Law Katharine, Patterson Tom G, Muers Jane
Coventry University, UK; University of Warwick, UK.
Coventry University, UK.
Dementia (London). 2019 Feb;18(2):644-659. doi: 10.1177/1471301216688396. Epub 2017 Jan 13.
The study aimed to explore the experiences of healthcare assistants working with people with dementia in UK residential care homes. Eight participants completed semi-structured interviews which were analysed by interpretative phenomenological analysis. Data analysis revealed three main themes representing healthcare assistants' experiences: the importance of relationships, which referred to the importance of their relationships with clients, families and colleagues as well as their attachment to clients; something special about the role, which referred to their perception that their role was unique and rewarding as well as their personal commitment to the job; and the other side of caring, which referred to the more difficult aspects of their role, including managing emotions and conflicts within the caring role. The findings indicate that staff should be supported to build strong and supportive relationships within their role and have opportunities to explore their emotional reactions to reduce any adverse impact on care provision. It is possible that this could be facilitated through reflective practice groups or clinical supervision.
该研究旨在探索英国养老院中与痴呆症患者共事的医疗护理员的经历。八名参与者完成了半结构化访谈，访谈内容采用解释现象学分析方法进行分析。数据分析揭示了代表医疗护理员经历的三个主要主题：关系的重要性，这涉及他们与客户、家庭和同事关系的重要性以及他们对客户的依恋；角色的特殊之处，这指的是他们认为自己的角色独特且有意义，以及他们对工作的个人投入；护理的另一面，这指的是他们角色中更困难的方面，包括在护理角色中管理情绪和冲突。研究结果表明，应支持工作人员在其角色范围内建立牢固且相互支持的关系，并有机会探索他们的情绪反应，以减少对护理服务的任何不利影响。通过反思实践小组或临床督导有可能促进这一点。
