Brandenburg Hermann, Adam-Paffrath Renate, Güther Helen
Lehrstuhl für Gerontologische Pflege, Pflegewissenschaftliche Fakultät, Philosophisch-Theologische Hochschule Vallendar.
Pflege. 2014 Apr;27(2):69-80. doi: 10.1024/1012-5302/a000347.
A nursing oasis (NO) can be understood as a version of special care units. The focus is on a constantly living arrangement for people with severe dementia in nursing homes (multiple person room). Nurses are permanently present during the day shift. The question has to be raised which characteristics of quality of life (QoL) are mentioned and how nurses and relatives do assess this concept. Qualitative Results of a two-year evaluation study of 15 people living in NOs are presented. Data were collected during four (five) group discussions with 8 nurses (15 relatives). Additionally problem-based interviews were realized. Data evaluation was oriented to the grounded theory. The findings show that primarily the focus of QoL in NOs was on psychophysical well-being. Assessments of relatives and nurses were prevailing positive and could be interpreted in the light of the Festingers' social-psychological "Theory of Cognitive Dissonance". Comparisons between the situation before and after the implementation of the NOs were shown to be relevant for the overall assessments. All in all we have to deal with the construction of "care worlds of everyday life" in long term care institutions.
护理绿洲（NO）可被理解为一种特殊护理单元形式。其重点在于为养老院中患有重度痴呆症的人群提供持续的居住安排（多人房间）。护士在白班期间始终在场。必须提出这样的问题：生活质量（QoL）的哪些特征被提及，以及护士和亲属如何评估这一概念。本文呈现了一项对居住在护理绿洲中的15人进行的为期两年的评估研究的定性结果。数据收集于与8名护士（15名亲属）进行的四次（五次）小组讨论期间。此外，还进行了基于问题的访谈。数据评估以扎根理论为导向。研究结果表明，护理绿洲中生活质量的重点主要在于身心健康。亲属和护士的评估总体上是积极的，并且可以根据费斯汀格的社会心理学“认知失调理论”进行解读。护理绿洲实施前后情况的比较显示出与总体评估相关。总而言之，我们必须应对长期护理机构中“日常生活护理世界”的构建。
