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理解在全人护理中倾听老年人生活故事的意义——一项老年护理护士访谈研究

Understanding the Significance of Listening to Older People's Life Stories in Whole Person Care-An Interview Study of Nurses in Gerontology.

作者信息

Ferstad Kristin, Rykkje Linda

机构信息

VID Specialized University, Faculty of Health Studies, Bergen, Norway.

出版信息

SAGE Open Nurs. 2023 Mar 17;9:23779608231164077. doi: 10.1177/23779608231164077. eCollection 2023 Jan-Dec.

DOI:10.1177/23779608231164077
PMID:36949851
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10026136/
Abstract

The purpose of this study was to explore the significance of performing a life story interview for gerontological nursing students. The study had a qualitative exploratory design, focusing on hermeneutical understanding using thematic analysis. Seven nurses in older people nursing were interviewed. Two main themes emerged from the analysis: "Engaging fellowship" and "Understanding the importance of life stories." The participants experienced increased engagement and fellowship with their patients after the life story interview; the change in their perspective was characterized by renewed interest, connection, and recognition of the individual person. The participants also gained a deeper understanding of the significance of listening to an older person's life story narrative, and this was expressed through them gaining an understanding of people's actions, achieving an altered mindset, gaining a greater generational understanding, and integrating a life story focus in their everyday professional life. Knowledge of human life and stories makes older people's situations easier to understand; this insight affects how we as nurses think about others. Seeing each patient as an individual and unique person and being aware of this in daily care is essential for nursing.

摘要

本研究的目的是探讨为老年护理专业学生进行人生故事访谈的意义。该研究采用定性探索性设计,重点是运用主题分析进行诠释性理解。对七位从事老年人护理工作的护士进行了访谈。分析得出两个主要主题:“建立融洽关系”和“理解人生故事的重要性”。人生故事访谈后,参与者与患者之间的互动和融洽程度有所提高;他们观点的变化表现为重新产生兴趣、建立联系以及认识到个体的独特性。参与者还更深入地理解了倾听老年人讲述人生故事的重要意义,这体现在他们理解了人们的行为、转变了思维方式、对不同代际有了更深入的理解,并将关注人生故事融入到日常专业工作中。了解人类生活和故事能使老年人的情况更易于理解;这种洞察力影响着我们作为护士对他人的看法。将每位患者视为独特的个体并在日常护理中意识到这一点对护理工作至关重要。

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本文引用的文献

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The necessity and possibilities of playfulness in narrative care with older adults.叙事关怀中老年人的嬉戏必要性与可能性。
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Narrative Gerontology in Practice: Students' Experiences With Conducting Autoethnography.叙事老年学实践:学生进行自传民族志的经验。
Int J Aging Hum Dev. 2020 Dec;91(4):421-434. doi: 10.1177/0091415020926842. Epub 2020 May 25.
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The Effect of Educational Interventions on Willingness to Work with Older Adults: A Comparison of Students of Social Work and Health Professions.
教育干预对与老年人合作意愿的影响:社会工作专业与健康专业学生的比较
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Interventions to Reduce Ageism Against Older Adults: A Systematic Review and Meta-Analysis.干预措施以减少针对老年人的年龄歧视:系统评价和荟萃分析。
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The impact of life story work on person-centred care for people with dementia living in long-stay care settings in Ireland.生活故事工作对爱尔兰长期护理机构中患有痴呆症的人的以人为主的护理的影响。
Dementia (London). 2019 Oct-Nov;18(7-8):2731-2746. doi: 10.1177/1471301218756123. Epub 2018 Feb 7.
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The use of life stories and its influence on persons with dementia, their relatives and staff - a systematic mixed studies review.生活故事的运用及其对痴呆症患者、其亲属和工作人员的影响——一项系统的混合研究综述
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'You have to be mindful of whose story it is': the challenges of undertaking life story work with people with dementia and their family carers.“你必须留意这是谁的故事”:与痴呆症患者及其家庭护理人员开展人生故事工作的挑战
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