Department of Nursing, Umeå University, Umeå, Sweden.
Department of Psychology, Health and Technology, Centre for eHealth and Wellbeing Research, University of Twente, Enschede, Netherlands.
J Adv Nurs. 2021 Jun;77(6):2680-2688. doi: 10.1111/jan.14775. Epub 2021 Feb 19.
To explore contributors for thriving in nursing homes by evaluating, analysing and synthesizing peer-reviewed qualitative literature on the topic.
Thriving is a positive life-world concept that has been explored by several qualitative studies; however, descriptions of thriving and contributors to thriving have not been compared or contrasted among different studies and contexts, nor have they been reviewed and synthesized.
Qualitative meta-ethnography.
Four electronic databases were searched in October 2019, with sources published between 2000 and 2019 included.
Sources of peer-reviewed literature that employed qualitative methods to explore thriving in nursing homes were evaluated. In total, 1,017 sources were screened at title-level, 95 advanced to abstract-level review and 11 were assessed at full-text level. Each source was evaluated by two researchers independently in relation to methodological quality and relevance to the study aim. Themes pertaining to thriving in nursing homes were extracted, interpreted and synthesized.
In total, seven sources of peer-reviewed literature were included. Two main themes illustrating the contributors to thriving were identified: ingredients for thriving (subthemes: personal contributors and social contributors) and environment for thriving (subthemes: spacial contributors and societal contributors).
Contributors to thriving in nursing homes include personal attributes, relationships with others, the lived environment and societal structures. Thriving for older people could thereby be defined as a holistic concept denoting lived experiences of situated contentment. Future studies should explore different temporal facets of thriving in the nursing home setting.
This meta-synthesis proposes a 'recipe' for thriving as comprising the right ingredients and the right environment, determined by the preferred 'taste' of the individual person. The proposed definition and contributors illuminate thriving as a positive life-world concept that is based on one's lived experiences and context.
通过评估、分析和综合关于该主题的同行评议定性文献，探索在养老院中茁壮成长的促成因素。
茁壮成长是一个积极的生活世界概念，已经被几项定性研究探索过；然而，不同研究和背景下对茁壮成长的描述和促成因素尚未进行比较或对比，也没有进行综述和综合。
定性元民族志。
2019 年 10 月在四个电子数据库中进行了搜索，包括 2000 年至 2019 年期间发表的来源。
评估了采用定性方法探讨养老院中茁壮成长的同行评议文献来源。总共在标题层面筛选了 1017 个来源，95 个进入摘要层面的审查，11 个进行全文评估。每个来源都由两名研究人员独立评估方法学质量和与研究目的的相关性。从定性文献中提取、解释和综合与养老院中茁壮成长相关的主题。
总共纳入了 7 篇同行评议文献来源。确定了两个说明养老院中茁壮成长的促成因素的主要主题：茁壮成长的要素（子主题：个人促成因素和社会促成因素）和茁壮成长的环境（子主题：空间促成因素和社会促成因素）。
养老院中茁壮成长的促成因素包括个人特质、与他人的关系、生活环境和社会结构。因此，老年人的茁壮成长可以被定义为一个整体概念，代表了处于特定环境中的满足感。未来的研究应该探索养老院环境中茁壮成长的不同时间方面。
这项元综合提出了一个“食谱”，说明茁壮成长包括正确的要素和正确的环境，由个人的偏好口味决定。所提出的定义和促成因素阐明了茁壮成长作为一个积极的生活世界概念，它基于一个人的生活经历和背景。
