Dixon Carol-Ann, Roos Vera, Katjene Matthews, Hoffman Jaco
Optentia Research Unit, North West University, Vanderbijlpark, South Africa.
Oxford Institute of Population Ageing, University of Oxford, Oxford, United Kingdom.
Public Health Rev. 2024 Mar 27;45:1606562. doi: 10.3389/phrs.2024.1606562. eCollection 2024.
This article aims to conduct a scoping review of what constitutes effective relational interactions between caregivers (CGs) and older persons (OPs) across formal residential care settings. A scoping review of publications between January 2000 and December 2021 yielded 10,929 articles, and after removing duplicates and applying exclusion criteria, 36 articles were analysed. Articles were scrutinised for interactions involving both CGs and OPs, using a thematic framework analysis to identify effective relational constructs. Four themes emerged: 1) Diverse perspectives on the same context: for OPs it is home, and for CGs, workplace. 2) CGs move for a one-up position and OPs submit to a one-down, or as friends. 3) Relational qualities have been mostly associated with CGs, confirming care as a unidirectional action 4). Relationships between CGs and OPs result either in effective or ineffective care outcomes. The dual meanings attached to the same context limit the authentic interactions between CGs and OPs. We propose a relational caregiving approach by considering the interactions of both CGs and OPs, changing the relational definition, and demonstrating effective relational qualities.
本文旨在对正规住宿护理机构中照顾者（CGs）与老年人（OPs）之间有效的关系互动构成要素进行范围综述。对2000年1月至2021年12月期间的出版物进行范围综述，共获得10929篇文章，在去除重复文章并应用排除标准后，对36篇文章进行了分析。使用主题框架分析来确定有效的关系结构，对涉及照顾者和老年人的互动的文章进行了仔细审查。出现了四个主题：1）对同一情境的不同看法：对老年人来说是家，对照顾者来说是工作场所。2）照顾者寻求占据优势地位，而老年人要么屈从于劣势地位，要么作为朋友相处。3）关系特质大多与照顾者相关，证实了护理是一种单向行为。4）照顾者与老年人之间的关系会产生有效或无效的护理结果。同一情境所具有的双重含义限制了照顾者与老年人之间真实的互动。我们通过考虑照顾者和老年人双方的互动、改变关系定义并展现有效的关系特质，提出一种关系性护理方法。
