Donnelly Leeann, MacEntee Michael I
Department of Oral Biological & Medical Sciences,Faculty of Dentistry,University of British Columbia.
Department of Oral Health Sciences,Faculty of Dentistry,University of British Columbia.
Can J Aging. 2016 Jun;35(2):149-60. doi: 10.1017/S0714980816000167. Epub 2016 Apr 11.
This study explored qualitatively how residents of long-term care (LTC) facilities feel about and adapt to the care they receive. We interviewed and observed a purposeful selection of elderly residents in seven facilities purporting to provide person-centred care. Interpretative descriptions from 43 personal interviews with 23 participants answered the question: How do residents perceive the care rendered in LTC facilities purporting to offer person-centred care? Three themes emerged: (1) the caring environment; (2) preservation of dignity; and (3) maintenance of personal autonomy. Participants were sympathetic to the nursing staff's workload, but felt distant from the staff. Participants gave examples of poor care and lack of empathy, human indignities, and violations of personal autonomy caused by institutional policies they felt inhibited their ability to receive care based on their preferences. Overall, they challenged the claims of person-centred care, but adapted to cope with an environment that threatened their dignity and autonomy.
本研究从定性角度探讨了长期护理（LTC）机构的居民对其所接受护理的感受以及如何适应这种护理。我们对七家声称提供以人为本护理的机构中有目的地挑选出的老年居民进行了访谈和观察。对23名参与者进行的43次个人访谈所做的解释性描述回答了这个问题：居民如何看待声称提供以人为本护理的长期护理机构所提供的护理？出现了三个主题：（1）关怀环境；（2）尊严的维护；（3）个人自主性的维持。参与者体谅护理人员的工作量，但感觉与工作人员关系疏远。参与者列举了护理不善、缺乏同理心、人性尊严受损以及机构政策导致的个人自主性受到侵犯的例子，他们认为这些政策限制了他们根据自身偏好接受护理的能力。总体而言，他们对以人为本护理的说法提出了质疑，但适应了应对一个威胁到他们尊严和自主性的环境。
