Hunter Andrew, Keady John, Casey Dympna, Grealish Annmarie, Murphy Kathy
National University of Ireland Galway, Galway, Ireland
University of Manchester, UK.
Qual Health Res. 2016 Dec;26(14):2024-2034. doi: 10.1177/1049732316632194. Epub 2016 Mar 1.
The objective of this study was to develop a substantive grounded theory of staff psychosocial intervention use with residents with dementia in long-stay care. "Becoming a person again" emerged as the core category accounting for staffs' psychosocial intervention use within long-stay care. Interview data were collected from participants in nine Irish long-stay settings: 14 residents with dementia, 19 staff nurses, one clinical facilitator, seven nurse managers, 21 nursing assistants, and five relatives. Constant comparative method guided the data collection and analysis. The researcher's theoretical memos, based on unstructured observation, and applicable extant literature were also included as data. By identifying the mutuality of the participants' experiences, this classic grounded theory explains staff motivation toward psychosocial intervention use within long-stay care. It also explains how institutional factors interact with those personal factors that incline individuals toward psychosocial intervention use.
本研究的目的是构建一个关于长期护理机构中工作人员对痴呆症患者使用心理社会干预措施的实质性扎根理论。“再次成为一个人”成为解释长期护理机构中工作人员使用心理社会干预措施的核心类别。访谈数据收集自爱尔兰九个长期护理机构的参与者:14名痴呆症患者、19名注册护士、1名临床协调员、7名护士长、21名护理助理和5名亲属。持续比较法指导数据收集和分析。基于非结构化观察的研究者理论备忘录以及适用的现有文献也作为数据纳入。通过识别参与者经历的相互性,这一经典扎根理论解释了长期护理机构中工作人员使用心理社会干预措施的动机。它还解释了机构因素如何与促使个人使用心理社会干预措施的个人因素相互作用。