Berendonk Charlotte, Caine Vera
Faculty of Nursing, University of Alberta, Edmonton, Canada.
Dementia (London). 2019 Jan;18(1):282-302. doi: 10.1177/1471301216669236. Epub 2016 Sep 15.
In Germany, the use of life story work as an approach to care in nursing homes has not been implemented successfully. Using Grounded Theory, we explored care staff's understandings of life story work when caring for persons with dementia. Thirty-six staff from seven nursing homes participated in semi-structured interviews or group discussions. In this paper we discuss new aspects and theoretical connections between understandings and practices of life story work. For some participants, obtaining 'true facts' about a resident's course of life was considered the most important topic. Others highlighted the importance of narratives as well as embodied stories told by persons with dementia, as aspects that generated emotionally meaningful situations. Delivering sound life story work can be challenging for care staff working with persons with dementia. To enhance care in nursing homes, the importance of life story work needs to be further developed.
在德国，将生活故事工作作为养老院护理方法的做法尚未成功实施。我们运用扎根理论，探讨了护理人员在照顾痴呆症患者时对生活故事工作的理解。来自七家养老院的36名工作人员参与了半结构化访谈或小组讨论。在本文中，我们讨论了生活故事工作的理解与实践之间的新方面和理论联系。对于一些参与者来说，获取居民生活历程的“真实情况”被认为是最重要的话题。其他人则强调了叙事以及痴呆症患者讲述的具体故事的重要性，认为这些方面能营造出情感上有意义的情境。对于照顾痴呆症患者的护理人员来说，开展有效的生活故事工作可能具有挑战性。为了加强养老院的护理工作，生活故事工作的重要性需要进一步拓展。
