Davies Sue, Nolan Mike
Department of Community, Ageing, Rehabilitation, Education and Research, School of Nursing and Midwifery, University of Sheffield, UK.
Int J Nurs Stud. 2006 Mar;43(3):281-91. doi: 10.1016/j.ijnurstu.2005.04.009. Epub 2005 Jun 24.
With growing numbers of frail older people making the move to a care home, family carers are increasingly finding themselves in the position of assisting with this transition and establishing a new caring role within this context. However, the nature of the family caregiving role within the care home setting is poorly understood.
This paper draws on data from a study, which sought to better understand the experience of nursing home placement from the viewpoint of relatives. The focus here is on the self-perceived contribution of family carers to life within the home.
A constructivist methodology was used. Data were collected in 37 semi-structured interviews involving 48 people who had assisted a close relative to move into a care home.
Data analysis revealed three phases to the transition from the relatives' perspective. This paper reports on the findings which relate to the final phase: 'making it better', which documents experiences of establishing a new caregiving role within the care home. Relatives described three main aspects to their role: maintaining continuity, which involves helping the older person to maintain their sense of identity through the continuation of loving family relationships and through helping staff to get to know the resident as an individual; keeping an eye, by monitoring the care received, providing feedback to staff and filling any gaps, and contributing to community through interacting with other residents, relatives and staff, taking part in social events and generally providing a link with the outside world.
Findings suggest that the potential contribution of relatives to promoting the well-being of both residents and staff is under-developed. Staff in care homes should seek to identify the role that relatives would like to perform and support them to achieve this.
随着越来越多身体虚弱的老年人搬入养老院，家庭护理人员越来越多地发现自己处于协助这一过渡过程并在此背景下建立新的护理角色的境地。然而，在养老院环境中家庭护理角色的性质却鲜为人知。
本文借鉴了一项研究的数据，该研究旨在从亲属的角度更好地理解养老院安置的经历。这里的重点是家庭护理人员对养老院生活的自我认知贡献。
采用建构主义方法。通过对48位协助近亲搬入养老院的人员进行37次半结构式访谈收集数据。
从亲属的角度来看，数据分析揭示了过渡的三个阶段。本文报告了与最后一个阶段“使其变得更好”相关的结果，该阶段记录了在养老院中建立新护理角色的经历。亲属描述了其角色的三个主要方面：保持连续性，这包括通过延续充满爱的家庭关系以及帮助工作人员了解居民个体情况来帮助老年人保持其身份认同感；留意，即通过监测所接受的护理、向工作人员提供反馈并填补任何空白来实现；以及通过与其他居民、亲属和工作人员互动、参加社交活动并总体上与外部世界建立联系来为社区做出贡献。
研究结果表明，亲属对促进居民和工作人员福祉的潜在贡献尚未得到充分发挥。养老院工作人员应设法确定亲属希望扮演的角色并支持他们实现这一目标。
