School of Business, Western Sydney University, Parramatta, New South Wales, Australia.
Institute for Culture and Society, Western Sydney University, Penrith, New South Wales, Australia.
J Clin Nurs. 2023 Oct;32(19-20):7425-7441. doi: 10.1111/jocn.16789. Epub 2023 Jun 14.
This study aimed to explore what constitutes brilliant aged care.
Although many aged care services do not offer the care that older people and carers need and want, some perform better. Rather than focus on problems with aged care, this study examined brilliant aged care-practices that exceeded expectation.
The methodology for this study was informed by grounded theory, underpinned by constructionism to socially construct meaning.
This study invited nominations for a Brilliant Award via a survey, and interviews with the nominees via web conference. After receiving survey responses from 10 nominators, interviews were conducted with 12 nominees. Data were analysed using reflexive thematic analysis and documented according to COREQ guidelines to optimise rigour and transparency.
According to participants, brilliant aged care involved being relationally attuned to older people, a deep understanding of the older person, recognition of aged care as more than a job, innovative practices and permission to reprioritise.
This study suggests that, in aged care, brilliance happens. It emphasises the importance of meaningful connections and relationships in aged care, where thoughtful acts acknowledge an older person's value and humanity as well as creativity and innovation.
For those who manage and deliver aged care, the findings suggest that small practice changes can make a positive difference to older people. Brilliant aged care can involve acts of empathy; enthusiasm for aged care; innovative practices, even those that are small scale; and reprioritising workplace tasks to spend time with older people. For policymakers, this study highlights the need to recognise and raise the profile of the pockets of brilliance within the aged care sector. This might be achieved via awards and other initiatives that serve to celebrate and learn from brilliance in its myriad forms.
The nominees, who included carers, were invited to participate in workshops with other carers and older people to co-design a model of brilliant aged care, during which workshop participants discussed and critiqued the findings constructed from the data.
本研究旨在探讨何为出色的老年护理。
尽管许多老年护理服务并未提供老年人和护理人员所需和所期望的护理，但有些服务的表现要好一些。本研究不关注老年护理的问题，而是研究超越预期的出色老年护理实践。
本研究的方法学受到扎根理论的启发，并以建构主义为基础，从社会角度构建意义。
本研究通过调查邀请提名“杰出奖”，并通过网络会议对提名者进行访谈。在收到 10 名提名者的调查回复后，对 12 名提名者进行了访谈。使用反思性主题分析对数据进行分析，并根据 COREQ 指南记录，以优化严谨性和透明度。
根据参与者的说法，出色的老年护理涉及与老年人建立关系、深入了解老年人、认识到老年护理不仅仅是一份工作、创新实践以及重新优先考虑。
本研究表明，在老年护理中，卓越是存在的。它强调了在老年护理中建立有意义的联系和关系的重要性，其中体贴的行为承认老年人的价值和人性，以及创造力和创新精神。
对于管理和提供老年护理的人来说，研究结果表明，小小的实践改变可以给老年人带来积极的影响。出色的老年护理可以包括同情的行为；对老年护理的热情；创新实践，甚至是小规模的实践；以及重新安排工作任务，以便与老年人共度时光。对于政策制定者来说，本研究强调了需要认识到并提高老年护理部门中存在的闪光点的重要性。这可以通过奖项和其他举措来实现，这些举措旨在庆祝和学习各种形式的卓越之处。
被提名者包括护理人员，他们被邀请参加与其他护理人员和老年人一起设计出色老年护理模式的研讨会，在此期间，研讨会参与者讨论并批评了从数据中构建的发现。
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