Korean Women's Development Institute, 276 Jinheung-ro, Seoul, Korea, 122-707.
Gerontologist. 2013 Apr;53(2):246-54. doi: 10.1093/geront/gns117. Epub 2012 Aug 30.
This study explored how direct care workers in nursing homes conceptualize good care and how their conceptualizations are influenced by external factors surrounding their work environment and the relational dynamics between them and residents. Study participants were drawn from a local service employees' union, and in-depth interviews were conducted. Data were analyzed using a grounded theory approach, and the results revealed that direct care workers equated good care, such as resident cleanliness, comfort, and happiness as a desirable outcome of care activities. Good care also meant affectionate, respectful, and patient attitudes of direct care workers toward residents in care delivery processes. Nursing home workers internalized the perspectives of residents and other professionals about what constitutes good care, and then drew their own conclusions about how to balance, combine, and compromise those diverse demands. It is important to communicate accurate and consistent messages about what comprises good nursing home care to nursing home workers and build a working environment where workers' conceptualizations about good care can be executed without organizational barriers.
这项研究探讨了养老院的直接护理人员如何概念化良好的护理，以及他们的概念化如何受到工作环境周围的外部因素和他们与居民之间的关系动态的影响。研究参与者来自当地的服务员工会，进行了深入的访谈。使用扎根理论方法进行数据分析，结果表明，直接护理人员将居民的清洁、舒适和幸福等作为护理活动的理想结果，将良好的护理等同于良好的护理。良好的护理还意味着直接护理人员在护理提供过程中对居民的亲切、尊重和耐心态度。养老院工作人员内化了居民和其他专业人士对良好护理的看法，然后根据如何平衡、结合和折衷这些不同的需求得出自己的结论。向养老院工作人员传达关于良好养老院护理的准确和一致的信息，并营造一个工作环境，使工作人员对良好护理的概念能够在没有组织障碍的情况下得以实施，这一点很重要。
