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本文引用的文献

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Nursing home staffing and training recommendations for promoting older adults' quality of care and life: Part 1. Deficits in the quality of care due to understaffing and undertraining.促进老年人护理质量和生活质量的养老院人员配备与培训建议:第1部分。人员不足和培训不足导致的护理质量缺陷。
Res Gerontol Nurs. 2008 Apr;1(2):123-33. doi: 10.3928/19404921-20080401-03.
2
The origins of Better Jobs Better Care.“优质工作,优质护理”的起源。
Gerontologist. 2008 Jul;48 Spec No 1:5-13. doi: 10.1093/geront/48.supplement_1.5.
3
Disparities in pain management between cognitively intact and cognitively impaired nursing home residents.认知功能正常与认知功能受损的养老院居民在疼痛管理方面的差异。
J Pain Symptom Manage. 2008 Apr;35(4):388-96. doi: 10.1016/j.jpainsymman.2008.01.001. Epub 2008 Feb 15.
4
Collaborative clinical quality improvement for pressure ulcers in nursing homes.养老院压疮的临床协作质量改进
J Am Geriatr Soc. 2007 Oct;55(10):1663-9. doi: 10.1111/j.1532-5415.2007.01380.x. Epub 2007 Aug 21.
5
Betwixt and between: a critical ethnography of comfort in New Zealand residential aged care.介于两者之间:新西兰老年住宅护理中舒适感的批判性人种志研究
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6
Perceptions of power mobility use and safety within residential facilities.住宅设施内电动代步工具使用及安全性的认知
Can J Occup Ther. 2005 Jun;72(3):142-52. doi: 10.1177/000841740507200302.
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Family involvement in residential long-term care: a synthesis and critical review.家庭参与长期住院护理:一项综合与批判性综述。
Aging Ment Health. 2005 Mar;9(2):105-18. doi: 10.1080/13607860412331310245.
8
Minority ethnic elders in care homes: a review of the literature.养老院中的少数民族老年人:文献综述
Age Ageing. 2005 Mar;34(2):107-13. doi: 10.1093/ageing/afi009. Epub 2005 Jan 11.
9
Outcomes of wheelchair systems intervention with residents of long-term care facilities.长期护理机构居民轮椅系统干预的结果
Assist Technol. 2004 Summer;16(1):18-27. doi: 10.1080/10400435.2004.10132071.
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Use of wheelchairs and other mobility support devices.轮椅及其他行动辅助设备的使用。
Health Rep. 2004 May;15(3):37-41.

灰色地带:轮式住宅护理场域。

Grey spaces: the wheeled fields of residential care.

机构信息

Centre de recherche de l'institut universitaire de gériatrie de Montréal, Canada.

出版信息

Sociol Health Illn. 2012 Mar;34(3):315-29. doi: 10.1111/j.1467-9566.2011.01371.x. Epub 2011 Jun 24.

DOI:10.1111/j.1467-9566.2011.01371.x
PMID:21707660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4014430/
Abstract

Many individuals living in residential care use a wheelchair as their primary means of mobility. Although studies have documented challenges encountered by residents in these facilities, few have addressed the role that wheelchairs, as potential enablers and barriers to mobility and participation, play in their lives. To better understand residents' experiences, an ethnographic study was conducted drawing on Bourdieu's theoretical constructs of capital, field, and habitus. Participant observations were conducted at two facilities, and residents, family members and staff took part in in-depth individual interviews. Our analysis revealed three themes. Ready to roll detailed how residents used wheelchairs as a source of comfort and means for expanding their social space, while staff could use them as a means to move and control some residents. Squeaky wheels described how residents solicited assistance from staff and family amid having to wait to perform activities of daily living. In, out and about revealed diversity in the places residents went, spaces they shared and the social activities in which they engaged inside and outside their residential facilities. The study findings emphasise how wheelchairs constitute capital that governs many fields of practice for residents and staff and suggest how practice and policy might be adjusted.

摘要

许多居住在养老院的人将轮椅作为他们主要的移动工具。虽然有研究记录了居住在这些设施中的居民所面临的挑战,但很少有研究关注轮椅作为促进和阻碍移动和参与的潜在因素在他们生活中所扮演的角色。为了更好地了解居民的体验,我们进行了一项民族志研究,借鉴了布迪厄的资本、场域和惯习的理论概念。在两个设施进行了参与式观察,居民、家庭成员和工作人员参与了深入的个人访谈。我们的分析揭示了三个主题。“准备好滚动”详细描述了居民如何将轮椅作为舒适的来源和扩大社交空间的手段,而工作人员可以将其作为移动和控制一些居民的手段。“吱吱作响的轮子”描述了居民在等待日常生活活动时如何向工作人员和家人寻求帮助。“进出”揭示了居民在居住设施内外去的地方、他们共享的空间以及他们参与的社会活动的多样性。研究结果强调了轮椅作为居民和工作人员实践领域的资本的重要性,并提出了如何调整实践和政策的建议。