丹麦养老院社会干预措施的实施和潜力的定性研究。

Qualitative Study of the Implementation and Potential of a Social Intervention at Nursing Homes in Denmark.

机构信息

Center for Healthy Aging, Section for Health Services Research, Department of Public Health, University of Copenhagen, 1014 Copenhagen, Denmark.

出版信息

Int J Environ Res Public Health. 2021 Feb 12;18(4):1808. doi: 10.3390/ijerph18041808.

DOI:10.3390/ijerph18041808

PMID:33673281

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7918481/

Abstract

(1) Background: The effect of social relations on health and wellbeing is well documented. However, knowledge about social interventions specifically in nursing homes and their potential for health and wellbeing is inadequate. In this qualitative study, we explore the implementation of a social intervention entitled Tell Stories for Life implemented in Danish nursing homes. (2) Methods: Through a qualitative multi-perspective longitudinal approach, nursing home residents and employees were interviewed from May-December 2016 (N = 14). The authors made participatory observations and took field notes. (3) Results: The intervention did not appear to establish or strengthen social relations between nursing home residents. However, nursing home residents enjoyed participating, narrating and having someone listen to their stories. The identity of nursing home residents and their relationships to nursing home employees facilitating the intervention appeared to be strengthened. Barriers were related to lack of support from management, nursing home employees' educational backgrounds and experiences, and nursing home residents' cognitive ability. (4) Conclusions: This study found that the Tell Stories for Life intervention did not appear to strengthen and establish social relations among nursing home residents. However, we found that there might be potential for strengthening residents' sense of identity and the relation between residents and nursing home employees.

摘要

(1) 背景：社会关系对健康和幸福的影响已得到充分证实。然而，关于护理院中社会干预措施及其对健康和幸福的潜在影响的知识还不够充分。在这项定性研究中，我们探讨了名为“Tell Stories for Life”的社会干预措施在丹麦护理院中实施的情况。(2) 方法：通过定性多视角纵向方法，于 2016 年 5 月至 12 月对护理院居民和员工进行了访谈（N=14）。作者进行了参与式观察并做了现场记录。(3) 结果：该干预措施似乎并未在护理院居民之间建立或加强社会关系。然而，护理院居民喜欢参与、讲述并有人倾听他们的故事。护理院居民的身份以及他们与护理院员工的关系似乎得到了加强。障碍与管理层缺乏支持、护理院员工的教育背景和经验以及护理院居民的认知能力有关。(4) 结论：本研究发现，“Tell Stories for Life”干预措施似乎并未在护理院居民之间建立和加强社会关系。然而，我们发现，该干预措施可能有潜力增强居民的身份认同感以及居民与护理院员工之间的关系。