Background and Purpose Harm reduction is a concept that is increasingly applied in health and social care, as well as law and policy development around the world. Despite being used in a variety of contexts for decades, there is no universal understanding of harm reduction, and this may interfere with its implementation in various settings. Using Rodgers' (1989) evolutionary approach to concept analysis, this article defines the key attributes of harm reduction, along with surrogate terms, relevant uses, antecedents, consequences, related concepts, a model case, and implications for practice. Methods Following Rodgers' (1989) method, a literature sample from a variety of disciplines was selected using keywords. The review included 25 key publications of international origin, as well as several web-based resources, with a focus on illegal psychoactive drug use and healthcare outcomes. Results Seven key attributes of harm reduction were identified: a focus on harms, the participation of people who use drugs, the promotion of human rights, a public health approach, value neutrality and nonjudgment, practicality and pragmatism, and innovation and adaptability. Implications for Practice The harms associated with illegal drugs are a global health problem, and advocacy is needed to promote harm reduction policy at health provision, community, and government levels. Without a concerted understanding of harm reduction, the concept is at risk of being relegated to a buzzword that lacks meaning. This concept analysis provides health and social care providers with a point of reference for meaningful harm reduction initiatives and strategies within their practice.

中文翻译：

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超越流行语：减少危害的概念分析。

背景和目的减少伤害是一个概念，已越来越广泛地应用于健康和社会护理以及世界各地的法律和政策制定中。尽管数十年来一直在各种环境中使用，但对减少危害尚无统一的理解，这可能会干扰在各种环境下实施的危害。本文使用Rodgers（1989）的进化方法进行概念分析，定义了减少伤害的关键属性，以及替代术语，相关用途，前因，后果，相关概念，模型案例以及对实践的启示。方法遵循Rodgers（1989）的方法，使用关键字从各种学科中选择文献样本。这项审查包括25种国际知名的重要出版物，以及几种基于网络的资源，重点关注非法使用精神药物和医疗保健成果。结果确定了减少危害的七个关键属性：关注危害，吸毒者的参与，增进人权，公共卫生方法，价值中立和不判断，实用性和实用主义以及创新和适应性。对实践的影响与非法药物相关的危害是一个全球性的健康问题，需要倡导在健康提供，社区和政府层面促进减少危害的政策。如果没有对减少伤害的一致理解，该概念就有可能沦为缺乏含义的流行语。该概念分析为卫生和社会护理提供者提供了在其实践中有意义的减少伤害措施和策略的参考点。