Kim Dayeong, Hong Youjung, Chang Sung Ok
College of Nursing and L-HOPE Program for Community-Based Total Learning Health Systems, Korea University, Seoul, Republic of Korea.
J Adv Nurs. 2025 Jan;81(1):463-474. doi: 10.1111/jan.16251. Epub 2024 May 21.
To explore how nursing home staff advocate for residents with dementia.
Phenomenographic qualitative research.
Twenty nursing home staff from four disciplines (six nurses, four physical therapists, five social workers and five care workers) were purposively recruited from three different nursing homes. Data were collected through semi-structured interviews conducted from February 2023 to March 2023, and the analysis followed the sequential steps of phenomenographic analysis.
The analysis identified five categories of description: focusing on what happened, finding the gaps in perspectives, how to bridge for finding a common perspective, how to tailor care such that each resident receives equitable care and how to establish interdisciplinary sharing for a consistent advocative pattern. Their structural relationship was also identified as an outcome space.
The cyclical advocacy structure illustrated that nursing home staff engage in an ongoing process of advocacy during conflict situations as part of interdisciplinary care, emphasizing continuity of care rather than separate occurrences of care.
This study revealed that, in advocating for residents with dementia, nursing home staff adopted an approach that fosters consistent care and proactive prevention, achieved through the formation of shared knowledge applicable uniformly across similar situations.
This study contributes significantly to the continuing education or training of interdisciplinary staff in nursing homes. The revelations of the study hold significance not only for the practical application but also for the theoretical advancement of concepts related to safeguarding the dignity, human rights and personhood of residents with dementia, with the ultimate goal of enhancing their quality of life within nursing homes.
Reporting complied with the COREQ criteria for qualitative research.
Nursing home directors have contributed to the validation of data analysis and interpretation.
探讨养老院工作人员如何为痴呆症患者维权。
现象学质性研究。
从三家不同的养老院中有意招募了来自四个学科的20名养老院工作人员（六名护士、四名物理治疗师、五名社会工作者和五名护理人员）。数据收集于2023年2月至2023年3月通过半结构化访谈进行，分析遵循现象学分析的连续步骤。
分析确定了五类描述：关注所发生的事情、发现观点差异、如何弥合差异以找到共同观点、如何调整护理以使每位居民都能获得公平护理以及如何建立跨学科共享以形成一致的维权模式。它们的结构关系也被确定为一个结果空间。
循环维权结构表明，养老院工作人员在冲突情况下作为跨学科护理的一部分参与持续的维权过程，强调护理的连续性而非单独的护理事件。
本研究表明，在为痴呆症患者维权时，养老院工作人员采用了一种促进一致护理和积极预防的方法，这是通过形成适用于类似情况的共享知识来实现的。
本研究对养老院跨学科工作人员的继续教育或培训有重大贡献。该研究的发现不仅对实际应用有意义，而且对与维护痴呆症患者尊严、人权和人格相关概念的理论推进也有意义，最终目标是提高他们在养老院的生活质量。
报告符合质性研究的COREQ标准。
养老院院长对数据分析和解释的验证做出了贡献。
