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关爱无证移民:医疗保健遭遇中承认和尊重的重要性。

Caring for Undocumented Migrants: Significance of Recognition and Respect during Healthcare Encounters.

机构信息

Department of Social Work, University of Gothenburg, Gothenburg, Sweden.

出版信息

Issues Ment Health Nurs. 2024 Apr;45(4):365-370. doi: 10.1080/01612840.2024.2319640. Epub 2024 Apr 2.

DOI:10.1080/01612840.2024.2319640
PMID:38564680
Abstract

Undocumented migrants are often in a position of extreme vulnerability and experience many barriers to accessing mental health care. It is crucial that health professionals understand this and quickly establish trust and respect. If the stressful living conditions that contribute to the distress of undocumented migrants are recognized, compassionate and trauma-informed care is enhanced. In this regard, it is important that health professionals understand the fear of being expelled from a country. This paper discusses problems that arise when health professionals interact with undocumented migrants and the need to quickly convey recognition to establish trust and respect. We argue that insights from Axel Honneth's social philosophical theory of recognition and disrespect can further enhance health professionals strategies to improve their verbal and non-verbal communication and thereby increase access to health care for undocumented migrants. We suggest ideas for codifying this knowledge in health care policies and guidelines.

摘要

无证移民常常处于极度脆弱的境地,在获得精神卫生保健方面面临许多障碍。卫生专业人员必须了解这一点,并迅速建立信任和尊重。如果认识到导致无证移民痛苦的紧张生活条件,就会增强富有同情心和了解创伤的护理。在这方面,卫生专业人员必须了解对被驱逐出一个国家的恐惧。本文讨论了卫生专业人员与无证移民互动时出现的问题,以及需要迅速表示认可以建立信任和尊重的必要性。我们认为,阿克塞尔·霍耐特(Axel Honneth)的承认和不尊重的社会哲学理论的见解可以进一步增强卫生专业人员改善其言语和非言语沟通的策略,从而增加无证移民获得医疗保健的机会。我们提出了在卫生保健政策和准则中编纂这方面知识的建议。

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Healthcare providers' advocacy approaches and ethical challenges in delivering healthcare to undocumented migrants: a scoping review.卫生保健提供者向无证移民提供医疗保健的倡导方法和伦理挑战:范围综述。
Med Health Care Philos. 2024 Dec;27(4):579-606. doi: 10.1007/s11019-024-10225-8. Epub 2024 Oct 7.