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探索长期护理中居住护理助手在口腔异味方面的体验。

Exploring residential care aide experiences with oral malodour in long-term care.

机构信息

Department of Oral Biological and Medical Sciences Faculty of Dentistry The University of British Columbia Vancouver BC Canada.

出版信息

Nurs Open. 2020 May 12;7(4):1208-1216. doi: 10.1002/nop2.497. eCollection 2020 Jul.

DOI:10.1002/nop2.497
PMID:32587741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7308701/
Abstract

AIM

To determine what experiences do residential care aides (RCAs) have with individuals living with oral malodour in a long-term care (LTC) facility?

DESIGN

Study investigation was done using an interpretive qualitative approach paired with a social constructivism interpretive framework.

METHODS

The study was conducted in May of 2015 through face-to-face interviews with RCAs, which were recorded and transcribed verbatim, observations of RCAs in their work environment, as well as RCA personal logs of their daily experiences with odour during caregiving. Thereafter, data were analysed and coded for emerging themes.

RESULTS

Five major themes were identified after grouping the codes: 1) attitudes and behaviours when caring for residents with malodour; 2)RCA knowledge of oral malodour; 3) level of job satisfaction among RCAs that care for residents with malodour; 4) culture and malodour; and 5) challenges of care giving compounded by malodour. These themes depict the overall experiences of study participants.

摘要

目的

了解长期护理(LTC)机构中的住宅护理员(RCAs)在照顾有口腔异味的个体方面有哪些经验?

设计

采用解释性定性方法,结合社会建构主义解释框架进行研究调查。

方法

本研究于 2015 年 5 月通过与 RCA 的面对面访谈进行,访谈内容进行了逐字记录和转录,对 RCA 在工作环境中的观察,以及 RCA 日常护理中有关异味的个人日志。之后,对数据进行分析并对出现的主题进行编码。

结果

在对编码进行分组后,确定了五个主要主题:1)照顾有异味的居民时的态度和行为;2)RCA 对口腔异味的了解;3)照顾有异味的居民的 RCA 的工作满意度水平;4)文化与异味;5)异味引起的护理挑战。这些主题描绘了研究参与者的整体体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec2/7308701/0daf657d7a9e/NOP2-7-1208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec2/7308701/0daf657d7a9e/NOP2-7-1208-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec2/7308701/0daf657d7a9e/NOP2-7-1208-g001.jpg

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Gerodontology. 2016 Dec;33(4):480-489. doi: 10.1111/ger.12187. Epub 2015 Feb 9.
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The relationship between nurse-patient interaction and meaning-in-life in cognitively intact nursing home patients.认知功能正常的养老院患者中护患互动与生活意义之间的关系。
J Adv Nurs. 2014 Jan;70(1):107-20. doi: 10.1111/jan.12173. Epub 2013 Jun 3.
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Effects of person-centered care on residents and staff in aged-care facilities: a systematic review.
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Clin Interv Aging. 2013;8:1-10. doi: 10.2147/CIA.S38589. Epub 2013 Jan 3.
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Oral health care in older people in long term care facilities: a systematic review of implementation strategies.长期护理机构中老年人的口腔保健:实施策略的系统评价。
Int J Nurs Stud. 2013 Apr;50(4):569-82. doi: 10.1016/j.ijnurstu.2012.12.004. Epub 2013 Jan 3.
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Oral care in nursing practice: a pragmatic representation.护理实践中的口腔护理:一种务实的呈现。
Int J Palliat Nurs. 2012 Sep;18(9):435-40. doi: 10.12968/ijpn.2012.18.9.435.
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Job satisfaction and associated variables among nurse assistants working in residential care.护工在养老院工作的满意度及其相关变量。
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