Department of Health Care Sciences/Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden.
Int J Older People Nurs. 2020 Mar;15(1):e12289. doi: 10.1111/opn.12289. Epub 2019 Nov 25.
The aim of this study was to explore family members' perceptions of assisted bodily care in a nursing home.
Many older people living in nursing homes need assisted bodily care, provided by assistant nurses. This means exposedness, as the assistance is often provided under stress, but also brings pleasure. Family members, who may wish to and often benefit from continuing to provide assisted bodily care, are perceived as visitors and are expected to relinquish the assisted bodily care to the assistant nurses.
This study has a qualitative design with a phenomenographic approach.
Data were collected through semi-structured interviews (n = 13) with family members of older people who were aged > 80, permanently living in a nursing home, suffering from multimorbidity, and in daily need of assisted bodily care. The data were analysed using a phenomenographic method.
Three categories of description presenting an increasing complexity were identified. The family members perceived that assisted bodily care is built upon a respect for the older person's self-determination, practically supported by assistant nurses, and complemented by family members.
In the family members' perceptions, assisted bodily care signifies ambiguity, as they find themselves balancing between the older persons' need for self-determination and need for help, and, further, between their trust in the assistant nurses' skills and their own perceived inadequacies in intimate assisted bodily care.
Policies that address the family members' role in nursing homes are needed. Furthermore, time for collaboration is needed for assistant nurses to inform and explain care decisions, become aware of the family members' perceptions of their situation and learn from them.
本研究旨在探讨养老院中家庭成员对辅助身体护理的看法。
许多居住在养老院的老年人需要辅助身体护理，由助理护士提供。这意味着他们会面临暴露的风险，因为这种护理往往是在压力下进行的，但同时也会带来愉悦。家庭成员可能希望并经常受益于继续提供辅助身体护理，但他们被视为访客，需要将辅助身体护理交给助理护士。
本研究采用定性设计和现象学方法。
通过对 13 名 80 岁以上、长期居住在养老院、患有多种疾病、日常需要辅助身体护理的老年人的家庭成员进行半结构化访谈，收集数据。采用现象学方法对数据进行分析。
确定了三个描述类别的描述，这些描述类别的复杂性逐渐增加。家庭成员认为，辅助身体护理是建立在尊重老年人的自主决定的基础上的，助理护士给予实际支持，家庭成员给予补充。
在家庭成员的认知中，辅助身体护理存在着模糊性，因为他们在老年人的自主决定和需要帮助之间、在对助理护士技能的信任和自己对亲密辅助身体护理的不足之间，需要进行平衡。
需要制定政策来解决家庭成员在养老院中的角色问题。此外，助理护士需要有时间进行合作，告知和解释护理决策，了解家庭成员对自己处境的看法，并从中学习。
