Gustafsson Lena-Karin, Östlund Gunnel, Zander Viktoria, Elfström Magnus L, Anbäcken Els-Marie
Division of Caring Science, School of Health, Care and Social Welfare, Mälardalens University, Eskilstuna, Sweden.
Division of Social work, School of Health, Care and Social Welfare, Mälardalens University, Eskilstuna, Sweden.
Scand J Caring Sci. 2019 Jun;33(2):498-506. doi: 10.1111/scs.12650. Epub 2019 Jan 17.
This paper reports a study conducted to illuminate older adults' perceptions of multiproffesional team's caring skills as success factors for health support in short-term goal-directed reablement. The fact that older adults are given perquisites to live in their own homes puts great demands on the professional care given them at home. An option offered could be short-term goal-directed reablement delivered by an interprofessional team. This means after periods in hospitals to strengthen their multidimensional health, older adults' reablement processes are supported to return to their daily life as soon as possible. Crucial in making these intentions a reality seems to be identifying the professional's approach that works as success factors for health support in the reablement process. A descriptive qualitative design with a phenomenographic approach based on interviews with 23 older persons who had received short-term goal-directed reablement at home after a period at hospital was used. The study was approved by an ethical board. The analysis revealed four major referential aspects of multiproffesional team's caring skills as success factors for health-support in short-term goal-directed reablement: a motivating caregiver, a positive atmosphere-creating caregiver, a human fellowship-oriented caregiver and a caregiver that goes beyond the expected. In this study, all caring skills in the continuum are perceived as positively loaded necessities in different situations during the reablement process. Caring skills as success factors are initially shown at a practical level, such as how the professional caregivers encourage and motivate the older persons in different training situations. At a deeper level, the caregivers open their hearts and have the capacity to go beyond the expected in the professional caregiver-patient relationship. The multiproffesional team's best fit caring skills during the home reablement process need to be addressed as evidence base in the area of elderly home care.
本文报告了一项研究，该研究旨在阐明老年人对多专业团队关怀技能的看法，这些技能是短期目标导向康复中健康支持的成功因素。老年人被赋予居住在自己家中的特权，这对在家中给予他们的专业护理提出了很高的要求。一种可行的选择是由跨专业团队提供短期目标导向的康复服务。这意味着在医院接受治疗以增强其多维度健康后，老年人的康复过程得到支持，以便尽快回归日常生活。要实现这些目标，关键似乎在于确定在康复过程中作为健康支持成功因素的专业方法。本研究采用描述性定性设计，基于对23名在医院治疗一段时间后在家中接受短期目标导向康复服务的老年人进行访谈的现象学方法。该研究获得了伦理委员会的批准。分析揭示了多专业团队关怀技能作为短期目标导向康复中健康支持成功因素的四个主要参考方面：激励型护理人员、营造积极氛围的护理人员、注重人际情谊的护理人员以及超越预期的护理人员。在本研究中，康复过程中不同情况下，连续统一体中的所有关怀技能都被视为具有积极意义的必要条件。关怀技能作为成功因素最初体现在实践层面，例如专业护理人员在不同训练场景中如何鼓励和激励老年人。在更深层次上，护理人员敞开心扉，并且有能力在专业护患关系中超越预期。在老年人家庭护理领域，需要将多专业团队在家庭康复过程中最适合的关怀技能作为证据基础。
