Applying a Human Rights-Based Approach to Formal Care and Support Provided in the Home: A Narrative Review

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Yvonne Kelly, Judy Gannon, Carolina Bassul, Michelle Williams, David Morrissey, Joyce McKee, Laura M. Keyes, Niamh O’Rourke, Rachel Flynn
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Abstract

Providing formal care and support in the home has many benefits. Applying a human rights-based approach places the person and their human rights at the centre of all that a health and social care service does. There is a paucity of evidence on how to apply a human rights-based approach in practice when providing homecare. Increasing knowledge and understanding of human rights will empower health and social care practitioners to protect and promote human rights in formal homecare. The aim of this narrative review was to identify and describe human rights-based approaches in homecare, in order to promote awareness and understanding of a human rights-based approach. Five bibliographic databases were searched. Primary research studies pertaining to the delivery of formal homecare that included a human rights-based approach were eligible for inclusion. Sixteen articles were identified for inclusion. Quality appraisal and data extraction were conducted on included studies. A deductive framework analysis was used and concepts of a human rights-based approach that emerged from the literature as relevant to homecare were as follows: dignity and respect, autonomy, equality, participation, and communication. We found that homecare planning and delivery requires the integration of human rights, using approaches, such as person-centred care, partnerships in decision-making, supporting independence, and acknowledging a person’s beliefs and cultures, in everyday practice. Findings from this review can support and enable service providers to apply human rights in everyday practice, ultimately for the benefit of people using homecare services.

Abstract Image

将基于人权的方法应用于家庭中提供的正式护理和支持:叙述性评论
在家中提供正规的护理和支持有很多好处。采用基于人权的方法将个人及其人权置于医疗和社会护理服务的中心位置。关于如何在提供家庭护理的实践中应用以人权为本的方法,目前还缺乏相关的证据。提高对人权的认识和理解将增强健康和社会护理从业人员在正规家庭护理中保护和促进人权的能力。本叙述性综述旨在确定和描述家庭护理中基于人权的方法,以促进对基于人权方法的认识和理解。我们搜索了五个文献数据库。与提供正规家庭护理有关的、包含以人权为本的方法的初级研究符合纳入条件。共确定了 16 篇纳入研究的文章。对纳入的研究进行了质量评估和数据提取。我们采用了演绎框架分析法,从文献中得出的与家庭护理相关的人权方法概念如下:尊严与尊重、自主、平等、参与和沟通。我们发现,家庭护理的规划和实施需要结合人权,在日常实践中使用以人为本的护理、决策中的伙伴关系、支持独立以及承认个人信仰和文化等方法。本次审查的结果可以支持并帮助服务提供者在日常实践中应用人权,最终使使用家庭护理服务的人受益。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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