Department of Nursing, Tzu-Chi College of Technology, Hualien, Taiwan.
J Clin Nurs. 2013 Jun;22(11-12):1653-62. doi: 10.1111/j.1365-2702.2012.04260.x. Epub 2012 Sep 24.
To understand nurses' attitudes towards physical activity care for older people in long-term care facilities.
In long-term care facilities, a common approach to daily physical activity is based on the identifiable portions of daily life during which the activity occurs. However, older people are at risk of falling when they perform daily physical activities. Nurses are the first-line caregivers. What nurses' think and do regarding older people's participation in daily physical activities in long-term care facilities is very important in terms of the clinical decision-making regarding older people's physical activity care.
An exploratory qualitative design.
Twenty nurses with more than three years of clinical experience from 13 long-term care facilities located in northern Taiwan were sampled purposively. Data were collected though semi-structured interviews. The constant comparative data analysis method was used throughout the research.
Five themes emerged from the data analysis: 'recognising the importance of participation in daily physical activity', 'encouraging participation in physical activity', 'respecting the autonomy of the residents regarding participation in physical activity', 'preventing falls' and 'facing a dilemma'.
This study identifies that there is a conflict between the nurses' perceptions of the residents' daily physical activities, the risk of falls and encouraging greater independence. The majority of staff employed in long-term care facilities is nursing personnel, and it is these nurses who have the most contact with the residents. It is therefore believed that nurses can make the greatest difference to the residents' lives and support the quality of care if they can resolve this conflict. Relevance to clinical practice. The results suggest the need to increase the nurses' knowledge base regarding the benefits of physical activity and also highlight the potentially adverse effect of restraint usage by nurses.
了解护士对长期护理机构中老年人身体活动护理的态度。
在长期护理机构中，常见的日常身体活动方法是基于活动发生的日常生活中可识别的部分。然而，老年人在进行日常身体活动时存在跌倒的风险。护士是第一线的护理人员。护士对老年人在长期护理机构中参与日常身体活动的看法和做法，对于老年人身体活动护理的临床决策非常重要。
探索性定性设计。
从台湾北部 13 家长期护理机构中，有 20 名具有三年以上临床经验的护士被有目的地抽取为样本。通过半结构化访谈收集数据。在整个研究过程中使用了恒定性比较数据分析方法。
从数据分析中出现了五个主题：“认识到参与日常身体活动的重要性”、“鼓励参与身体活动”、“尊重居民参与身体活动的自主权”、“预防跌倒”和“面临困境”。
本研究表明，护士对居民日常身体活动、跌倒风险和鼓励更大独立性的看法存在冲突。长期护理机构中雇佣的大多数员工是护理人员，而这些护士与居民接触最多。因此，如果护士能够解决这种冲突，他们可以对居民的生活产生最大的影响，并支持护理质量。与临床实践的相关性。研究结果表明需要增加护士对身体活动益处的知识基础，同时强调护士使用约束可能产生的潜在不利影响。
