Ericson-Lidman Eva, Strandberg Gunilla
Umeå University, Skellefteå, Sweden
Umeå University, Skellefteå, Sweden.
Clin Nurs Res. 2015 Apr;24(2):211-27. doi: 10.1177/1054773813500139. Epub 2013 Sep 9.
The aim of this study was to illuminate an intervention process to assist care providers in municipal care of older people to constructively deal with their troubled conscience generated from their perceived shortcomings about not providing sufficient activities for residents. The study design was grounded in participatory action research. Twelve care providers and their manager participated in intervention sessions. Content analysis was used to analyze the transcriptions. By sharing their experiences with each other, care providers became aware of, and confirmed in one another, what types of activities were meaningful for residents and actions were taken to provide such activities. The importance of being attentive and relying on residents' responses, that is, providing person-centered activities, was found to be satisfying to residents and eased the care providers' troubled conscience. An enlightened conscience can be an important asset, which may prevent ill-health and improve quality of care.
本研究的目的是阐明一个干预过程，以帮助市政老年护理机构的护理人员建设性地应对因他们认为未为居民提供足够活动而产生的良心困扰。该研究设计基于参与式行动研究。12名护理人员及其经理参加了干预会议。采用内容分析法对文字记录进行分析。通过相互分享经验，护理人员了解并相互确认了哪些类型的活动对居民有意义，并采取行动提供此类活动。研究发现，关注并依赖居民的反馈，即提供以人为本的活动，既能让居民满意，又能减轻护理人员的良心困扰。开明的良知可能是一项重要资产，有助于预防健康问题并提高护理质量。
