School of Health & Social Services, Massey University, Palmerston North, New Zealand.
Int J Older People Nurs. 2012 Mar;7(1):70-4. doi: 10.1111/j.1748-3743.2012.00310.x.
As the population ages, the expectations of consumers rise and future care provision for older people will demand that autonomy is operationalised in residential care facilities. This paper looks at international publications related to identifying the factors which facilitate or hinder residents autonomy and directs the reader to reflect on their own custom and practice. There are many factors which both facilitate and hinder the level of autonomy which older people experience in residential care. This paper will discuss the three most pertinent factors that are discussed repeatedly in the literature, and they are as follows: the organisations approach to care, person-centred care and life planning.
随着人口老龄化，消费者的期望也在提高，未来对老年人的护理将要求在养老院中实现自主权。本文着眼于国际出版物，探讨了确定促进或阻碍居民自主权的因素，并引导读者思考自己的习俗和做法。有许多因素既促进又阻碍了老年人在养老院中体验到的自主权水平。本文将讨论文献中反复讨论的三个最相关的因素，即：组织的护理方法、以患者为中心的护理和生活规划。
