College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
J Clin Nurs. 2023 Jul;32(13-14):3630-3643. doi: 10.1111/jocn.16440. Epub 2022 Jul 7.
To explore and compare staff perceived challenges and facilitators in supporting resident self-determination in ethno-specific and mainstream nursing homes.
Staff and residents in ethno-specific and mainstream nursing homes in most developed countries have shown increased cultural and linguistic diversity. This socio-demographic change poses significant challenges for staff to support resident self-determination of their own care. In-depth understanding of those challenges in the two types of nursing homes is much needed to inform practice in nurse-led nursing home care settings.
A qualitative description approach with thematic analysis was used in the study. Data were collected through five focus groups with 29 various direct care workers from two ethno-specific nursing homes and a mainstream nursing home in Australia between March-September 2020. The study report followed the COREQ checklist.
Four themes were identified from focus group data. First, participants perceived communication challenges in identifying residents' preferences, especially in ethno-specific nursing homes. Second, team efforts that included residents and their family members were highly valued as a way to meet residents' preferences. Third, participants described various levels of staff engagement in residents' care planning. In addition, staff in ethno-specific nursing homes possessed richer resources to maintain meaningful relationships for residents compared with their counterparts in the mainstream nursing home.
Staff in ethno-specific nursing homes experience more challenges in supporting resident self-determination but have richer resources to develop culturally safe and culturally competent care compared with their counterparts in the mainstream nursing home.
Findings provide new insights into challenges and practical solutions in supporting residents to self-determine their own care in cross-cultural aged care.
This study was co-designed with three aged care organisations who funded the study. Staff employed by these organisations participated in the study.
探索和比较在民族特色和主流养老院中支持居民自主决策方面，工作人员感知到的挑战和促进因素。
在大多数发达国家，民族特色和主流养老院中的工作人员和居民表现出越来越多的文化和语言多样性。这种社会人口结构的变化给工作人员支持居民自主决定自己的护理带来了重大挑战。深入了解这两种类型的养老院中的这些挑战对于在护士主导的养老院护理环境中提供实践指导非常必要。
本研究采用定性描述方法和主题分析。数据于 2020 年 3 月至 9 月期间通过五个焦点小组从澳大利亚的两个民族特色养老院和一个主流养老院中收集，共有 29 名不同的直接护理工作者参加。研究报告遵循 COREQ 清单。
从焦点小组数据中确定了四个主题。首先，参与者认为在识别居民偏好方面存在沟通挑战，尤其是在民族特色养老院中。其次，包括居民及其家庭成员在内的团队努力被高度重视，是满足居民偏好的一种方式。第三，参与者描述了工作人员在居民护理计划中的不同参与程度。此外，与主流养老院的工作人员相比，民族特色养老院的工作人员拥有更丰富的资源来维持与居民的有意义关系。
与主流养老院的工作人员相比，民族特色养老院的工作人员在支持居民自主决策方面面临更多挑战，但拥有更丰富的资源来发展文化安全和文化胜任的护理。
研究结果为跨文化老年护理中支持居民自主决定自己的护理提供了新的挑战和实际解决方案的见解。
本研究与三家资助研究的老年护理机构共同设计。这些机构的员工参与了研究。
