Avon and Wiltshire Mental Health Partnership NHS Trust, Chippenham, UK.
Nurs Health Sci. 2009 Sep;11(3):293-300. doi: 10.1111/j.1442-2018.2009.00462.x. Epub 2009 Jun 23.
This article describes a participatory action research study aimed at improving the care of older people with mental health needs who are cared for in an older people's unit of a general hospital in the UK. A multicollaborative and interpretivist action research approach was adopted, whereby the researchers, managers, clinical staff, patients, and carers came together to identify the problems and their potential solutions. Focus groups, interviews, and observations of care were used to collect the data and to inform the action and development cycles and a grounded theory approach was used to analyze these data and to develop theoretical descriptions regarding the dynamics that occur within this setting. Four overarching themes were identified as contributing to the theoretical understanding of this type of care: cultural knowledge, contextual reality, giving care, and coping with "the problem". Understanding the theoretical elements is of importance in assisting nurses, and others, to consider care that is person-centred.
本文描述了一项参与式行动研究，旨在改善在英国一家综合医院老年人病房中接受护理的有心理健康需求的老年人的护理。采用了多协作和解释主义的行动研究方法，研究人员、管理人员、临床工作人员、患者和护理人员共同确定了问题及其潜在解决方案。使用焦点小组、访谈和护理观察收集数据，并为行动和发展周期提供信息，采用扎根理论方法分析这些数据，并针对该环境中发生的动态发展理论描述。确定了四个总体主题，有助于理解这种护理类型的理论：文化知识、背景现实、提供护理和应对“问题”。理解理论要素对于帮助护士和其他人考虑以人为本的护理很重要。
