Department of Organization Sciences, Faculty of Social Sciences, VU University, Amsterdam, The Netherlands.
City of Amsterdam, Dep. Mobility & Public Space, Amsterdam, The Netherlands.
Health Expect. 2022 Feb;25(1):80-90. doi: 10.1111/hex.13224. Epub 2021 Jul 20.
Researchers often stress the necessity and challenge of integrating the positionings of residents, family members and nurses in order to realize each actor's involvement in long-term dementia care. Yet most studies approach user and family involvement separately.
To explain how productive involvement in care provision is accomplished in triadic relationships between residents, family members and nurses.
An ethnographic study of identity work, conducted between 2014 and 2016 in a Dutch nursing home.
We identify four ideal-typical identity positionings performed by nurses through daily activities. The findings reveal how their identity positionings were inseparable from those of the residents and family members as they formed triads. Congruent, or 'matching', identity positionings set the stage for productive involvement. Our systematic analysis of participants' identity work shows how-through embedded rights and responsibilities-their positionings inherently shaped and formed the triadic types and degrees of involvement observed within these relationships.
This study both unravels and juxtaposes the interrelatedness of, and differences between, the concepts of user and family involvement. Accordingly, our findings display how residents, family members and nurses-while continuously entangled in triadic relationships-can use their identity positionings to accomplish a variety of involvement activities. To mirror and optimize the implementation of user and family involvement, we propose a rights-based and relational framework based on our findings.
Conversations with and observations of residents; feedback session with the Clients' Council.
研究人员经常强调有必要并具有挑战性地整合居民、家庭成员和护士的立场，以实现每个参与者在长期痴呆症护理中的参与。然而，大多数研究分别探讨用户和家庭的参与。
解释居民、家庭成员和护士之间的三方关系中如何完成富有成效的护理提供参与。
这是一项在荷兰疗养院进行的关于身份工作的民族志研究，于 2014 年至 2016 年进行。
我们确定了护士通过日常活动进行的四种理想典型的身份定位。研究结果揭示了他们的身份定位如何与居民和家庭成员的身份定位不可分割，因为他们形成了三方关系。一致的或“匹配”的身份定位为富有成效的参与奠定了基础。我们对参与者身份工作的系统分析表明，通过嵌入式的权利和责任，他们的定位内在地塑造并形成了在这些关系中观察到的三方类型和参与程度。
本研究不仅揭示了用户和家庭参与概念之间的相互关系和差异，还揭示了居民、家庭成员和护士之间的相互关系和差异。因此，我们的研究结果表明，居民、家庭成员和护士在不断纠缠于三方关系的同时，可以利用他们的身份定位来完成各种参与活动。为了反映和优化用户和家庭参与的实施，我们根据研究结果提出了基于权利和关系的框架。
与居民的对话和观察；与客户委员会的反馈会议。
