Davies Sue, Nolan Mike
Department of Community, Ageing, Rehabilitation, Education and Research, School of Nursing and Midwifery, University of Sheffield, Sheffield, UK.
Health Soc Care Community. 2004 Nov;12(6):517-26. doi: 10.1111/j.1365-2524.2004.00535.x.
Despite a growing awareness of the significance of helping a relative to relocate to a care home as a key phase in the caregiving career, relatively few studies in the UK have explored this experience in depth. The research on which the present paper is based sought to better understand experiences of nursing home placement from the viewpoint of relatives. The study was informed by a constructivist perspective. Data were collected in 37 semi-structured interviews involving 48 people who had assisted a close relative to move into a nursing home. Data analysis revealed three phases of the transition from the relatives' perspective: 'making the best of it'; 'making the move'; and 'making it better'. The relatives' experiences across these phases were understood in terms of five continua, reflecting the extent to which they felt they were: operating 'under pressure' or not; 'working together' or 'working alone'; 'supported' or 'unsupported', both practically and emotionally; 'in the know' or 'working in the dark'; and 'in control of events' or not. This paper reports on the findings which relate to the second phase of the transition, 'making the move', which relates to experiences around the time of relocation to the care home environment. The findings suggest that health and social care practitioners have enormous potential to influence relatives' experiences of nursing home entry. Experiences are enhanced if family carers perceive that they are able to work in partnership with care staff in order to ease the transition for the older person.
尽管人们越来越意识到帮助亲属搬到养老院是护理生涯中的一个关键阶段，但英国相对较少的研究深入探讨过这种经历。本文所基于的研究旨在从亲属的角度更好地理解养老院安置的经历。该研究采用建构主义视角。通过对48位协助近亲搬进养老院的人进行37次半结构化访谈收集了数据。数据分析从亲属的角度揭示了过渡的三个阶段：“尽力而为”；“采取行动”；“使其改善”。亲属在这些阶段的经历通过五个连续体来理解，反映了他们在多大程度上觉得自己：是“在压力下”行动还是没有；“合作”还是“独自行动”；在实际和情感上是“得到支持”还是“未得到支持”；“了解情况”还是“在不知情的情况下工作”；以及“掌控局面”还是没有。本文报告了与过渡的第二阶段“采取行动”相关的研究结果，这一阶段与搬到养老院环境前后的经历有关。研究结果表明，健康和社会护理从业者有巨大潜力影响亲属对养老院入住的体验。如果家庭护理人员认为他们能够与护理人员合作，以便让老年人顺利过渡，体验就会得到改善。
