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老年人对养老院中代际关系的认知:一项质性内容分析

Older people's perceptions of intergenerational relationships in nursing homes: A qualitative content analysis.

作者信息

Harouni Mahboubeh D, Tabrizi Kian N, Fallahi-Khoshknab Masoud, Fadayevatan Reza, Maddah Sadat S

机构信息

Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Department of Gerontology, Iranian Research Center of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Family Med Prim Care. 2022 Aug;11(8):4395-4403. doi: 10.4103/jfmpc.jfmpc_273_22. Epub 2022 Aug 30.

Abstract

INTRODUCTION

Intergenerational conflict is one of the components which helps to inappropriate communication patterns and ineffective interactions. Intergenerational research aims to promote deeper understanding and respect between generations and helps to create more cohesive communities, suggesting that it can have numerous health and social benefits. Despite the importance of intergenerational relationships in the elderly, the older people's perceptions of intergenerational relationships in nursing homes are not well understood. The purpose of this study was to explore the older people's perceptions of intergenerational relationships in nursing homes in relation to nurses.

METHODS

This was a qualitative content analysis in which 12 elderly residents and 6 employees (3 nurses, 1 supervisor, 1 psychologist and 1 nursing home manager) in the nursing home were recruited purposively from three nursing homes located in Tehran, Iran. Semi-structured interviews were used to collect information. Data were analyzed via qualitative content analysis and continuous comparison and were based on self-interactional group theory (SIGT).

RESULTS

During data analysis, "Struggle for existence" was extracted from three subthemes as the main theme. Subthemes such as "prejudicious tendencies", "Communication nodes" resulting from intra-group and inter-group analysis, respectively, and the "umbrella of society," which influences both concepts, formed the intergenerational relationships in the nursing homes.

CONCLUSION

Generational differences between nursing home residents and nurses make establishing effective communication between them difficult and lead to lack of quality care. The study findings can help nursing home managers apply strategies to remove barriers to intergenerational relationships, improve these relationships and increase cohesion between generations to lead to better care and subsequent improvement in their quality of life.

摘要

引言

代际冲突是导致不恰当沟通模式和无效互动的因素之一。代际研究旨在促进代际之间更深入的理解与尊重,并有助于创建更具凝聚力的社区,这表明它能带来诸多健康和社会效益。尽管代际关系对老年人很重要,但养老院中老年人对代际关系的看法却鲜为人知。本研究的目的是探讨养老院中老年人对与护士相关的代际关系的看法。

方法

这是一项定性内容分析研究,从伊朗德黑兰的三家养老院中,有目的地招募了12名老年居民和6名员工(3名护士、1名主管、1名心理学家和1名养老院经理)。采用半结构化访谈收集信息。数据通过定性内容分析和持续比较进行分析,并基于自我互动群体理论(SIGT)。

结果

在数据分析过程中,从三个子主题中提炼出“生存斗争”作为主要主题。分别来自组内和组间分析的“偏见倾向”“沟通节点”等子主题,以及影响这两个概念的“社会保护伞”,构成了养老院中的代际关系。

结论

养老院居民与护士之间的代际差异使得他们之间难以建立有效的沟通,并导致缺乏优质护理。研究结果可帮助养老院管理人员应用策略消除代际关系的障碍,改善这些关系并增强代际之间的凝聚力,从而实现更好的护理并提高他们的生活质量。

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