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长期护理机构中老年人的生活史工作:综合述评。

Life-story work in long-term care facilities for older people: An integrative review.

机构信息

The Meath Community Unit, Dublin, Ireland.

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.

出版信息

J Clin Nurs. 2019 Apr;28(7-8):1070-1084. doi: 10.1111/jocn.14718. Epub 2018 Dec 13.

DOI:10.1111/jocn.14718
PMID:30431682
Abstract

AIM

To systematically review the literature regarding the experience of older people, families and staff using life-story work in residential care facilities for older people.

BACKGROUND

Life-story work has been promoted as an approach to enhance care provided and involves collecting memories and moments that are important to the person assisting them to regain their sense of self.

DESIGN

An integrative review utilising the PRISMA reporting guidelines where seven databases, Scopus, EMBASE, CINAHL, MEDLINE, PsychInfo, PsychARTICLES, and Cochrane, were searched within the timeframe; 1 January 2006 to 14 March 2016. Data were reviewed using Whittemore and Knalf's (Journal of Advanced Nursing, 2005, 52:546) methodological approach for integrative reviews. Analysis was conducted utilising Braun and Clarke's (Qualitative Research in Psychology, 2006, 3:77) six phases to identify, analyse and record themes within the data.

RESULTS

Thirteen articles were reviewed, and the review found that life-story work has been introduced using a range of different approaches, with no common approach. Thematic analysis identified two: maintaining identity and building and maintaining relationships.

CONCLUSION

The review extends the current evidence on the experience of using life-story work in long-term aged care facilities for older people. Life-story work has the potential to enhance person-centred care in long-term care. However, improving the process of implementation of life-story work will require education, time and resources and a commitment from service providers and managers.

RELEVANCE TO CLINICAL PRACTICE

Staff who undertake life-story work with residents need to be equipped with the skills to recognise and manage the challenges and issues that may potentially arise. Further research into the successful implementation of life-story work and how it can be resourced is required.

摘要

目的

系统回顾有关老年人、家庭和工作人员在老年人居住护理设施中使用生活故事工作的经验的文献。

背景

生活故事工作已被推广为一种增强护理的方法,涉及收集对协助他们恢复自我意识的人来说重要的记忆和时刻。

设计

利用 PRISMA 报告指南进行综合审查,在 2006 年 1 月 1 日至 2016 年 3 月 14 日的时间范围内,在七个数据库(Scopus、EMBASE、CINAHL、MEDLINE、PsychInfo、PsychARTICLES 和 Cochrane)中进行搜索。使用 Whittemore 和 Knalf(《高级护理杂志》,2005 年,52:546)的综合审查方法审查数据。使用 Braun 和 Clarke(《心理学中的定性研究》,2006 年,3:77)的六个阶段进行分析,以确定、分析和记录数据中的主题。

结果

共审查了 13 篇文章,审查发现,生活故事工作已经采用了多种不同的方法引入,没有共同的方法。主题分析确定了两个主题:保持身份和建立和维护关系。

结论

该综述扩展了关于在老年人长期护理设施中使用生活故事工作的经验的现有证据。生活故事工作有可能增强长期护理中的以人为本的护理。然而,改善生活故事工作的实施过程将需要教育、时间和资源,以及服务提供者和管理人员的承诺。

临床相关性

从事与居民生活故事工作的工作人员需要具备识别和管理可能出现的挑战和问题的技能。需要进一步研究生活故事工作的成功实施以及如何为其提供资源。

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