de Boer Bram, Verbeek Hilde, Zwakhalen Sandra M G, Hamers Jan P H
Faculty of Health, Medicine, and Life Sciences (FHML), Department of Health Services Research (HSR), Maastricht University, CAPHRI Care and Public Health Research Institute, Maastricht, The Netherlands.
BMC Geriatr. 2019 May 28;19(1):149. doi: 10.1186/s12877-019-1163-6.
Having a match between a nursing home and the preferences of people with dementia is beneficial for their well-being. It is suggested that innovative types of nursing homes such as small-scale living facilities and green care farms create a better match between their care environment and their residents. However whether this is also reflected into the experiences of informal caregivers is not known. Therefore, this study explores what their positive and negative experiences are with regard to green care farms, other small-scale living facilities, and traditional nursing homes.
A qualitative exploratory research design was used. Semi-structured interviews with 43 informal caregivers (2014-2015) were carried out. Topics discussed were: positive and negative experiences with the nursing home and reasons for choice of a particular type of nursing home. Thematic analysis including an iterative process of open, axial and selective coding, was used.
Five themes emerged: (1) physical environment and atmosphere, (2) activities, (3) person-centred care, (4) communication, and (5) staff. Informal caregivers at green care farms were more positive about the physical environment, activities, and person-centred care compared with informal caregivers in the other types of nursing homes. Both positive and negative experiences regarding communication and individual staff members appeared across all types of nursing homes.
Experiences of informal caregivers with a nursing home are dependent on the type of nursing home. However, experiences were also often related to individual nursing staff and their interpersonal, 'human' qualities.
养老院与痴呆症患者的偏好相匹配对他们的幸福有益。有人认为，创新型养老院，如小型生活设施和绿色护理农场，能在其护理环境与居民之间创造更好的匹配度。然而，这是否也反映在非正式照护者的体验中尚不清楚。因此，本研究探讨了他们在绿色护理农场、其他小型生活设施和传统养老院方面的积极和消极体验。
采用定性探索性研究设计。对43名非正式照护者（2014 - 2015年）进行了半结构化访谈。讨论的主题包括：对养老院的积极和消极体验以及选择特定类型养老院的原因。使用了主题分析，包括开放编码、轴心编码和选择性编码的迭代过程。
出现了五个主题：（1）物理环境和氛围，（2）活动，（3）以人为本的护理，（4）沟通，以及（5）工作人员。与其他类型养老院的非正式照护者相比，绿色护理农场的非正式照护者对物理环境、活动和以人为本的护理更为积极。在所有类型的养老院中，都出现了关于沟通和个别工作人员的积极和消极体验。
非正式照护者对养老院的体验取决于养老院的类型。然而，体验也常常与个别护理人员及其人际“人性”品质有关。
