Baxter Rebecca, Sandman Per-Olof, Björk Sabine, Sköldunger Anders, Edvardsson David
Department of Nursing, Umeå University, Umeå, Sweden.
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
BMC Nurs. 2021 Jan 5;20(1):8. doi: 10.1186/s12912-020-00526-7.
Thriving has emerged as a contemporary and health-promoting concept for older people living in nursing homes; however, there has been limited research to explore how nursing home staff identify thriving in their everyday practice. The aim of this study was to explore how staff recognize expressions of thriving among persons living in nursing homes.
Semi-structured interviews were conducted with 14 nurses working at a nursing home in Victoria, Australia. The interviews were audio-recorded, transcribed and analyzed using qualitative content analysis.
The analysis resulted in six sub-categories and three main categories. Expressions of thriving were recognized in relation to how staff understood thriving, observed thriving and sensed thriving. Staff described comparing and contrasting clinical assessment indicators with their own personal and professional understandings of thriving, as well as their overall sense of the individual person within the wider situational and environmental context.
Our results illuminate how staff recognize everyday expressions of thriving for people living in nursing homes and emphasizes the importance of utilizing person-centred care principles in clinical assessments. These findings have practical implications with regards to how thriving is identified and assessed in long-term care, and could be used to inform and guide staff education, person-centred care strategies, and organizational policies to better support and promote thriving in nursing homes.
“蓬勃发展”已成为养老院老年人的一个现代且促进健康的概念；然而，关于养老院工作人员如何在日常工作中识别蓬勃发展的研究有限。本研究的目的是探讨工作人员如何识别养老院居民的蓬勃发展表现。
对澳大利亚维多利亚州一家养老院的14名护士进行了半结构化访谈。访谈进行了录音、转录，并采用定性内容分析法进行分析。
分析得出六个子类别和三个主要类别。工作人员从对蓬勃发展的理解、观察到的蓬勃发展以及感受到的蓬勃发展等方面识别出了蓬勃发展的表现。工作人员描述了将临床评估指标与他们自己对蓬勃发展的个人和专业理解进行比较和对照，以及在更广泛的情境和环境背景下对个体的整体感受。
我们的研究结果阐明了工作人员如何识别养老院居民日常的蓬勃发展表现，并强调了在临床评估中运用以人为主的护理原则的重要性。这些发现对于长期护理中如何识别和评估蓬勃发展具有实际意义，可用于为工作人员教育、以人为主的护理策略和组织政策提供信息和指导，以更好地支持和促进养老院中的蓬勃发展。
