翰·霍普金斯基于护理证据的实践质量指南对文章进行了综述。

结果

确定了三种可用于满足无家可归者需求的伙伴关系类型:学术-社区、医院-社区和大规模伙伴关系。仅发现一篇关注无家可归幸存者健康需求的文章,这表明需要实施更多的社区机构伙伴关系来满足无家可归的亲密伴侣暴力幸存者的独特需求。我们重点介绍了一个当前成功的社区机构伙伴关系,该伙伴关系满足了居住在紧急避难所中的幸存者的健康需求。

启示

满足这一人群的复杂需求对于消除健康不平等和医疗保健的结构性障碍至关重要。全面的、由护士主导的护理方法对于满足经历无家可归的亲密伴侣暴力幸存者的健康需求至关重要。一个成功的社区机构伙伴关系的例子为提供广泛的医疗保健服务提供了一个框架。未来需要进行护理研究,以评估各项计划并为增加资金提供基础支持。

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