University College Northern Denmark, Aalborg, Denmark.
Aalborg University, Aalborg, Denmark.
J Clin Nurs. 2022 Jul;31(13-14):1884-1895. doi: 10.1111/jocn.15714. Epub 2021 Feb 27.
To evaluate how digital life stories can be used to support person-centred care focusing on benefits and challenges experienced by the staff and the management team in a nursing home context.
Life story work can be used to support person-centred care and help people with dementia maintain their identity. The use of digital life stories provides opportunities to easily share the content between staff and relatives and combine different types of multimedia, for example pictures, videos, text and sound.
Six healthcare professionals and two members of the management team at a nursing home were recruited. Participant observations with informal interviews of the formal health career were conducted in two day shifts and two night shifts. Field notes were taken during the observations. Also, individual semi-structured interviews were held with four of the recruited participants. This article adheres to the Standards for Reporting Qualitative Research (SRQR).
Themes revealed were (1) person-centred care and life story work as interrelated approaches; (2) Pros and cons related to the My Life Story app; and how (3) Time and information and communication technology (ICT) can restrict life story work.
Digital life stories can be used to support a person-centred care approach. However, a number of challenges exist related to digital life story work. When using digital life stories, it is important to ensure the staff time and competences needed to work with, for example an app and that visible support and encouragement are provided by the management team.
Challenges are revealed when life story work is embedded in the culture and everyday work of a nursing home. It is of great importance to clinical practice to be aware of and address these challenges in order to succeed with digital life story work.
评估数字生活故事如何能够被用于支持以患者为中心的护理，重点关注养老院背景下工作人员和管理团队所体验到的益处和挑战。
生活故事工作可以用于支持以患者为中心的护理，并帮助痴呆症患者保持其身份认同。使用数字生活故事提供了在工作人员和亲属之间轻松共享内容的机会，并结合了不同类型的多媒体，例如图片、视频、文本和声音。
招募了一名养老院的六名医疗保健专业人员和两名管理团队成员。在两个白班和两个夜班期间，对正式医疗保健职业进行了参与者观察，并对非正式访谈进行了观察。在观察期间记录了现场笔记。此外，还对四名招募参与者进行了单独的半结构化访谈。本文符合定性研究报告标准 (SRQR)。
揭示的主题是（1）以患者为中心的护理和生活故事工作是相互关联的方法；（2）与“My Life Story”应用程序相关的优缺点；以及（3）时间和信息通信技术 (ICT) 如何限制生活故事工作。
数字生活故事可以用于支持以患者为中心的护理方法。然而，与数字生活故事工作相关的挑战也存在。当使用数字生活故事时，重要的是要确保工作人员有时间和能力来处理，例如应用程序，并且管理团队提供可见的支持和鼓励。
当生活故事工作嵌入养老院的文化和日常工作中时，会揭示出挑战。了解并解决这些挑战对于数字生活故事工作的成功非常重要，这对临床实践具有重要意义。
