让忽视行为隐形：挪威养老院工作人员的定性研究
Making Neglect Invisible: A Qualitative Study among Nursing Home Staff in Norway.
作者信息
Lund Stine Borgen, Skolbekken John-Arne, Mosqueda Laura, Malmedal Wenche
机构信息
Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway.
Keck School of Medicine, University of Southern California, Los Angeles, CA 91803, USA.
出版信息
Healthcare (Basel). 2023 May 12;11(10):1415. doi: 10.3390/healthcare11101415.
BACKGROUND
Research shows that nursing home residents' basic care needs are often neglected, potentially resulting in incidents that threaten patients' safety and quality of care. Nursing staff are at the frontline for identifying such care practices but may also be at the root of the problem. The aim of this study was to generate new knowledge on reporting instances of neglect in nursing homes based on the research question "How is neglect reported and communicated by nursing home staff?"
METHODS
A qualitative design guided by the principles of constructivist grounded theory was used. The study was based on five focus-group discussions (20 participants) and 10 individual interviews with nursing staff from 17 nursing homes in Norway.
RESULTS
Neglect in nursing homes is sometimes invisible due to a combination of personal and organizational factors. Staff may minimize "missed care" and not consider it neglect, so it is not reported. In addition, they may be reluctant to acknowledge or reveal their own or colleagues' neglectful practices.
CONCLUSION
Neglect of residents in nursing homes may continue to occur if nursing staff's reporting practices are making neglect invisible, thus proceeding to compromise a resident's safety and quality of care for the foreseeable future.
背景
研究表明，养老院居民的基本护理需求常常被忽视，这可能导致威胁患者安全和护理质量的事件发生。护理人员处于识别此类护理行为的前沿，但也可能是问题的根源。本研究的目的是基于“养老院工作人员如何报告和传达忽视事件？”这一研究问题，生成关于养老院忽视事件报告的新知识。
方法
采用以建构主义扎根理论原则为指导的定性设计。该研究基于对挪威17家养老院护理人员的五次焦点小组讨论（20名参与者）和10次个人访谈。
结果
由于个人和组织因素的综合作用，养老院中的忽视有时难以察觉。工作人员可能会淡化“护理缺失”，不将其视为忽视，因此未进行报告。此外，他们可能不愿承认或揭露自己或同事的忽视行为。
结论
如果护理人员的报告行为使忽视难以被发现，那么养老院中对居民的忽视可能会继续存在，从而在可预见的未来继续损害居民的安全和护理质量。
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