Macías-Colorado María Eulalia, Rodríguez-Pérez Margarita, Rojas-Ocaña María Jesús, Teresa-Morales Cristina
Training, Research, and Quality Unit, Huelva-Costa and Condado-Campiña Primary Care District, Andalusian Health Service, 21004 Huelva, Spain.
Nursing Department, Faculty of Nursing, University of Huelva, 21007 Huelva, Spain.
Healthcare (Basel). 2021 Feb 14;9(2):205. doi: 10.3390/healthcare9020205.
Dependent elderly individuals are usually cared for at home by untrained family members who are unaware of the risks involved. In this setting, communication on safe caregiving is key. The aim of this study is to describe the factors influencing the process followed by community nurse case managers to provide communication on safe caregiving to family members caring for dependent elderly individuals. A phenomenological study, by focus group, was done in urban healthcare facilities. Key informants were seven community nurses, case managers with more than 12 years' experience. We did a thematic analysis and we identified the units of meaning to which the most relevant discourses were assigned. The concepts expressed were grouped until subcategories were formed, which were then condensed into categories. Four categories of analysis emerged: communication-related aspects; professional skills of nurse case managers; communication on safety and the caregiving role. To planner interventions, for the prevention of adverse events at home, is essential to consider these aspects: nurses' professional communication skills, factors inherent to safe caregiving, the characteristics of the home where care is provided, the personal and family circumstances of the caregiver, and whether or not the caregiver's role has been assumed by the family caregivers.
生活不能自理的老年人通常由未受过培训的家庭成员在家照顾，这些家庭成员并不知晓其中的风险。在这种情况下，关于安全护理的沟通至关重要。本研究的目的是描述影响社区护士个案管理员向照顾生活不能自理老年人的家庭成员提供安全护理沟通的过程的因素。通过焦点小组进行了一项现象学研究，研究在城市医疗机构中开展。关键信息提供者是七名社区护士，他们是有超过12年经验的个案管理员。我们进行了主题分析，并确定了分配了最相关话语的意义单元。所表达的概念被分组，直到形成子类别，然后再浓缩为类别。出现了四类分析结果：与沟通相关的方面；护士个案管理员的专业技能；关于安全和护理角色的沟通。为了规划预防家庭不良事件的干预措施，必须考虑这些方面：护士的专业沟通技能、安全护理固有的因素、提供护理的家庭的特点、照顾者的个人和家庭情况，以及家庭照顾者是否承担了照顾者的角色。
