College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Psychiatry, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1943123. doi: 10.1080/17482631.2021.1943123.
: Intimate care procedures, such as bathing and toileting, are often regarded as simple, humble tasks. However, the provision of such care transforms a very private, personal activity into a social process. U this complex process and the psychological impact it has on those providing and receiving care is critical in order to mitigate potential distress. The purpose of this study to examine the experience of delivering and receiving intimate personal care in the NH.: A focused ethnographic approach with participant observation, semi-structured interviews, focus groups and drop-in sessions, document review, and field notes. Data were analysed using constant comparative analysis.: Quality care in this context is predicated on the care provider recognition of the emotional impact of care delivery on the care recipient. Our analysis identified that the overarching theme, of providing quality person-centred intimate care, requires creating and maintaining a relational space that promotes integrity.: The provision of intimate personal care consists of a complex interplay at the level of resident/care provider interaction (micro level); health care organization (meso level); and policy (macro level). Each of these levels interacts with and influences the other two. The components identified in our model may provide the basis from which to further examine resident experiences of quality intimate personal care.
: 个人护理程序，如洗澡和如厕，通常被视为简单、卑微的任务。然而，提供这种护理将一项非常私密的个人活动转变为一个社会过程。在这个复杂的过程中，以及它对提供和接受护理的人的心理影响，对于减轻潜在的痛苦至关重要。本研究旨在探讨 NH 中提供和接受亲密个人护理的体验。：采用参与观察、半结构化访谈、焦点小组和临时会议、文件审查和现场记录的集中民族志方法。使用恒定性比较分析方法对数据进行分析。：在这种情况下，优质护理的前提是护理提供者认识到护理对护理接受者的情感影响。我们的分析确定，提供优质以个人为中心的亲密护理的首要主题是需要创建和维护一个促进完整性的关系空间。：亲密的个人护理的提供包括居民/护理提供者互动（微观层面）、医疗保健组织（中观层面）和政策（宏观层面）三个层面的复杂相互作用。每个层面都相互作用并影响其他两个层面。我们模型中确定的组件可能为进一步研究居民对优质亲密个人护理的体验提供基础。
