Benjamin Kathleen, Rankin Janet, Edwards Nancy, Ploeg Jenny, Legault Frances
University of Calgary in Qatar, Doha, Qatar.
University of Ottawa, Ottawa, ON, Canada.
Nurs Inq. 2016 Jun;23(2):128-37. doi: 10.1111/nin.12120. Epub 2015 Aug 28.
Worldwide, the literature reports that many residents in long-term care (LTC) homes are sedentary. In Canada, personal support workers (PSWs) provide most of the direct care in LTC homes and could play a key role in promoting activity for residents. The purpose of this institutional ethnographic study was to uncover the social organization of LTC work and to discover how this organization influenced the physical activity of residents. Data were collected in two LTC homes in Ontario, Canada through participant observations with PSWs and interviews with people within and external to the homes. Findings explicate the links between meals, lifts and transfers, and the LTC standards to reveal that physical activity is considered an add-on program in the purview of physiotherapists. Some of the LTC standards which are intended to product good outcomes for residents actually disrupt the work of PSWs making it difficult for them to respond to the physical activity needs of residents. This descriptive ethnographic account is an important first step in trying to find a solution to optimize real activities of daily living into life in LTC.
在全球范围内，文献报道称许多长期护理（LTC）机构中的居民久坐不动。在加拿大，个人支持工作者（PSW）在长期护理机构中提供大部分直接护理，并且在促进居民活动方面可以发挥关键作用。这项机构民族志研究的目的是揭示长期护理工作的社会组织，并发现这种组织如何影响居民的身体活动。通过与个人支持工作者进行参与观察以及对机构内部和外部人员进行访谈，在加拿大安大略省的两家长期护理机构收集了数据。研究结果阐明了用餐、升降和转移与长期护理标准之间的联系，以揭示身体活动在物理治疗师的职责范围内被视为一个附加项目。一些旨在为居民带来良好结果的长期护理标准实际上干扰了个人支持工作者的工作，使他们难以满足居民的身体活动需求。这种描述性民族志记录是试图找到解决方案以将实际日常生活活动优化到长期护理生活中的重要第一步。
