1 University of British Columbia, Vancouver, Canada.
J Fam Nurs. 2018 Feb;24(1):60-85. doi: 10.1177/1074840718754314. Epub 2018 Feb 19.
The provision of care work by families plays an integral role in the quality of life of older adults living in a nursing home setting. This critical interpretive synthesis examines family members' perceptions of their roles and responsibilities in nursing home settings and interrogates the structural and relational barriers and enablers to family involvement as they relate to fostering an inclusive environment. Electronic databases and published literature were searched for empirical studies that were conducted in a nursing home setting and described involvement from the perspective of family members. Thirty-two articles published between 2006 and 2016 were included in the review. Although involvement comprised a variety of roles and responsibilities, it was grounded in family-resident relationships, influenced by family-staff relationships, and deeply affected by broader sociopolitical factors. We conclude that involvement should be understood as a democratic process with supporting policies and programs to encourage family inclusion in facility life.
家庭提供的护理工作对居住在养老院环境中的老年人的生活质量起着至关重要的作用。本批判性综合分析考察了家庭成员对其在养老院环境中角色和责任的看法，并探讨了家庭参与的结构和关系障碍和促进因素，因为这些障碍和促进因素与营造一个包容的环境有关。电子数据库和已发表的文献中搜索了在养老院环境中进行的并从家庭成员角度描述参与情况的实证研究。在综述中包括了 2006 年至 2016 年期间发表的 32 篇文章。尽管参与包括各种角色和责任，但它基于家庭-居民关系，受家庭-工作人员关系的影响，并深受更广泛的社会政治因素的影响。我们的结论是，参与应该被理解为一个民主的过程，有支持性的政策和方案来鼓励家庭参与设施生活。
