Faculty of Nursing, Sør-Trøndelag University College, Trondheim, Norway.
Int J Older People Nurs. 2013 Sep;8(3):216-25. doi: 10.1111/j.1748-3743.2012.00320.x. Epub 2012 Feb 7.
Residential care in nursing homes continues to be necessary for those individuals who are no longer able to live at home. Uncovering what nursing home residents' view as quality of care in nursing homes will help further understanding of how best to provide high quality, person-centred care.
To describe residents' experiences of living in a nursing home related to quality of care.
The study utilises a descriptive exploratory design.
In-depth interviews were undertaken with 15 residents who were not cognitively impaired, aged 65 and over and living in one of four nursing homes. The interviews were transcribed verbatim and analysed by categorising of meaning.
Residents perceived the nursing home as their home, but at the same time not 'a home'. This essential ambiguity created the tension from which the categories of perceptions of quality emerged. Four main categories of quality of care experience were identified: 'Being at home in a nursing home', 'Paying the price for 24-hour care', 'Personal habits and institutional routines', and 'Meaningful activities for a meaningful day'.
Ambiguities concerning the nursing home as a home and place to live, a social environment in which the residents experience most of their social life and the institution where professional health service is provided were uncovered. High-quality care was when ambiguities were managed well and a home could be created within the institution. Implication for practice. Achieving quality care in nursing homes requires reconciling the ambiguities of the nursing home as a home. This implies helping residents to create a private home distinct from the professional home, allowing residents' personal habits to guide institutional routines and supporting meaningful activities. Using these resident developed quality indicators is an important step in improving nursing home services.
对于那些无法在家居住的人来说，养老院的家庭护理仍然是必要的。揭示养老院居民对护理质量的看法将有助于进一步了解如何提供高质量、以患者为中心的护理。
描述养老院居民的生活体验与护理质量相关的内容。
本研究采用描述性探索性设计。
对 15 名无认知障碍、年龄在 65 岁及以上且居住在四家养老院之一的居民进行了深入访谈。访谈内容逐字转录，并通过分类意义进行分析。
居民将养老院视为自己的家，但同时又不认为它是“家”。这种本质上的模棱两可产生了紧张情绪，从而出现了对护理质量的感知类别。确定了四个主要的护理质量体验类别：“在养老院中安家”、“为 24 小时护理付出代价”、“个人习惯和机构常规”以及“有意义的活动才有有意义的一天”。
揭示了养老院作为家庭和居住场所的模糊性、居民体验大部分社交生活的社会环境以及提供专业医疗服务的机构。高质量的护理是在很好地处理这些模糊性的情况下实现的，并在机构内创造了一个家的感觉。对实践的启示。在养老院实现优质护理需要协调养老院作为家庭的模糊性。这意味着要帮助居民在专业的机构中创建一个私人的家，允许居民的个人习惯来指导机构常规，并支持有意义的活动。使用这些由居民制定的质量指标是改善养老院服务的重要步骤。
