Historique
Article de Périodique
Harm reduction as an approach to ethical nursing care of people who use illicit substances: An integrative literature review of micro and meso influences (2021)
Auteur(s) :
IAMMARINO, C. ;
PAULY, B.
Année
2021
Page(s) :
533-546
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
REDUCTION DES RISQUES ET DES DOMMAGES
;
ETHIQUE
;
PERSONNEL PARAMEDICAL
;
PRODUIT ILLICITE
;
PRATIQUE PROFESSIONNELLE
;
INEGALITE
;
ACCES AUX SOINS
;
STIGMATISATION
;
CULTUREL
Résumé :
People who use illicit substances and experience socioeconomic disadvantage experience poor health as a result of structural vulnerabilities made worse by barriers to health care. In particular, stigma and discrimination often act as a barrier to health care for people who use illicit substances. Lack of respect for persons and judgements based on discrimination are in violation of core ethical principles of nursing practice. Harm reduction, as a guiding philosophy, is proposed as a way to promote respectful and non-judgmental care and minimize the harms associated with illicit substance use in alignment with principles of ethical nursing practice. Utilizing McLeroy's Ecological Model of Health Promotion as the guiding framework, we conducted an integrated review of relevant literature to identify recommendations for implementing harm reduction in nursing practice at the intrapersonal, interpersonal, and institutional levels. The search yielded 20 primary research articles published from 2008 until 2020 to identify the actions necessary to implement harm reduction in nursing practice. This integrative review summarizes evidence-based actions necessary from the micro- to meso-level to support the implementation of harm reduction as a guiding philosophy to enhance ethical practice in nursing.
Affiliation :
School of Nursing, University of British Columbia, Vancouver, Canada
Cote :
Abonnement