Oppert Michelle L, O'Keeffe Valerie J, Duong David
Asia-Pacific Centre for Work, Health, and Safety, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia; University of South Australia, Asia Pacific Centre for Work Health and Safety, School of Education, Arts and Social Sciences, IPC-MAG-26, Magill Campus, GPO Box 2471, Adelaide 5001, Australia.
Asia-Pacific Centre for Work, Health, and Safety, School of Psychology, Social Work and Social Policy, University of South Australia, Adelaide, Australia; University of South Australia, Asia Pacific Centre for Work Health and Safety, School of Education, Arts and Social Sciences, IPC-MAG-26, Magill Campus, GPO Box 2471, Adelaide 5001, Australia.
Geriatr Nurs. 2018 Nov;39(6):683-688. doi: 10.1016/j.gerinurse.2018.05.004. Epub 2018 May 30.
The current study describes aged care workers' interpretation of the concept of person-centred care; and identifies the barriers that exist to impede its practice, and the facilitators that encourage person-centred care practice. Data were collected from interviews with aged care workers from two residential aged care facilities providing both high and low care for residents with and without physical and psychological issues based in Australia. Data were analysed to identify and explore categories of meaning for barriers and facilitators. Analysis is grounded in Brooker's VIPS framework for person-centred dementia care which is utilised as a comparative tool for analysing participants' understanding of person-centred care. Findings revealed that aged care workers have a reasonable but incomplete understanding of person-centred care. Insufficient time and residents' dementia behaviours acted as barriers to care workers' provision of person-centred care. Teamwork was found to facilitate person-centred care by increasing instrumental and relationship resources.
本研究描述了老年护理工作者对以人为主的护理概念的理解;识别了阻碍其实践的障碍以及鼓励以人为主的护理实践的促进因素。数据收集自对澳大利亚两家为有身体和心理问题及无此类问题的居民提供高护理和低护理服务的老年护理机构的老年护理工作者的访谈。对数据进行分析以识别和探索障碍及促进因素的意义类别。分析基于布鲁克的以人为主的痴呆症护理VIPS框架,该框架被用作分析参与者对以人为主的护理理解的比较工具。研究结果显示,老年护理工作者对以人为主的护理有合理但不完整的理解。时间不足和居民的痴呆行为成为护理工作者提供以人为主的护理的障碍。研究发现团队合作通过增加工具性和关系性资源来促进以人为主的护理。