Seidlein Anna-Henrikje, Buchholz Maresa, Salloch Sabine, Buchholz Ines
Institute of Ethics and History of Medicine University Medicine Greifswald Greifswald Germany.
Department Methods Institute for Community Medicine University Medicine Greifswald Greifswald Germany.
Nurs Open. 2020 Jul 2;7(5):1634-1642. doi: 10.1002/nop2.548. eCollection 2020 Sep.
A growing proportion of older people in Germany receive long-term care from informal and professional caregivers at home. Their personal assessment of the individual care situation is scarcely considered.
This study aimed to explore the subjective views of care recipients, informal and professional caregivers on the adequacy of care provision in long-term home care arrangements.
Qualitative semi-structured face-to-face interviews were conducted with ten care recipients, ten professional caregivers and eight informal caregivers to capture their perspectives on the adequacy of the care received and delivered. Qualitative content analysis was applied using MAXQDA software.
All groups highlighted that they perceive an of care, even though their explanations differed. The underprovision was mainly described regarding the quality rather than quantity of services. It occurs especially in interpersonal relationships and social inclusion, where the gap between the self-perceived current situation and the desires of those affected is most prominent. The ambivalent impact of home care on social participation becomes apparent. Perceptions of an of care range from the view that it appears mainly with respect to informal care to the statement that it is currently non-existent or generally impossible. of care is experienced as serious whenever the interviewees face the challenge of preserving existing abilities or regaining certain skills.
在德国，越来越多的老年人在家中接受来自非正式和专业护理人员的长期护理。他们对个人护理情况的个人评估几乎未被考虑。
本研究旨在探讨长期居家护理安排中护理接受者、非正式和专业护理人员对护理提供充足性的主观看法。
对10名护理接受者、10名专业护理人员和8名非正式护理人员进行了定性半结构化面对面访谈，以了解他们对所接受和提供护理充足性的看法。使用MAXQDA软件进行定性内容分析。
所有群体都强调，他们感觉到护理不足，尽管他们的解释各不相同。护理不足主要体现在服务质量而非数量方面。尤其在人际关系和社会融入方面存在护理不足，在这些方面，自我感知的当前状况与受影响者的愿望之间的差距最为明显。居家护理对社会参与的矛盾影响变得明显。对护理不足的认知范围从主要体现在非正式护理方面的看法到目前不存在或普遍不可能存在护理不足的说法。每当受访者面临保持现有能力或恢复某些技能的挑战时，护理不足就会被视为严重问题。
