School of Nursing & Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.
Medical School, University of Exeter, Exeter, UK.
Int J Older People Nurs. 2024 Jan;19(1):e12585. doi: 10.1111/opn.12585. Epub 2023 Oct 29.
Guidance and policy on personalised (or person-centred) care of older people living in care homes advocates that all residents must have their preferences considered, and that all care provided must be reasonably adjusted to meet the person's specific needs. Despite this, research that considers what matters to residents in terms of the care they receive is limited.
Our review aims to explore care home residents' lived experiences of personalised care and understand what really matters to them.
Six electronic databases (CINHAL, Medline (Ovid), Embase, PubMed, Web of Science & PsychInfo) and Google Scholar (grey literature) were searched to identify qualitative studies relating to personalised care in care home settings, which also included resident (voices) quotes. The literature review and synthesis are reported using eMERGe guidance.
Fifteen studies met the inclusion criteria for our meta-ethnography. Four conceptual categories (the challenge of fitting into institutional care, the passing of time, holding onto a sense of self and a desire to feel at home) and two key concepts (creating a culture of purposeful living and caring and forming and maintaining meaningful & empowering relationships) were identified. Finally, a conceptual framework of understanding represents what personally matters to residents in terms of their care.
Our meta-ethnography, guided by residents' lived experiences of personalised care, offers a new perspective of what personally matters to residents in terms of the care they receive. The conceptual framework of understanding highlights the importance of moving from an institutional position of doing for residents to a person-centred position of doing with residents.
Our findings highlight the importance of understanding the differences between personalised and person-centred care for policy and practice. Further considerations are required on how this might be applied through nurse and care home professionals' education and work practices.
针对居住在养老院中的老年人的个性化（或以人为本）护理的指导方针和政策主张，所有居民都必须考虑他们的偏好，并且必须合理调整所提供的所有护理，以满足个人的具体需求。尽管如此，考虑到居民在接受护理方面的经验的研究仍然有限。
我们的综述旨在探讨养老院居民对个性化护理的生活体验，并了解对他们真正重要的是什么。
通过检索六个电子数据库（CINHAL、Medline（Ovid）、Embase、PubMed、Web of Science 和 PsychInfo）和 Google Scholar（灰色文献），以确定与养老院环境中的个性化护理相关的定性研究，其中还包括居民（声音）引述。文献综述和综合使用 eMERGe 指南进行报告。
十五项研究符合我们的元分析纳入标准。确定了四个概念类别（适应机构护理的挑战、时间的流逝、保持自我意识和渴望居家感）和两个关键概念（营造有目的生活和关怀的文化以及建立和维持有意义和赋权的关系）。最后，提出了一个理解的概念框架，代表了居民在护理方面个人关心的问题。
我们的元分析以居民对个性化护理的生活体验为指导，为居民在接受护理方面的个人关心问题提供了一个新的视角。理解的概念框架强调了从为居民做的机构立场向与居民一起做的以人为本的立场转变的重要性。
我们的研究结果强调了了解个性化护理和以人为本护理之间差异对政策和实践的重要性。还需要进一步考虑如何通过护士和养老院专业人员的教育和工作实践来应用这一点。
