Faculty of Health and Social Studies, Telemark University College, 3901 Porsgrunn, Norway.
Centre for Caring Research-Southern Norway, Telemark University College, 3901 Porsgrunn, Norway and University of Agder, 4898 Grimstad, Norway;
Int J Qual Stud Health Well-being. 2015 Mar 5;10:26554. doi: 10.3402/qhw.v10.26554. eCollection 2015.
Next of kin represent significant resources in the care for older patients. The aim of this study was to describe and illuminate the meaning of the next of kin's experiences during the transition of an older person with continuing care needs from hospital to home. The study has a phenomenological hermeneutic design. Individual, narrative interviews were conducted, and the data analysis was conducted in accordance with Lindseth and Norberg's phenomenological hermeneutic method. Two themes and four subthemes were identified and formulated. The first theme: "Balancing vulnerability and strength," encompassed the subthemes "enduring emotional stress" and "striving to maintain security and continuity." The second theme: "Coping with an altered everyday life," encompassed "dealing with changes" and "being in readiness." Our findings suggest that the next of kin in striving to maintain continuity and safety in the older person's transition process are both vulnerable individuals and significant agents. Thus, it is urgent that health care providers accommodate both their vulnerability and their abilities to act, and thereby make them feel valued as respected agents and human beings in the transition process.
在老年患者的护理中,近亲是重要的资源。本研究的目的是描述和阐明有持续护理需求的老年人从医院到家庭过渡期间,近亲的体验的意义。该研究采用了现象学诠释学设计。进行了个体、叙事式访谈,数据分析按照林斯泰斯和诺伯格的现象学诠释学方法进行。确定并制定了两个主题和四个子主题。第一个主题是“平衡脆弱性和力量”,包括“承受情绪压力”和“努力保持安全和连续性”两个子主题。第二个主题是“应对日常生活的改变”,包括“应对变化”和“做好准备”。我们的研究结果表明,近亲在努力维持老年人过渡过程中的连续性和安全性时,既是脆弱的个体,也是重要的代理人。因此,医疗保健提供者迫切需要考虑他们的脆弱性和行动能力,并使他们在过渡过程中感到自己是有价值的、受尊重的代理人和人。