Eika Marianne, Espnes Geir Arild, Söderhamn Olle, Hvalvik Sigrun
Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, NTNU, Trondheim, Norway; Faculty of Health and Social Studies, Telemark University College, Porsgrunn, Norway; Centre for Caring Research - Southern Norway, Grimstad, Norway.
J Clin Nurs. 2014 Aug;23(15-16):2186-95. doi: 10.1111/jocn.12491. Epub 2013 Dec 21.
To describe and explore experiences of next of kin during the older persons' transition into long-term care.
Moving into long-term care is a challenge for both resident and next of kin. Next of kin experience transitions at the same time as they play significant parts in their family members' transition into long-term care placement.
Constructivist hermeneutical design.
Ten next of kin to newly admitted eight residents were recruited by purposeful sampling and interviewed. Periodic participant observation periods following new residents on arrival day and the first week after admission and some written documentation were the backdrops to the interviews.
What happened prior to the long-term care placement as well as what happened in the initial period of transition influenced the experiences of next of kin. Characteristics of their experiences were: 'striving to handle the new situation', 'still feeling responsible', and 'maintaining dignity and continuity'.
Next of kin were unprepared for the transition and had little support from staff. Staff lacked awareness about next of kin's transition experiences. Their involvement with next of kin was unpredictable, and this added to the burdens of next of kin in this period.
Knowledge about experiences of next of kin needs to be acknowledged among healthcare professionals. Health professionals need to pay attention to what happens across institutional borders within families as well as between staff and family members. Individual family members need support in this period of change.
描述并探究老年人向长期护理机构过渡期间其近亲的经历。
入住长期护理机构对居民及其近亲来说都是一项挑战。近亲在经历自身转变的同时，也在其家庭成员向长期护理机构安置过渡的过程中发挥着重要作用。
建构主义诠释学设计。
通过目的抽样法招募了新近入住的8位居民的10位近亲并进行访谈。以新居民入住当天及入住后第一周的定期参与观察时段以及一些书面文件作为访谈背景。
长期护理机构安置之前发生的事情以及过渡初期发生的事情影响了近亲的经历。其经历的特点包括：“努力应对新情况”“仍然感到负有责任”以及“维护尊严和保持连续性”。
近亲对这种过渡毫无准备，且几乎没有得到工作人员的支持。工作人员对近亲的过渡经历缺乏认识。他们与近亲的互动不可预测，这增加了近亲在此期间的负担。
医疗保健专业人员需要认识到有关近亲经历的知识。卫生专业人员需要关注家庭内部以及工作人员与家庭成员之间跨机构边界发生的事情。在此变革时期，个别家庭成员需要得到支持。
