Western Norway University of Applied Sciences, Centre of Care Research, Bergen, Norway.
Health Soc Care Community. 2022 Nov;30(6):e4705-e4712. doi: 10.1111/hsc.13877. Epub 2022 Jun 13.
Day centres are increasingly being established, as many older persons are isolated and in need of meaningful activities and social interaction with others. Previous research has shown that day centres are still an important arena for older attendees to socialise and engage in meaningful activities, although day centres are increasingly introducing activities as part of rehabilitation programmes to enhance physical and mental enablement. However, little is known about what attendees and staff regard as meaningful activities. Based on a multi-site ethnographic investigation at four day centres in Denmark and Norway in 2018 and 2019, this article examines how staff and attendees alike 'utilise' day care centres to pursue meaningful activities and what is considered meaningful for those attending and working there. Furthermore, this article discusses the potential for person-centred care in communities like day centres. Our study shows that activities are first and foremost perceived as meaningful if they enhance an enjoyable social dimension with 'a touch of fresh news'. Hence, day centres function as a social space where elderly attendees can share stories and news based on personal experiences from the past and present. Consequently, person-centred care in day care centres preferably facilitates communities to give attendees something new and refreshing to bring back home with them-and not only facilitate personal histories, preferences and wishes.
日间中心越来越多，因为许多老年人都很孤立，需要有意义的活动和与他人的社会互动。以前的研究表明，尽管日间中心越来越多地引入活动作为康复计划的一部分，以增强身体和精神能力，但日间中心仍然是老年人社交和参与有意义活动的重要场所。然而，人们对参与者和工作人员认为有意义的活动知之甚少。基于 2018 年至 2019 年在丹麦和挪威的四个日间中心进行的多地点民族志调查，本文研究了工作人员和参与者如何“利用”日间护理中心来从事有意义的活动，以及对参与者和工作人员有意义的活动。此外，本文还讨论了在类似日间中心的社区中实行以个人为中心的护理的可能性。我们的研究表明，如果活动能增强愉快的社交维度并带有“一点新鲜消息”，那么这些活动首先被视为有意义的。因此，日间中心是一个老年人可以分享过去和现在个人经历的基础上的故事和新闻的社交空间。因此，日间护理中心的以个人为中心的护理最好能为参与者提供一些新的和令人耳目一新的东西，让他们带回家——而不仅仅是促进个人历史、偏好和愿望。
