Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
School of Health Sciences, Queen Margaret University, Musselburgh, East Lothian, UK.
J Clin Nurs. 2018 Aug;27(15-16):3070-3080. doi: 10.1111/jocn.14495.
To explore the meaning of home for six baby boomers and consider how this insight can be used when caring for older people in hospital or residential settings.
Feeling at home is important to help retain a sense of autonomy, security and well-being, but home is a complex concept to understand. The baby boomers are a large cohort entering later life and understanding their sense of home is not only an example of anticipatory gerontology but it could also provide the tools to explore home with the current older population, who may be in a variety of care settings.
A qualitative hermeneutic approach was adopted to explore the meaning of home of six baby boomers. The participants were asked to take photographs showing what home meant to them and interpret these in a recorded photo-elicitation interview. Small teams then reviewed the images to provide further insight. Finally, all the data were reviewed to provide an overall analysis of the revealed meaning of home.
Having possessions or stuff was important for the meaning of home; being familiar with the local environment was also "homely," as well as certain textures and familiar sounds and smells; relationships with others and the ability to have choice in where and how the participants live were also significant for their meaning of home.
The meaning of home is complex. Nevertheless, in this study, an evocative sense of home was revealed and these insights could be used in discussions with older people in care settings to help increase their sense of autonomy, security and well-being. Furthermore, these insights could also be used to develop a framework to help nursing staff guide these discussions.
By considering the multisensory nature of the meaning of home, nurses can create a sense of home for patients. Feeling at home can improve the well-being and a sense of autonomy for patients. Enabling patients to feel more autonomous recognises the importance of a person-centred approach to care.
探索六位婴儿潮一代对家的意义，并思考如何将这一认识应用于在医院或养老院照顾老年人。
对家的归属感对于保持自主、安全和幸福感很重要，但家是一个复杂的概念。婴儿潮一代是进入晚年生活的一个庞大群体，了解他们的归属感不仅是预期老年学的一个例子，而且还可以为探索当前处于各种护理环境中的老年人口的归属感提供工具。
采用定性阐释学方法探索六位婴儿潮一代对家的意义。要求参与者拍摄能体现家的意义的照片，并在记录的照片启发式访谈中对这些照片进行解释。然后，小团队对这些图片进行审查，以提供进一步的见解。最后，对所有数据进行审查，以提供对家的意义的总体分析。
拥有物品或东西对家的意义很重要；熟悉当地环境也是“舒适的”，还有某些纹理和熟悉的声音和气味；与他人的关系以及在何处以及如何生活的选择能力对他们的归属感也很重要。
家的意义很复杂。尽管如此，在这项研究中，还是揭示了一种唤起归属感的感觉，这些见解可以在与护理环境中的老年人进行讨论时使用，以帮助增加他们的自主、安全和幸福感。此外，这些见解还可以用于开发一个框架，帮助护理人员指导这些讨论。
通过考虑家的意义的多感官性质，护士可以为患者创造一种家的感觉。对家的归属感可以提高患者的幸福感和自主感。使患者感到更加自主，承认以患者为中心的护理方法的重要性。
