School of Psychology, University of Central Lancashire, Lancashire, UK.
School of Psychology, University of Central Lancashire, Lancashire, UK
Dementia (London). 2016 Nov;15(6):1737-1754. doi: 10.1177/1471301215576416. Epub 2015 Mar 19.
Care assistants have a unique insight into the lives of service users and those factors which may impede or enhance the delivery of high quality dementia oriented care. To address the paucity of research in this area, the present study examined care assistant experiences of dementia care in British long-term residential and nursing environments. Semi-structured interviews were conducted with eight care assistants and transcripts were analysed using interpretive phenomenological analysis. Super-ordinate themes emerging from the data were psychological wellbeing of the care assistant, barriers to effective dementia care, the dementia reality and organisational issues within the care environment. The study revealed important deficiencies in understanding and varying levels of dementia training. Whilst person centred strategies were being implemented, task orientated care remained dominant. Furthermore, care assistants reported taking the perspectives of those with dementia into account, and actively using these to develop relationship centred care.
护理助理对服务使用者的生活有着独特的了解，也了解可能阻碍或增强高质量痴呆症护理的因素。为了弥补这一领域研究的不足，本研究调查了护理助理在英国长期居住和护理环境中的痴呆症护理经验。对 8 名护理助理进行了半结构化访谈，并使用解释性现象学分析对转录本进行了分析。从数据中出现的主要主题包括护理助理的心理健康、有效痴呆症护理的障碍、痴呆症的现实以及护理环境中的组织问题。该研究揭示了对痴呆症的理解和痴呆症培训程度的重要不足。虽然正在实施以人为本的策略，但以任务为导向的护理仍然占主导地位。此外，护理助理报告说，他们考虑到痴呆症患者的观点，并积极利用这些观点来发展以关系为中心的护理。
