Ryan A A, Scullion H F
University of Ulster, Coleraine, Co. Londonderry, Northern Ireland.
J Adv Nurs. 2000 Sep;32(3):626-34. doi: 10.1046/j.1365-2648.2000.01521.x.
Family and staff perceptions of the role of families in nursing homes Admission to a nursing home is generally regarded as the termination of family care and the commencement of institutional care. Research suggests that following placement families are often expected to relinquish their dependent older relative to the bureaucracy of the institution. The aim of this study was to investigate family and nursing home staff perceptions of the role of families caring for residents in nursing homes. A convenience sample of 44 family carers and 78 nursing home staff completed questionnaires, and interviews were conducted with 10 family carers and 10 nursing home staff. The results suggest that family carers perceived themselves to have a greater role in caring for relatives than that perceived by the nursing home staff. Either families overestimated their involvement, or staff underestimated family involvement in caring for residents in nursing homes. Families were mostly satisfied with their role and with the care provided in nursing homes. They perceived nurses as providers of technical care and they perceived themselves as having an important role in providing social and emotional care. Families trusted the clinical judgement of the staff but the staff were reluctant to trust family carers, especially in situations where care involved an element of risk. Family roles were limited by members' own ability to care and the dependency of the resident, while professional responsibility and accountability discouraged nurses from sharing some caring roles. The results indicate that families in this study were more willing to help in nursing home care and were perhaps under-valued as a resource within the nursing home setting.
家庭与工作人员对家庭在养老院中所扮演角色的看法 入住养老院通常被视为家庭照料的终止和机构照料的开始。研究表明，安置之后，家庭往往被期望将其依赖他人的老年亲属交给机构的官僚体系。本研究的目的是调查家庭和养老院工作人员对家庭在照料养老院居民方面所扮演角色的看法。44名家庭照料者和78名养老院工作人员的便利样本完成了问卷调查，并对10名家庭照料者和10名养老院工作人员进行了访谈。结果表明，家庭照料者认为自己在照料亲属方面所起的作用比养老院工作人员所认为的更大。要么是家庭高估了自己的参与程度，要么是工作人员低估了家庭在照料养老院居民方面的参与程度。家庭大多对自己的角色以及养老院提供的照料感到满意。他们将护士视为技术照料的提供者，而认为自己在提供社会和情感照料方面发挥着重要作用。家庭信任工作人员的临床判断，但工作人员不愿信任家庭照料者，尤其是在照料涉及一定风险的情况下。家庭角色受到家庭成员自身照料能力和居民依赖性的限制，而专业责任和问责制使护士不愿分担一些照料角色。结果表明，本研究中的家庭更愿意在养老院照料中提供帮助，并且在养老院环境中作为一种资源可能未得到充分重视。
