van den Elzen A J
Tijdschr Gerontol Geriatr. 2005 Jul;36(3):109-15.
This study is based on the outcomes of the program "Privacy In Nursing Homes" that has been initiated by the Dutch Department of Health in the late 90's. In this study, personnel of 74 nursing homes were asked to reflect on the way they treat residents. The attitudes of personnel were measured with a questionnaire that contains 80 propositions about their behaviour towards residents. The propositions can be reduced to five factors: kindness, structural environment, control, freedom to choose, and respect. First, we give the general results on these five factors. After that we give insight in the correlations between the five different aspects of treatment and the results of regression analysis. The general conclusion is that the behaviour towards residents in nursing homes at the beginning of the 21st Century is far from optimal. Residents most notably lack personal freedom and control over their received care and their way of living. This result is especially worrying because client conformed care has been an important point of attention for some time now. Another important conclusion is that the care for residents has a positive relation with the mangement policy of an organization and so, it is possible to improve the care.
本研究基于荷兰卫生部在90年代末发起的“养老院隐私”项目的成果。在这项研究中，74家养老院的工作人员被要求反思他们对待居民的方式。工作人员的态度通过一份包含80个关于他们对居民行为命题的问卷来衡量。这些命题可以归纳为五个因素：友善、结构环境、控制、选择自由和尊重。首先，我们给出这五个因素的总体结果。之后，我们深入探讨治疗的五个不同方面之间的相关性以及回归分析的结果。总体结论是，21世纪初养老院中对居民的行为远非最佳。居民尤其缺乏个人自由以及对所接受护理和生活方式的控制权。这一结果尤其令人担忧，因为以客户为导向的护理一段时间以来一直是一个重要关注点。另一个重要结论是，对居民的护理与一个组织的管理政策呈正相关，因此，有可能改善护理。
