Griffith University, Australia.
Dementia (London). 2013 Mar;12(2):251-67. doi: 10.1177/1471301211421837. Epub 2011 Nov 7.
Quality of care, and indeed, quality of life, for people living with dementia in long-term care is often underpinned by philosophies of care, such as person-centred care and relationship-centred care. The translation of these philosophies into practice is influenced by a range of individual and organizational features, including the context in which such care occurs. Within modern care organizations, the context of care is evidenced through organizational documents. This study sought to identify the key documents guiding dementia care within one large Australian long-term care organization and to explore points of consistency and tension within the documented system of care. Results highlight a lack of consistency and clarity in the philosophy of dementia care and a disconnection between the key documents guiding practice. This disconnection creates tension for clinicians and carers, and may contribute to the gap between rhetoric and reality in dementia care. This study suggests that a congruent documented dementia system can help bridge the gap between espoused philosophies of care and everyday care practices.
在长期护理中，生活在痴呆症中的人们的护理质量，以及生活质量，通常都受到关怀理念的支撑，例如以患者为中心的关怀和以关系为中心的关怀。这些理念转化为实践受到一系列个人和组织特征的影响，包括这种关怀发生的背景。在现代护理组织中，关怀的背景通过组织文件得到证明。这项研究旨在确定在一个大型澳大利亚长期护理组织中指导痴呆症护理的关键文件，并探讨护理文档系统中存在的一致性和紧张关系。研究结果突出表明，痴呆症护理理念缺乏一致性和清晰度，指导实践的关键文件之间存在脱节。这种脱节给临床医生和护理人员带来了紧张感，可能导致痴呆症护理中的言辞与现实之间存在差距。本研究表明，一致的文件记录痴呆症系统可以帮助弥合所宣称的关怀理念与日常关怀实践之间的差距。
