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老年住宅中对死亡的机械行政处理方式:走另一扇门。

The rote administrative approach to death in senior housing: Using the other door.

作者信息

Ewen Heidi H, Nikzad-Terhune Katherina, Chahal Jasleen K

机构信息

Institute of Gerontology, University of Georgia, 100 Spear Road, Hudson Hall, Athens, GA 30602, USA.

Northern Kentucky University, Highland Heights, KY, USA.

出版信息

Geriatr Nurs. 2016 Sep-Oct;37(5):360-364. doi: 10.1016/j.gerinurse.2016.05.003. Epub 2016 Jun 4.

Abstract

Understanding death in long-term care (LTC) facilities and the preexisting standards and policies pertaining to the death experience in LTC is essential. Qualitative interviews were conducted with 10 administrators of CCRCs and data analyzed through content analysis. Results of the current study reveal that administrators spoke of approaching death in their facility similar to any other procedural task, removal of the residents' bodies varied by community, and coordination responsibilities ranged from maintenance crews to management. Notification practices for residents and staff were also inconsistent. Differences existed in internal cultures on providing forms of respect. These practices were standard for some facilities while others were flexible to accommodate family requests. The majority of the sites did not offer additional training on death and dying for staff members. Findings suggest the need for consistency regarding how senior housing administrators approach the death of a resident and provide support for staff members.

摘要

了解长期护理(LTC)机构中的死亡情况以及与LTC死亡体验相关的现有标准和政策至关重要。对10名持续照料退休社区(CCRC)的管理人员进行了定性访谈,并通过内容分析对数据进行了分析。当前研究结果表明,管理人员表示在其机构中处理死亡情况类似于处理任何其他程序性任务,居民尸体的搬运因社区而异,协调责任范围从维修人员到管理层。对居民和工作人员的通知做法也不一致。在提供尊重形式的内部文化方面存在差异。这些做法在一些机构中是标准做法,而其他机构则灵活以满足家庭请求。大多数场所没有为工作人员提供关于死亡和临终的额外培训。研究结果表明,在老年住房管理人员如何处理居民死亡以及为工作人员提供支持方面需要保持一致。

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