Band-Winterstein Tova
University of Haifa, Mount Carmel, Haifa, Israel
J Appl Gerontol. 2015 Apr;34(3):NP113-27. doi: 10.1177/0733464812475308. Epub 2013 Mar 21.
The aim of this study was to explore the link between neglect and ageism in health care provision for older persons. Semistructured in-depth interviews were conducted with 30 registered nurses with at least 2 years' experience in 10 long-term care facilities in Israel. Interviews were digitally recorded and transcribed verbatim. Data analysis was performed according to the qualitative method. Three main themes emerged: ageism and neglect as the everyday routine (neglect is built into institution life on the platform of ageism); how the institutional system promotes neglect--between institutional and personal ageism (the ways institutions promote neglect in the shadow of ageism); from vision to reality--how neglect can be prevented in an ageist reality. The attempt to demonstrate the link between ageism and neglect and suggesting how to include them as interrelated phenomena in health care provision programs could promote older persons' quality of life.
本研究的目的是探讨在老年人医疗保健服务中忽视与年龄歧视之间的联系。对以色列10家长期护理机构中30名具有至少两年工作经验的注册护士进行了半结构化深度访谈。访谈进行了数字录音并逐字转录。数据分析采用定性方法。出现了三个主要主题:年龄歧视和忽视成为日常惯例(忽视在年龄歧视的平台上融入机构生活);制度体系如何助长忽视——在机构年龄歧视和个人年龄歧视之间(机构在年龄歧视的阴影下助长忽视的方式);从愿景到现实——在年龄歧视的现实中如何预防忽视。试图证明年龄歧视与忽视之间的联系,并建议如何将它们作为相互关联的现象纳入医疗保健服务项目,这可能会提高老年人的生活质量。