Koplow Sarah M, Gallo Agatha M, Knafl Kathleen A, Vincent Catherine, Paun Olimpia, Gruss Valerie
J Gerontol Nurs. 2015 Jul;41(7):58-64. doi: 10.3928/00989134-20150413-08. Epub 2015 Apr 17.
Nursing home placement is one of the most challenging aspects of the caregiving journey. A case study approach was used to understand the experiences of caregivers during the first few months following nursing home placement. Two caregivers were selected from a larger qualitative descriptive study because their experiences exemplified smooth and difficult transitions for both themselves and their older family member. The caregivers were interviewed shortly after placement and 3 months post-placement. Four major contextual issues were identified that indicated the similarities and differences between the two cases, including (a) the caregiver's relationship with the older adult during the home caregiving time and post nursing home placement, (b) the circumstances surrounding placement, (c) support systems, and (d) continued involvement in care post-placement. Nursing home staff who understand these issues and address concerns through family-centered care can ease the transition and promote successful collaborations between staff and families.
安置老人到养老院是照护过程中最具挑战性的方面之一。本研究采用案例研究方法，以了解在老人被安置到养老院后的最初几个月里，照护者的经历。从一项规模更大的质性描述性研究中选取了两名照护者，因为他们的经历体现了自己以及老年家庭成员顺利和艰难的过渡情况。在安置后不久以及安置后3个月对这两名照护者进行了访谈。确定了四个主要的背景问题，这些问题表明了两个案例之间的异同，包括：(a) 在居家照护期间以及老人被安置到养老院后，照护者与老年人的关系；(b) 安置的相关情况；(c) 支持系统；以及(d) 在安置后继续参与照护。了解这些问题并通过以家庭为中心的照护来解决相关问题的养老院工作人员，可以缓解这种过渡，并促进工作人员与家庭之间的成功合作。
