Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands.
Living Lab in Ageing and Long-Term Care, Duboisdomein 30, 6229 GT Maastricht, The Netherlands.
Int J Environ Res Public Health. 2020 Jul 15;17(14):5118. doi: 10.3390/ijerph17145118.
Currently, residents living in nursing homes and their caring relationships are being placed more centrally in the care experience. Experienced quality of care is influenced by the interactions between residents, family and caregivers, who each have their own experiences and needs. Connecting Conversations is a narrative method aimed at assessing experienced quality of care in nursing homes from the resident's perspective by having separate conversations with residents, family and caregivers (triads), adopting an appreciative inquiry approach. This study presents how to use Connecting Conversations and its feasibility. Feasibility was assessed as performance completeness, protocol adherence and interviewers' experiences. Conversations were conducted by trained nursing home staff (n = 35) who performed 275 Connecting Conversations in another nursing home than where they were employed (learning network). Findings show it is feasible to perform separate appreciative conversations with resident-family-caregiver triads by an interviewer employed in another nursing home; however, protocol adherence was sometimes challenging in conversations with residents. Interviewers valued the appreciative approach, the learning network and the depth of the separate conversations. Challenges were experienced with scheduling conversations and receiving time and support to perform the conversations. Stakeholders should continue collaboration to embed Connecting Conversations into daily practice in nursing homes.
目前，养老院居民及其护理关系在护理体验中被置于更核心的位置。护理体验的质量受居民、家庭和护理人员之间的相互作用影响，他们各自有自己的经验和需求。“对话连接”是一种叙事方法，旨在通过与居民、家庭和护理人员（三人组）分别进行对话，采用欣赏式探究方法，从居民的角度评估养老院的护理体验质量。本研究介绍了如何使用“对话连接”及其可行性。可行性是通过绩效完整性、遵守方案和访谈者的经验来评估的。对话由经过培训的养老院工作人员（n=35）进行，他们在自己工作的养老院之外进行了 275 次“对话连接”（学习网络）。结果表明，由在另一家养老院工作的访谈者对居民-家庭-护理人员三人组进行单独的欣赏式对话是可行的；然而，在与居民进行对话时，有时难以遵守方案。访谈者重视欣赏式方法、学习网络和单独对话的深度。在安排对话和获得时间和支持以进行对话方面遇到了挑战。利益相关者应继续合作，将“对话连接”嵌入养老院的日常实践中。
