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私人托管安排中难民和流离失所家庭的护理实践与服务提供模式映射:一项范围审查

Mapping Care Practices and Service Delivery Models for Refugee and Displaced Families in Private Hosting Arrangements: A Scoping Review.

作者信息

Al-Hamad Areej, Yasin Yasin M, Yasin Lujain, Zhang Andy

机构信息

Daphne Cockwell School of Nursing, Faculty of Community Services, Toronto Metropolitan University, Toronto, ON M5B 1Z5, Canada.

Faculty of Nursing, University of New Brunswick, Fredericton, NB E3B 5A3, Canada.

出版信息

Nurs Rep. 2025 Aug 11;15(8):293. doi: 10.3390/nursrep15080293.

DOI:10.3390/nursrep15080293
PMID:40863680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12389609/
Abstract

: Private hosting arrangements have emerged as community-driven alternatives to institutional refugee housing, offering personalized support and opportunities for enhanced social integration. However, clarity around care practices and service delivery models remains underdeveloped. : This paper presents the findings of a scoping review aimed at mapping evidence on service delivery and care practices in private hosting contexts for refugee families. Following an overview of the background and methodology, we present key themes, propose a conceptual model, and conclude with implications for policy, practice, and future research. This scoping review maps existing literature on care practices; it does not assess the effectiveness of interventions or establish best practices. The review synthesizes empirical and gray literature on service delivery and care practices supporting refugee and displaced families in private hosting contexts. Following the Joanna Briggs Institute (JBI) methodology, six academic databases and multiple gray literature sources were systematically searched, resulting in the inclusion of 28 studies. : The analysis identified four conceptual dimensions of care described in the literature: relational care and trust-building, program structure and policy integration, holistic integration pathways, and embedded equity and protection. While private hosting facilitates emotional connection and psychosocial integration, the review highlights key challenges, including variability in host preparedness, emotional labor disparities, and limited formal oversight. : The findings underscore the need for evidence-informed guidelines, standardized host training, trauma-informed approaches, and coordinated policy frameworks. The resulting model offers a foundation to inform future research, guide policy development, and strengthen private hosting practices to ensure equitable, inclusive, and sustainable outcomes for refugee and displaced families.

摘要

私人安置安排已成为社区驱动的替代机构难民住房的方式,提供个性化支持并为加强社会融合创造机会。然而,护理实践和服务提供模式方面的清晰度仍有待提高。

本文介绍了一项范围审查的结果,旨在梳理关于难民家庭私人安置环境中服务提供和护理实践的证据。在概述背景和方法之后,我们呈现关键主题,提出一个概念模型,并以对政策、实践和未来研究的启示作为结论。这项范围审查梳理了关于护理实践的现有文献;它不评估干预措施的有效性或确立最佳实践。该审查综合了关于在私人安置环境中支持难民和流离失所家庭的服务提供和护理实践的实证文献和灰色文献。按照乔安娜·布里格斯研究所(JBI)的方法,系统搜索了六个学术数据库和多个灰色文献来源,最终纳入了28项研究。

分析确定了文献中描述的护理的四个概念维度

关系护理与信任建立、项目结构与政策整合、整体融合途径以及内在公平与保护。虽然私人安置促进了情感联系和心理社会融合,但审查突出了关键挑战,包括房东准备情况的差异、情感劳动差距以及有限的正式监督。

研究结果强调了基于证据的指南、标准化的房东培训、创伤知情方法以及协调的政策框架的必要性。由此产生的模型为未来研究提供了基础,指导政策制定,并加强私人安置实践,以确保为难民和流离失所家庭实现公平、包容和可持续的成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6289/12389609/6981f9848d74/nursrep-15-00293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6289/12389609/3ab12c9c6ffd/nursrep-15-00293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6289/12389609/6981f9848d74/nursrep-15-00293-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6289/12389609/3ab12c9c6ffd/nursrep-15-00293-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6289/12389609/6981f9848d74/nursrep-15-00293-g002.jpg

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本文引用的文献

1
Homestay Hosting Dynamics and Refugee Well-Being: Scoping Review.寄宿家庭接待动态与难民福祉:范围综述
Interact J Med Res. 2024 Nov 25;13:e58613. doi: 10.2196/58613.
2
Interventions to promote mental health in the Occupied Palestinian Territories and Palestinian refugees: A scoping review.促进巴勒斯坦被占领土和巴勒斯坦难民心理健康的干预措施:范围综述。
Int J Soc Psychiatry. 2024 Sep;70(6):1037-1054. doi: 10.1177/00207640241259995. Epub 2024 Jun 18.
3
Successful Refugee Cohabitation With Host Families: A Concept Analysis and Model Development.
难民与收容家庭的成功同居:概念分析与模型构建
J Holist Nurs. 2024 Aug 30:8980101241273878. doi: 10.1177/08980101241273878.
4
Homestay Hosting Dynamics and Refugee Well-Being: Protocol for a Scoping Review.寄宿家庭接待动态与难民福祉:一项范围审查的方案
JMIR Res Protoc. 2024 Mar 19;13:e56242. doi: 10.2196/56242.
5
Moving from consultation to co-creation with knowledge users in scoping reviews: guidance from the JBI Scoping Review Methodology Group.从咨询转向与知识使用者共同创作:来自 JBI 范围综述方法学小组的指导。
JBI Evid Synth. 2022 Apr 1;20(4):969-979. doi: 10.11124/JBIES-21-00416.
6
PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation.PRISMA 扩展用于范围审查 (PRISMA-ScR): 清单和解释。
Ann Intern Med. 2018 Oct 2;169(7):467-473. doi: 10.7326/M18-0850. Epub 2018 Sep 4.
7
Community-based nutrition intervention to promote oral health and restore healthy body weight in refugee children: a scoping review.基于社区的营养干预措施对促进难民儿童口腔健康和恢复健康体重的作用:一项范围综述
Community Dent Health. 2018 May 30;35(2):81-88. doi: 10.1922/CDH_4188Abuhaloob08.
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PRESS Peer Review of Electronic Search Strategies: 2015 Guideline Statement.电子检索策略的PRESS同行评审:2015年指南声明。
J Clin Epidemiol. 2016 Jul;75:40-6. doi: 10.1016/j.jclinepi.2016.01.021. Epub 2016 Mar 19.