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医疗服务提供者在支持长期护理机构中家庭与老年人之间社会联系方面的经验。

Health Provider Experiences in Supporting Social Connectedness Between Families and Older Adults Living in Long-Term Care Homes.

作者信息

Garnett Anna, Pollock Hannah, Prentice Kristin, Floriancic Natalie, Donelle Lorie, Hand Carri, Oudshoorn Abe, Babenko-Mould Yolanda, Forchuk Cheryl

机构信息

Western University, London, Ontario, Canada.

University of South Carolina, Columbia, SC, USA.

出版信息

SAGE Open Nurs. 2024 Mar 21;10:23779608241239314. doi: 10.1177/23779608241239314. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

Many people, often older adults, living in long-term care homes (OA-LTCH) became socially isolated during the COVID-19 pandemic due to variable restrictions on in-person visits and challenges associated with using technology for social connectivity. Health providers were key to supporting these OA by providing additional care and facilitating their connections with family using technology such as smartphones and iPads. It is important to learn from these experiences to move forwards from the COVID-19 pandemic with evidence-informed strategies that will better position health providers to foster social engagement for OA-LTCH across a range of contextual situations.

OBJECTIVE

This exploratory qualitative description study sought to explore health provider experiences in supporting social connectedness between family members and OA-LTCH within the COVID-19 context.

METHODS

Qualitative, in-depth semistructured interviews were conducted with 11 health providers.

RESULTS

Using inductive qualitative content analysis study findings were represented by the following themes: (a) changes in provider roles and responsibilities while challenging for health providers did not impact their commitment to supporting OA-LTCH social and emotional health, (b) a predominant focus on OA-LTCH physical well-being with resultant neglect for emotional well-being resulted in collective trauma, and (c) health providers faced multiple challenges in using technology to support social connectivity.

CONCLUSION

Study findings suggest the need for increased funding for LTC to support activities and initiatives that promote the well-being of health providers and OA living in LTC, the need to prioritize social well-being during outbreak contexts, and more formalized approaches to guide the appropriate use of technology within LTC.

摘要

引言

在新冠疫情期间,许多居住在长期护理机构的人(通常是老年人)由于面对面探访受到各种限制以及使用技术进行社交联系存在挑战,而变得社交孤立。医疗服务提供者通过提供额外护理并利用智能手机和iPad等技术促进他们与家人的联系,对于支持这些老年人至关重要。从这些经历中吸取教训很重要,以便在新冠疫情之后采用基于证据的策略向前发展,这些策略将使医疗服务提供者在一系列背景情况下更好地促进长期护理机构中老年人的社交参与。

目的

这项探索性定性描述研究旨在探讨在新冠疫情背景下,医疗服务提供者在支持家庭成员与长期护理机构中老年人的社交联系方面的经历。

方法

对11名医疗服务提供者进行了定性的、深入的半结构化访谈。

结果

通过归纳定性内容分析,研究结果呈现为以下主题:(a)提供者角色和职责的变化,虽然对医疗服务提供者具有挑战性,但并未影响他们对支持长期护理机构中老年人社交和情感健康的承诺;(b)主要关注长期护理机构中老年人的身体健康,而忽视了情感健康,导致了集体创伤;(c)医疗服务提供者在使用技术支持社交联系方面面临多重挑战。

结论

研究结果表明,需要增加对长期护理机构的资金投入,以支持促进长期护理机构中医疗服务提供者和老年人福祉的活动和倡议;在疫情期间需要优先考虑社会福祉;以及需要更正式的方法来指导长期护理机构内技术的适当使用。

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