J Gerontol Nurs. 2023 Nov;49(11):8-14. doi: 10.3928/00989134-20231010-03. Epub 2023 Nov 1.
Resident-staff relationships is a component of person-centered care (PCC); positive relationships are associated with positive outcomes. The current article explores the finding that residents living in different types of long-term care assigned the lowest ratings of importance to the PCC domain "relationships with staff " (one of eight domains studied). Thematic analysis of spontaneous comments made by residents during interviews identified two themes, (for privacy, boundaries, engagement) and (staff busyness, staff interactions). Low ratings of relationship importance may reflect preferences for privacy and maintaining boundaries with staff. Ratings by some residents may be related to staff busyness, an overarching theme. Staff busyness was associated with lack of personal interaction with staff, including for those who expressed preferences for engagement and those who described positive interactions with staff. Some residents may reappraise their views about the importance of relationships to reduce cognitive dissonance. Improving job quality is necessary to assure quality time with residents. [(11), 8-14.].
医患关系是以患者为中心的护理（PCC）的一个组成部分；积极的医患关系与良好的结果相关。本文探讨了这样一个发现，即居住在不同类型长期护理机构的居民对 PCC 领域“与工作人员的关系”（研究的八个领域之一）的重要性评分最低。对居民在访谈中发表的自发评论进行的主题分析确定了两个主题，（出于隐私、界限、参与的需要）和（工作人员忙碌、工作人员互动）。对关系重要性的低评价可能反映了对隐私的偏好和与工作人员保持界限的愿望。一些居民的评价可能与工作人员的忙碌有关，这是一个总体主题。工作人员的忙碌与缺乏与工作人员的个人互动有关，包括那些表示喜欢互动和描述与工作人员积极互动的人。一些居民可能会重新评估他们对人际关系重要性的看法，以减少认知失调。提高工作质量是确保与居民有质量的相处时间的必要条件。[（11），8-14。]。
