Jacelon Cynthia S
School of Nursing, University of Massachusetts, Amherst 01003, USA.
J Gerontol Nurs. 2004 Nov;30(11):29-36. doi: 10.3928/0098-9134-20041101-10.
In a grounded theory study of the experience and actions of hospitalized older adults, autonomy emerged as a major focus, particularly during the last phase of hospitalization. Autonomy, defined in the derived theory as older adults' freedom and ability to act on their own behalf, has two components: independence (the physical ability to act) and control (the ability to make decisions on one's own behalf). Being in the hospital threatens the autonomy of older adults. This article describes changes in the autonomy of older adults throughout hospitalization and makes recommendations for improving their autonomy through acute care hospital system redesign.
在一项关于住院老年人经历与行为的扎根理论研究中，自主性成为主要关注点，尤其是在住院的最后阶段。在衍生理论中，自主性被定义为老年人代表自己行动的自由和能力，它有两个组成部分：独立性（行动的身体能力）和控制权（代表自己做决定的能力）。住院会威胁到老年人的自主性。本文描述了老年人在整个住院期间自主性的变化，并就通过重新设计急症医院系统来提高他们的自主性提出了建议。
