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首页> 外文期刊>Applied nursing research: ANR >Acquiring medical services for individuals with mental retardation in community-based housing facilities.
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Acquiring medical services for individuals with mental retardation in community-based housing facilities.

机译：在社区住房设施中为智障人士获得医疗服务。

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Abstract As a result of deinstitutionalization, individuals with mental retardation (MR) were moved into the community and primary care practices. Residential agency directors now routinely determine health care decisions. Understanding of issues involved in acquiring services and the clinical decision-making experiences of 13 service agency directors representing 1,400 individuals with MR were investigated. This descriptive study with a qualitative exploratory design included structured interviews that were content analyzed. Four themes describe the barriers encountered, which resulted in the delay or denial of appropriate health services. These themes include effects of stigma, knowledge limitations, resource deficits, and inconsistent decision making. Knowledge of these experiences will assist nurses in problem solving and advocating for the holistic competent care of individuals with MR.
机译：摘要由于去机构化的原因，智力低下（MR）的人被转移到社区和初级保健实践中。现在，居住机构主管定期确定医疗保健决定。调查了代表1400名MR患者的13位服务机构主管对获得服务所涉及问题的了解以及临床决策经验。这项具有定性探索性设计的描述性研究包括对内容进行了分析的结构化访谈。有四个主题描述了所遇到的障碍，这些障碍导致延迟或拒绝提供适当的卫生服务。这些主题包括污名，知识限制，资源不足和决策不一致的影响。这些经验的知识将帮助护士解决问题，并提倡对MR患者进行全面的胜任护理。

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