Kiljunen Outi, Kankkunen Päivi, Partanen Pirjo, Välimäki Tarja
Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
Scand J Caring Sci. 2018 Sep;32(3):1018-1026. doi: 10.1111/scs.12544. Epub 2017 Nov 22.
Structural and cultural changes in the care of older people have influenced nursing practice, creating a need to identify current competency requirements for nurses working in care homes. Family members have an important role in ensuring the well-being of older people living in care homes, and family members' can provide valuable information about competence requirements.
To explore the expectations of the care home residents' family members regarding the competence of nurses in care homes for older people.
A qualitative descriptive design was used. Semi-structured interviews were conducted with 18 care home residents' family members between March and September 2016. Participants were recruited with help from regional associations and member associations of The Central Association of Carers in Finland and from regional associations of The Alzheimer's Society of Finland. The snowball technique was also used. The data were analysed using inductive content analysis.
Ethics committee approval was obtained from the university committee on research ethics, and written informed consent was obtained from participants.
The care home residents' family members expected that nurses would be able to interact with and treat people respectfully. Reflective collaboration between the nurse and a family member was also emphasised. Family members expected nurses to provide high-quality basic care and nursing and support residents' well-being individually and holistically.
Family members' expectations reflect the need for ethical and interactional competence in the care home. In addition, evidence-based practice competencies are required to provide high-quality care. Nurses' ability to provide person-centred, individual and holistic care is vital to ensure care home residents' well-being.
老年人护理方面的结构和文化变革影响了护理实践，因此需要确定养老院护士当前的能力要求。家庭成员在确保养老院老年人的福祉方面发挥着重要作用，并且家庭成员能够提供有关能力要求的宝贵信息。
探讨养老院居民家庭成员对养老院护士能力的期望。
采用定性描述性设计。2016年3月至9月期间，对18名养老院居民的家庭成员进行了半结构化访谈。参与者是在芬兰护理者中央协会的地区协会和成员协会以及芬兰阿尔茨海默病协会的地区协会的帮助下招募的。还采用了滚雪球技术。使用归纳性内容分析法对数据进行了分析。
获得了大学研究伦理委员会的伦理委员会批准，并获得了参与者的书面知情同意。
养老院居民的家庭成员期望护士能够与人互动并给予尊重。还强调了护士与家庭成员之间的反思性合作。家庭成员期望护士提供高质量的基本护理，并单独和全面地支持居民的福祉。
家庭成员的期望反映了养老院对道德和互动能力的需求。此外，提供高质量护理需要循证实践能力。护士提供以人为主、个性化和全面护理的能力对于确保养老院居民的福祉至关重要。
