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[新冠疫情期间智利养老院的伦理关怀:对国际移民的定性研究]

[Towards ethical care in nursing homes during the COVID-19 pandemic: a qualitative study with international migrants in Chile].

作者信息

Cabieses Báltica, Obach Alexandra, Blukacz Alice, Carreño Alejandra, Larenas Daniel, Mompoint Emmanuel, Beca Juan Pablo

机构信息

Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana Universidad del Desarrollo, Santiago, Chile.

Department of Health Sciences, University of York, York, U.K.

出版信息

Cad Saude Publica. 2022 Oct 10;38(9):e00033622. doi: 10.1590/0102-311XES033622. eCollection 2022.

Abstract

International migrants have been recognized as a population at risk in the context of the COVID-19 pandemic. Worldwide, various strategies have been deployed for the protection of this population, such as the establishment of reception and quarantine or isolation centers. This article reports the results of a study that explored the experiences of international migrants in nursing homes in Chile created to ensure a safe quarantine during the COVID-19 pandemic, from an approach of ethical conditions for care. A qualitative study was carried out in 2020-2021. Thirty individual semi-structured online interviews were conducted in the cities of Arica, Iquique, Antofagasta and Santiago with international migrants with experience of using nursing homes; health teams of nursing homes; managers of nursing homes; local authorities; and national experts. Thematic analysis of the information was carried out. The study concludes that for international migrants, although the experience in nursing homes has meant significant health support, it is essential that the care provided, in addition to the requirement that it be framed in an approach of rights and respect for the dignity of each person, incorporate the perspective of interculturality in its work, that is, ensuring the right to culturally relevant health services, respectful of the culture of individuals, minorities, peoples and communities.

摘要

在新冠疫情背景下,国际移民已被视为面临风险的人群。在全球范围内,已部署了各种战略来保护这一人群,例如设立接待和检疫或隔离中心。本文报告了一项研究的结果,该研究从护理伦理条件的角度,探讨了智利养老院中为确保在新冠疫情期间安全检疫而设立的国际移民的经历。2020年至2021年进行了一项定性研究。在阿里卡、伊基克、安托法加斯塔和圣地亚哥等城市,对有养老院使用经历的国际移民、养老院的卫生团队、养老院管理人员、地方当局和国家专家进行了30次个人半结构化在线访谈。对信息进行了主题分析。该研究得出结论,对于国际移民来说,尽管在养老院的经历意味着重要的健康支持,但所提供的护理除了要以权利和尊重每个人尊严的方式为框架外,还必须在其工作中纳入跨文化视角,即确保获得与文化相关的卫生服务的权利,尊重个人、少数群体、民族和社区的文化。

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