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[急诊服务中的无家可归者:他们与护士的接触]

[The homeless in emergency services: their contacts with nurses].

作者信息

Royer-Cohen N

出版信息

Rech Soins Infirm. 1998 Jun(53):38-86.

PMID:9732677
Abstract

This research paper is based on the homeless, as representatives of extreme poverty but also as clients of public hospitals: how far does the rising number of homeless people in the hospital emergency departments pose a problem to the nurses? An epidemiological survey carried out in the emergency departments of Toulouse-Purpan, goes in search of the features of the homeless people. The problematics of this essay is situated at the interface of the three elements dealt with in the original questioning: the homeless, the nurses and the University Hospital. The hypothesis is the following: "The rising number of homeless people welcomed in the emergency departments of the university hospitals is revealing of the tensions to which the nurses are subjected, torn as they are between the specificity of the request, the assignments of the emergency departments and the professional values and skills". Tensions to which the nurses are subjected are identified thanks to the analysis of their speech, on the basis of their perceptions and the image they have of the homeless. These perceptions are interpreted as portent of certain types of practices: dominated by rejection, denial, extreme rationality, questioning, motherly practices.

摘要

本研究论文以无家可归者为基础,他们既是极端贫困的代表,也是公立医院的病人:医院急诊科无家可归者数量的不断增加给护士带来了多大的问题?在图卢兹-普尔潘的急诊科进行的一项流行病学调查,旨在探寻无家可归者的特征。本文的问题点位于原始问题所涉及的三个要素的交叉点上:无家可归者、护士和大学医院。假设如下:“大学医院急诊科接待的无家可归者数量不断增加,这揭示了护士所面临的紧张关系,他们在特殊需求、急诊科的任务以及专业价值观和技能之间左右为难”。通过对护士的言语进行分析,基于他们对无家可归者的认知和印象,确定了护士所面临的紧张关系。这些认知被解释为某些类型行为的预兆:以拒绝、否认、极端理性、质疑、慈母般的行为为主导。

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