Bergqvist Monica, Bastholm-Rahmner Pia, Modig Karin, Gustafsson Lars L, Schmidt-Mende Katharina
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
Academic Primary Health Care Centre, Region Stockholm, Stockholm, Sweden.
J Gerontol Soc Work. 2024 Aug-Sep;67(6):841-860. doi: 10.1080/01634372.2024.2355154. Epub 2024 May 16.
Many older adults with complex care needs live at home due to ageing-in-place policies. This study explored homecare workers' experiences and suggestions for improvements of care. Twelve semi-structured interviews were analyzed thematically, and revealed pride, capability, and satisfaction in their work, yet they feel undervalued and lack support. They advocate for integrated care models, recognition of their competence, flexible work approaches, and committed leadership. This would enhance patient care and address their own working conditions, addressing concerns from being relegated to the bottom of the hierarchy. They emphasize the need for comprehensive approaches, spanning from housekeeping to end-of-life palliative care.
由于就地养老政策，许多有复杂护理需求的老年人居家生活。本研究探讨了家庭护理人员对护理工作的体验以及改进护理工作的建议。对12次半结构化访谈进行了主题分析，结果显示他们对工作感到自豪、有能力且满意，但他们觉得自己未得到充分重视且缺乏支持。他们主张采用综合护理模式，认可他们的能力，采取灵活的工作方式，并需要有坚定信念的领导。这将提高患者护理质量并改善他们自身的工作条件，解决被置于等级制度底层的担忧。他们强调需要采取全面的方法，涵盖从家务管理到临终姑息护理等各个方面。
