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识别护理人员关于鼓励精神科养老院居民日常活动的个人信念:一项定性研究。

Identifying personal beliefs of nursing staff about encouraging psychogeriatric nursing home residents in daily activities: A qualitative study.

机构信息

Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.

Living Lab in Aging and Long-Term Care, Maastricht, The Netherlands.

出版信息

Nurs Open. 2023 Apr;10(4):2229-2239. doi: 10.1002/nop2.1473. Epub 2022 Nov 17.

DOI:10.1002/nop2.1473
PMID:36397286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10006583/
Abstract

AIM

To identify personal beliefs of Dutch nursing staff about encouraging psychogeriatric nursing home residents in daily activities.

DESIGN

Qualitative study following COREQ guidelines.

METHODS

Fifteen semi-structured interviews with Dutch nursing staff of wards hosting psychogeriatric residents were conducted in Spring 2021. Data were systematically analysed through deductive coding analysis in NVivo.

RESULTS

Most nurses indicated to encourage residents frequently to perform activities independently, although many also indicated to take over tasks habitually. Nurses seemed to show sufficient awareness, reflected by adequate knowledge of what encouraging residents entailed and insight in the risks of not encouraging residents. Nurses' motivation to encourage residents seemed high, reflected by expressing multiple advantageous and few disadvantageous beliefs and a high willingness to encourage residents. Managerial support was perceived ambiguous. Self-efficacy was perceived high, although little time, staffing shortages and resistance of residents reduced self-efficacy. Nurses were often unable to anticipate such situations and expressed the need of skills, e.g. patience.

摘要

目的

确定荷兰护理人员对鼓励心理老年护理院居民日常活动的个人信念。

设计

遵循 COREQ 指南的定性研究。

方法

2021 年春季,对有心理老年居民的病房的 15 名荷兰护理人员进行了半结构化访谈。通过 NVivo 中的演绎编码分析系统地分析数据。

结果

大多数护士表示经常鼓励居民独立活动,尽管许多护士也习惯性地接管任务。护士们似乎表现出足够的意识,对鼓励居民的含义有足够的了解,并洞察到不鼓励居民的风险。护士鼓励居民的动机似乎很高,表现为表达了多种有利的信念和很少的不利信念,以及很高的鼓励居民的意愿。管理层的支持被认为是模棱两可的。自我效能感被认为很高,尽管时间有限、人员短缺和居民的抵制降低了自我效能感。护士们往往无法预测这种情况,并表示需要技能,例如耐心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c94e/10006583/7a102ff18e9f/NOP2-10-2229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c94e/10006583/7a102ff18e9f/NOP2-10-2229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c94e/10006583/7a102ff18e9f/NOP2-10-2229-g001.jpg

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