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“我帮助他们在机构中找到方向”:认识非临床专业人员对辅助生活中以个人为中心方法的贡献。

"I Help Them Navigate the Organization": Recognizing the Contributions of Non-Clinical Professionals to Person-Centered Approaches in Assisted Living.

作者信息

Shrestha Priyanka, Abbott Katherine M

出版信息

J Gerontol Nurs. 2018 Feb 1;44(2):9-13. doi: 10.3928/00989134-20171023-02. Epub 2017 Oct 30.

DOI:10.3928/00989134-20171023-02
PMID:29077979
Abstract

The current study explored the contribution of non-clinical professionals, such as housekeepers and maintenance mechanics, in promoting person-centered care (PCC) for older adults residing in assisted living. Semi-structured face-to-face interviews with staff (n = 8), concierge (n = 2), maintenance mechanics (n = 2), housekeepers (n = 3), and an administrative assistant (n = 1) from an assisted living organization were conducted. Interviews were audiorecorded, transcribed, and reviewed for accuracy. The comments from the staff were coded based on prior PCC themes (i.e., promoting decision making, meaningful living, pleasurable living, and personhood). Results show that non-clinical staff play an important role in facilitating PCC in their everyday tasks with residents. A new sub-theme was added regarding how non-clinical staff help residents in assisted living navigate the organization. Findings suggest that all tasks, no matter how routine, can be performed in a person-centered manner, contributing to the quality of life of older adults in assisted living. The authors recommend including all staff who have direct contact with residents in person-centered education and training efforts as they support the PCC goals of an organization. [Journal of Gerontological Nursing, 44(2), 9-13.].

摘要

当前的研究探讨了非临床专业人员,如管家和维修技工,在促进为居住在辅助生活机构中的老年人提供以人为主的护理(PCC)方面所做的贡献。对一家辅助生活机构的工作人员(n = 8)、礼宾员(n = 2)、维修技工(n = 2)、管家(n = 3)和一名行政助理(n = 1)进行了半结构化面对面访谈。访谈进行了录音、转录并检查准确性。工作人员的评论根据先前的PCC主题(即促进决策、有意义的生活、愉快的生活和人格)进行编码。结果表明,非临床工作人员在与居民的日常工作中促进PCC方面发挥着重要作用。增加了一个关于非临床工作人员如何帮助辅助生活机构中的居民适应机构环境的新子主题。研究结果表明,所有任务,无论多么常规,都可以以以人为本的方式执行,这有助于提高辅助生活机构中老年人的生活质量。作者建议将所有与居民有直接接触的工作人员纳入以人为本的教育和培训工作中,因为他们支持机构的PCC目标。[《老年护理杂志》,44(2),9 - 13。]

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