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居民死亡后的养老院护理实践:注册护理助理的经历

Nursing home practices following resident death: the experience of Certified Nursing Assistants.

作者信息

Barooah Adrita, Boerner Kathrin, van Riesenbeck Isabelle, Burack Orah R

机构信息

Jewish Home Lifecare, Research Institute on Aging, 120 West 106th Street, New York, NY 10025, USA.

University of Massachusetts Boston, Department of Gerontology, 100 Morrissey Boulevard, Boston, MA 02125, USA.

出版信息

Geriatr Nurs. 2015 Mar-Apr;36(2):120-5. doi: 10.1016/j.gerinurse.2014.11.005. Epub 2014 Dec 29.

Abstract

This study examined certified nursing assistants' (CNAs) experiences of nursing home practices following resident death. Participants were 140 CNAs who had experienced recent resident death. In semi-structured, in-person interviews, CNAs were asked about their experiences with the removal of the resident's body, filling the bed with a new resident, and how they were notified about the death. The facilities' practice of filling the bed quickly was most often experienced as negative. Responses to body removal and staff notification varied, but negative experiences were reported by a substantial minority. Being notified prior to returning to work was associated with a more positive experience. Learning about the death by walking into a room to find the bed empty or already filled was the most negative experience. Study findings suggest that more mindful approaches to the transitions related to resident deaths would be valued by CNAs and could improve their work experience.

摘要

本研究考察了注册护理助理(CNA)在居民死亡后对疗养院相关做法的体验。参与者为140名经历过近期居民死亡的CNA。在半结构化的面对面访谈中,CNA被问及他们在搬运居民尸体、为床位安排新居民以及得知死亡消息方面的经历。疗养院迅速安排新居民入住的做法大多被视为负面体验。对于尸体搬运和工作人员通知的反馈各不相同,但相当一部分人报告了负面经历。在返回工作岗位之前收到通知与更积极的体验相关。走进房间发现床位空了或已被新居民占用从而得知死亡消息是最负面的体验。研究结果表明,对与居民死亡相关的过渡采取更周到的做法会受到CNA的重视,并可能改善他们的工作体验。

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本文引用的文献

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Nursing home residents' views on dying and death: nursing home employee's perspective.养老院居民对死亡的看法:养老院员工的观点。
Int J Older People Nurs. 2011 Dec;6(4):251-60. doi: 10.1111/j.1748-3743.2010.00237.x. Epub 2010 Aug 2.
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End-of-life care in nursing homes: the importance of CNA staff communication.养老院临终关怀:护理员沟通的重要性。
J Am Med Dir Assoc. 2010 Sep;11(7):494-9. doi: 10.1016/j.jamda.2010.01.006. Epub 2010 Aug 1.

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