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“为何我们总是不得不关注负面情况”:一种基于优势的方法,通过二次定性分析从老年人的视角识别护理中的积极方面

"Why Do We Always Have to Focus on the Bad": A Strengths-Based Approach to Identify the Positive Aspects of Care From the Perspective of Older Adults Using a Secondary Qualitative Analysis.

作者信息

Kokorelias Kristina M, Singh Hardeep, Nelson Michelle LA, Hitzig Sander L

机构信息

St. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Canada.

Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.

出版信息

J Patient Exp. 2023 Aug 2;10:23743735231188841. doi: 10.1177/23743735231188841. eCollection 2023.

Abstract

Hospitalization is often viewed as a burdensome and stressful period for older adults and their family caregivers; however, little attention has been given to the positive aspects of the care continuum journey. The purpose of this article is to highlight the positive aspects of healthcare from the perspective of Canadian older adults with complex needs and their family caregivers. This study utilized a strengths-based theoretical perspective to conduct a secondary qualitative analysis of interviews with 12 older adults and seven family caregivers. Four themes relating to positive aspects of care were identified, including: (1) looking beyond illness, (2) emotional support from healthcare providers, (3) timely discharge, and (4) upholding independence. Focusing on the positive aspects can help determine areas of care practice that currently work well. These insights will be valuable for current and future initiatives seeking to restructure and optimize healthcare services for older adults.

摘要

住院治疗通常被视为老年人及其家庭护理人员负担沉重且压力巨大的时期;然而,人们很少关注护理连续过程中的积极方面。本文旨在从有复杂需求的加拿大老年人及其家庭护理人员的角度,突出医疗保健的积极方面。本研究采用基于优势的理论视角,对12名老年人和7名家庭护理人员的访谈进行二次定性分析。确定了与护理积极方面相关的四个主题,包括:(1)超越疾病本身,(2)医疗服务提供者给予的情感支持,(3)及时出院,以及(4)维持独立性。关注积极方面有助于确定目前运作良好的护理实践领域。这些见解对于当前和未来旨在为老年人重组和优化医疗服务的举措将具有重要价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4067/10399251/e7c693fac504/10.1177_23743735231188841-fig1.jpg

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