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从事实到意义:痴呆症患者居住护理中护理从业者的解释学能力发展。

From fact to meaning: Care practitioners' hermeneutic competence development in residential care for persons with dementia.

机构信息

University of Humanistic Studies, Utrecht, the Netherlands; University of Applied Sciences Windesheim, Zwolle, the Netherlands.

University of Humanistic Studies, Utrecht, the Netherlands.

出版信息

J Aging Stud. 2022 Jun;61:101003. doi: 10.1016/j.jaging.2022.101003. Epub 2022 Feb 7.

DOI:10.1016/j.jaging.2022.101003
PMID:35654555
Abstract

In long-term care for people with dementia, person-centred care (PCC) is widely promoted as an approach that contributes to the well-being of persons in psycho-geriatric care. The goal of PCC is to acknowledge the personhood of residents and to indicate the responsibility of others to ensure the personhood of persons with dementia. In 2016 and 2018, qualitative empirical research was conducted with the purpose to enhance PCC and meaningful care. Five Dutch nursing homes and a total of eight communities of practice participated in the research project 'People and their Stories'. The aim of this project was to strengthen the hermeneutic competence of care practitioners, with a focus on informal everyday interpersonal interactions between residents and care professionals. This article highlights how care professionals, by enhancing their hermeneutical competence, can do justice to the unique personhood of residents in everyday care practice. Three distinguished features for strengthening the hermeneutic competence of care professionals were formulated: respectful curiosity as a prerequisite, being able to differentiate between fact and meaning, and the awareness of own perspectives and assumptions.

摘要

在痴呆症患者的长期护理中,以患者为中心的护理(PCC)被广泛推广为一种有助于心理老年护理中患者福祉的方法。PCC 的目标是承认居民的人格,并表明其他人有责任确保痴呆症患者的人格。2016 年和 2018 年,进行了定性实证研究,目的是增强以患者为中心的护理和有意义的护理。五家荷兰养老院和总共八个实践社区参与了研究项目“人和他们的故事”。该项目的目的是加强护理从业者的解释学能力,重点是居民和护理专业人员之间非正式的日常人际互动。本文强调了护理专业人员如何通过增强他们的解释学能力,在日常护理实践中公正地对待居民的独特人格。为了增强护理专业人员的解释学能力,制定了三个突出的特点:尊重好奇心作为前提,能够区分事实和意义,以及对自己的观点和假设的认识。

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