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成就彼此的日常生活:护理助理在养老院营造有意义日常生活的经验与认知

Making Each Other's Daily Life: Nurse Assistants' Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes.

作者信息

James Inger, Fredriksson Carin, Wahlström Catrin, Kihlgren Annica, Blomberg Karin

机构信息

School of Health and Medical Sciences, Örebro University, Örebro, Sweden.

出版信息

Open Nurs J. 2014 Sep 10;8:34-42. doi: 10.2174/1874434601408010034. eCollection 2014.

Abstract

BACKGROUND

In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants' (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs' experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work.

METHODS

The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews, participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used.

RESULT

NAs developed a meaningful daily life by sensing and finding the "right" way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other's daily lives meaningful.

CONCLUSION

IT WAS OBVIOUS THAT NAS BASED THE DEVELOPMENT OF A MEANINGFUL DAILY LIFE ON DIFFERENT FORMS OF KNOWLEDGE: the oreticaland practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes.

摘要

背景

在一个更大的行动研究项目中,制定了关于如何为老年人创造有意义的日常生活的指导方针。在本研究中,我们关注护士助理(NA)的观点,因为他们的知识对于一个运作良好的团队和护理质量至关重要。目的是从NA关于如何为养老院老年人创造有意义的日常生活的经验和知识以及NA赋予其工作的意义中学习。

方法

该项目基于参与式和欣赏式行动与反思。通过对瑞典养老院工作的27名NA进行访谈、参与观察和非正式交谈收集数据,并采用主题分析法。

结果

NA通过感知并找到“正确”的存在方式(主题1)来创造有意义的日常生活。他们感知并解读老年人,以便判断其感受(主题2)。他们适应老年人(主题3)并分享日常生活(主题4)。NA利用情感投入为老年人创造有意义的日常生活并赋予自己工作以意义(主题5),最终使彼此的日常生活都有意义。

结论

很明显,NA基于不同形式的知识来发展有意义的日常生活:理论知识、实践知识和实践智慧,所有这些都是相互交织的。这些结果可在团队中用于为养老院老年人构建有意义的日常生活。

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