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首页> 外文期刊>The Canadian journal of nursing research >“Until You Hit Rock Bottom There’s No Support”: Contradictory Sources and Systems of Support for Mothers Experiencing Homelessness in Southwestern Ontario
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“Until You Hit Rock Bottom There’s No Support”: Contradictory Sources and Systems of Support for Mothers Experiencing Homelessness in Southwestern Ontario

机译：“直到你击中岩石底部没有支持”：矛盾的来源和支持在安大略省西南部遇到无家可归的母亲

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摘要

Nurses are vital community advocates and uniquely situated to support mothers experiencing homelessness. The purpose of this study was to examine the multidimensional nature of social exclusion in the lives of mothers experiencing homelessness in Southwestern Ontario. This article reports findings from one segment of a larger study that critically examined the sociopolitical context, health needs, exclusionary and inclusionary forces, and strategies of resistance demonstrated by mothers experiencing homelessness. Central to the women’s experiences of mothering while homeless were their interactions with “the system.” The contradictory nature of these systems was categorized into four subthemes: (1) “Until you hit rock bottom there’s no support,” (2) “It’s just not enough”: Insufficient support, (3) “Help comes with a price”: Support with surveillance, and (4) “Every shelter is so different”: Organizational philosophies impacting support. The contradictory nature of the system created an illusion of support, but in mothers’ lived realities, it perpetuated experiences of exclusion in spaces ironically designed to enhance inclusion. Implications for nursing practice include action the macro-, meso-, and microlevels. Nurses can advocate for Housing-First initiatives and evidence-informed approaches to poverty reduction while recognizing the system-level barriers to health and providing respective, compassionate care.
机译：护士是重要的社区倡导者，独特地站在遇到无家可归的母亲。本研究的目的是审查在安大略省西南部经历无家可归的母亲的社会排斥的多维性质。本文报告了一个较大研究的一部分的调查结果，批判性地审查了社会政治背景，健康需求，卫生需求，排他性和被包容力以及母亲经历无家可归者所证明的抵制战略。妇女的母亲的经验，无家可归的是他们与“系统”的互动。这些系统的矛盾性质被分为四个子主题：（1）“直到你击中岩石底部没有支持，”（2）“这只是不够”：支持不足，（3）“帮助随附”：支持监视，（4）“每次庇护所都如此不同”：组织哲学影响支持。该系统的矛盾性质创造了支持的幻觉，但在母亲的生活现实中，它在讽刺的旨在增强包容物的空间中延续了排斥的经验。对护理实践的影响包括宏观，中间和MicroLevels的行动。护士可以倡导住房第一举措和透明的减贫途径，同时承认系统级别的健康障碍，提供各自的富有同情心。

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