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首页> 外文期刊>Canadian journal of public health: Revue canadienne de sante publique >Applying a health equity tool to assess a public health nursing guideline for practice in sexually transmitted infection assessment in British Columbia
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Applying a health equity tool to assess a public health nursing guideline for practice in sexually transmitted infection assessment in British Columbia

机译：卫生股权工具评估不列颠哥伦比亚省性交感染评估的公共卫生护理指南

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Setting There is a multitude of health equity tools but little guidance on how to effectively use these tools in public health nursing practice. In BC, public health nurses who are certified in sexually transmitted infection care utilize guidelines authorized by the nursing regulatory body.Intervention As part of the Equity Lens in Public Health (ELPH) research project, an assessment of the nursing guideline, Sexually Transmitted Infection (STI) Assessment Decision Support Tool, was undertaken using the Assessing Equity in Clinical Practice Guidelines health equity assessment tool. The chosen tool is intended for use by health care providers, is broadly applicable to clinical practice guidelines, can be used retrospectively, and falls within the category of equity checklists and audits. Outcomes Overall, the tool was useful in assessing the inclusion and omission of an equity focus in the guideline. However, there were several challenges: the identification of an appropriate health equity tool; the absence of an evaluation of the chosen tool; the tool's focus on chronic disease versus communicable disease; and the difficulty of obtaining client perspectives. Implications For an improved equity lens in the STI Assessment Decision Support Tool, future revisions should be equity focused and include perspectives from affected populations, an emphasis on the determinants of health that perpetuate inequities for populations who experience a disproportionate burden of STI, information on provincially available resources, and service delivery models that improve timely and equitable access to treatment and care.
机译：有很多健康公平工具，但很少有关于如何在公共卫生护理实践中有效使用这些工具的指导。在卑诗省，获得性传播感染护理认证的公共卫生护士使用护理监管机构授权的指南。干预作为公共卫生公平镜头（ELPH）研究项目的一部分，使用临床实践公平评估指南健康公平评估工具对护理指南性病评估决策支持工具进行评估。所选工具旨在供医疗保健提供者使用，广泛适用于临床实践指南，可以追溯使用，并且属于权益检查表和审计范畴。总的来说，该工具有助于评估指南中是否包含公平重点。然而，有几个挑战：确定适当的卫生公平工具；缺乏对所选工具的评估；该工具关注慢性病与传染性疾病；以及获取客户观点的困难。在STI评估决策支持工具中，未来的修订应以公平为重点，并包括受影响人群的观点，强调导致STI负担过重的人群长期不平等的健康决定因素，关于省级可用资源的信息，以及改善及时和公平获得治疗和护理的服务提供模式。

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