Muntinga Maaike E, van Leeuwen Karen M, Jansen Aaltje P D, Nijpels Giel, Schellevis François G, Abma Tineke A
VU University, Amsterdam, The Netherlands.
NIVEL, Utrecht, The Netherlands.
Glob Qual Nurs Res. 2016 Dec 2;3:2333393616681935. doi: 10.1177/2333393616681935. eCollection 2016 Jan-Dec.
Outcomes of proactive home visit programs for frail, older people might be influenced by aspects of the caregiver-receiver interaction. We conducted a naturalistic case study to explore the interactional process between a nurse and an older woman during two home visits. Using an ethics of care, we posit that a trusting relationship is pivotal for older people to accept care that is proactively offered to them. Trust can be build when nurses meet the relational needs of older people. Nurses can achieve insight in these needs by exploring older people's value systems and life stories. We argue that a strong focus on older people's relational needs might contribute to success of proactive home visits for frail, older people.
针对体弱老年人的主动上门家访计划的效果可能会受到照顾者与被照顾者互动方面的影响。我们进行了一项自然主义案例研究,以探讨护士与一位老年女性在两次上门家访期间的互动过程。运用关怀伦理,我们认为信任关系对于老年人接受主动提供给他们的护理至关重要。当护士满足老年人的关系需求时,可以建立信任。护士可以通过探索老年人的价值体系和生活故事来深入了解这些需求。我们认为,高度关注老年人的关系需求可能有助于体弱老年人主动上门家访计划的成功。