Song Yuting, Scales Kezia, Anderson Ruth A, Wu Bei, Corazzini Kirsten N
Duke University School of Nursing, USA.
Duke University School of Nursing, USA; Duke University Center for the Study of Aging and Human Development, USA.
Geriatr Nurs. 2018 Jan-Feb;39(1):18-23. doi: 10.1016/j.gerinurse.2017.05.001. Epub 2017 Jun 19.
As traditional family-based care in China declines, the demand for residential care increases. Knowledge of residents' experiences with long-term care (LTC) facilities is essential to improving quality of care. This pilot study aimed to describe residents' experiences in LTC facilities, particularly as it related to physical function. Semi-structured open-ended interviews were conducted in two facilities with residents stratified by three functional levels (n = 5). Directed content analysis was guided by the Adaptive Leadership Framework. A two-cycle coding approach was used with a first-cycle descriptive coding and second-cycle dramaturgical coding. Interviews provided examples of challenges faced by residents in meeting their daily care needs. Five themes emerged: staff care, care from family members, physical environment, other residents in the facility, and personal strategies. Findings demonstrate the significance of organizational context for care quality and reveal foci for future research.
随着中国传统家庭式照料的减少,对机构照料的需求增加。了解居民在长期护理(LTC)机构的经历对于提高护理质量至关重要。这项试点研究旨在描述居民在LTC机构的经历,特别是与身体功能相关的经历。在两个机构中,对按三个功能水平分层的居民(n = 5)进行了半结构化开放式访谈。定向内容分析以适应性领导框架为指导。采用两阶段编码方法,第一阶段为描述性编码,第二阶段为戏剧化编码。访谈提供了居民在满足日常护理需求时面临的挑战的例子。出现了五个主题:工作人员护理、家庭成员护理、物理环境、机构中的其他居民以及个人策略。研究结果证明了组织背景对护理质量的重要性,并揭示了未来研究的重点。