Gaugler Joseph E
School of Nursing, Center on Aging, University of Minnesota, 6-153 Weaver-Densford Hall, 1331, 308 Harvard Street S.E., Minneapolis, MN 55455, USA.
Geriatr Nurs. 2014 Jan-Feb;35(1):47-54. doi: 10.1016/j.gerinurse.2013.10.009. Epub 2013 Oct 16.
The objective of this study was to examine why and how families and older adults utilize adult day services. The current study included three months of participant observation in one rural and one suburban adult day service program in an upper-Midwestern region of the United States as well as semi-structured interviews with 14 family members of clients and 12 staff members from these programs. Several key constructs emerged that organized the multiple sources of qualitative data including programmatic philosophy, positioning, and environment of ADS; clients' and family members' reasons for use; the process of ADS use by families and clients; and pathways to family/client psychosocial and client functional outcomes. A number of inter-related themes emerged within each construct. The constructs identified and their potential associations among each other were used to expand upon and refine prior conceptualizations of ADS to frame future clinical and research efforts.
本研究的目的是探讨家庭和老年人使用成人日托服务的原因及方式。当前的研究包括在美国中西部一个地区的一个农村和一个郊区成人日托服务项目中进行为期三个月的参与观察，以及对这些项目的14位客户家庭成员和12名工作人员进行半结构化访谈。出现了几个关键的结构，这些结构组织了多源定性数据，包括成人日托服务的项目理念、定位和环境；客户及其家庭成员使用服务的原因；家庭和客户使用成人日托服务的过程；以及实现家庭/客户心理社会和客户功能结果的途径。在每个结构中都出现了一些相互关联的主题。所确定的结构及其相互之间的潜在关联被用于扩展和完善成人日托服务先前的概念化，以指导未来的临床和研究工作。
