Stokke Randi, Wibe Torunn, Sogstad Maren
Faculty of Medicine and Health Sciences, Centre for Care Research, Norwegian University of Science and Technology NTNU, Gjøvik, Norway.
Centre for Development of Institutional and Home Care Services in Oslo, Oslo, Norway.
J Multidiscip Healthc. 2023 Sep 11;16:2667-2680. doi: 10.2147/JMDH.S426913. eCollection 2023.
Residents of nursing homes are increasingly frail and dependent. At the same time, there are increased demands for quality of care and social life for individual residents. In this article, we explore how care workers contribute to quality of care and social life in shared living rooms in nursing homes.
An ethnographically inspired design was applied, and a purposive sample of six units for long-term care in three nursing homes in Norway was included in the study. Data were collected by participant observation, including informal conversations with the staff and residents, and the data were analyzed using thematic analysis.
The analysis identified three main themes: working within the given context, creating care practices and organizing activities. The empirical findings demonstrate that care work focuses on meeting both the residents' physical and social needs and aiming for high-quality care and social life for the residents in nursing homes.
The results of this study illustrate that nursing home practices are focused on residents as a group. However, care workers take advantage of personal skills and resources to work towards person-centred care within the given context. The quality of care is recognized in terms of how care workers meet individual residents' needs. The quality of care seems highly related to the capability and skills of individual care workers.
养老院居民日益体弱且依赖他人。与此同时，对个体居民护理质量和社交生活的要求也在提高。在本文中，我们探讨护理人员如何在养老院的共享客厅中促进护理质量和社交生活。
采用受民族志启发的设计，研究纳入了挪威三家养老院中六个长期护理单元的目的抽样样本。通过参与观察收集数据，包括与工作人员和居民的非正式交谈，并使用主题分析法对数据进行分析。
分析确定了三个主要主题：在既定背景下工作、创建护理实践和组织活动。实证结果表明，护理工作侧重于满足居民的身体和社交需求，并致力于为养老院居民提供高质量的护理和社交生活。
本研究结果表明，养老院的实践以居民群体为重点。然而，护理人员利用个人技能和资源，在既定背景下朝着以患者为中心的护理方向努力。护理质量根据护理人员满足个体居民需求的方式来衡量。护理质量似乎与个体护理人员的能力和技能高度相关。
