Shaw James A, Connelly Denise M, McWilliam Carol L
Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Western University, London, Ontario, Canada.
Qual Health Res. 2014 Jul;24(7):901-912. doi: 10.1177/1049732314539194. Epub 2014 Jun 6.
Despite increased international concern about fall prevention throughout the past 20 years, only limited attention has been paid to the experiences and perspectives of health care providers who deliver fall prevention programs. The purpose of this interpretive phenomenological study was to explore the meaning of the experience of enacting fall prevention, through individual semistructured interviews, among 6 members of an interprofessional geriatric outreach team in Ontario, Canada. Findings suggest that enacting careful practice was essential to the experience of enacting fall prevention, represented by four interrelated phenomenological themes: caring fully for older clients, carefully seeing older clients in their life contexts, enacting therapeutic relationships, and experiential learning in interprofessional teams. We discuss findings in relation to literature on emotional labor, leading to suggestions for the policy and practice of fall prevention.
尽管在过去20年里，国际社会对预防跌倒的关注有所增加，但对于实施预防跌倒项目的医疗保健提供者的经验和观点却关注有限。这项解释性现象学研究的目的是，通过对加拿大安大略省一个跨专业老年外展团队的6名成员进行个人半结构化访谈，探讨实施预防跌倒经验的意义。研究结果表明，谨慎实践对于实施预防跌倒的经验至关重要，这体现在四个相互关联的现象学主题中：充分关爱老年客户、在其生活背景中仔细观察老年客户、建立治疗性的关系以及在跨专业团队中进行体验式学习。我们结合关于情感劳动的文献讨论了研究结果，从而为预防跌倒的政策和实践提出建议。
