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家庭护理作为关系工作的应用:研究计划大纲。

The use of home care as relational work: outlines for a research programme.

机构信息

School of Social Work, Lund University, Lund, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2371538. doi: 10.1080/17482631.2024.2371538. Epub 2024 Jun 24.

DOI:10.1080/17482631.2024.2371538
PMID:38913083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11198145/
Abstract

PURPOSE

Care has been theorized as a relational practice, but the research has focused on providers rather than users. Older care users have been cast in a passive role, and their relational activities to help with the provision of their care or to support those who provide it are underexplored. The purpose of this study is to develop knowledge about home care use as a form of relational 'work'.

METHODS

The data for the study consists of 34 qualitative interviews with home care users in Sweden and 15 observations of care provision. The data has been coded using thematic analysis.

RESULTS

The analysis identifies two overlapping forms of relational work done by care users in the home care context: care-centred work, where care users work to facilitate care situations that were positive for staff and for the provision of care; and person-centred work, where care users work to foster personal relations by focusing on care staff as unique individuals.

CONCLUSIONS

The article proposes a research programme on relational work by care users, prompted by the finding that such efforts seem central for the understanding of eldercare in a variety of contexts.

摘要

目的

关怀被理论化为一种关系实践,但研究主要集中在提供者身上,而不是使用者身上。年长的护理使用者被赋予了被动的角色,他们为帮助提供护理或支持提供护理的人而进行的关系活动尚未得到充分探索。本研究的目的是增进对家庭护理使用作为一种关系“工作”形式的了解。

方法

本研究的数据来自瑞典的 34 名家庭护理使用者的定性访谈和 15 次护理提供观察。数据使用主题分析进行编码。

结果

分析确定了家庭护理背景下护理使用者所做的两种重叠形式的关系工作:以关怀为中心的工作,护理使用者通过努力促进对工作人员和护理提供有利的关怀情况;以人为中心的工作,护理使用者通过关注护理人员作为独特的个体,努力培养人际关系。

结论

本文提出了一个关于护理使用者关系工作的研究计划,这是基于这样一种发现,即这种努力似乎是理解各种背景下老年护理的核心。

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本文引用的文献

1
Perspectives on existential loneliness. Narrations by older people in different care contexts.存在性孤独的观点。不同照护情境下老年人的叙述。
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2184032. doi: 10.1080/17482631.2023.2184032.
2
Maneuvering the care puzzle: Experiences of participation in care by frail older persons with significant care needs living at home.巧妙应对护理难题:有重大护理需求且身体虚弱的老年人居家护理体验。
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1937896. doi: 10.1080/17482631.2021.1937896.
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Experiences of longing in daily life and associations to well-being among frail older adults receiving home care: a qualitative study.衰弱老年人在接受家庭护理时日常生活中的渴望体验及其与幸福感的关联:一项定性研究。
Int J Qual Stud Health Well-being. 2020 Dec;15(1):1857950. doi: 10.1080/17482631.2020.1857950.
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A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings.系统评价:在院外环境中实施以老年人为中心的护理干预措施
Geriatr Nurs. 2021 Jan-Feb;42(1):213-224. doi: 10.1016/j.gerinurse.2020.08.004. Epub 2020 Aug 27.
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Towards a relational conceptualization of empathy.走向共情的关系概念化。
Nurs Philos. 2020 Jul;21(3):e12297. doi: 10.1111/nup.12297. Epub 2020 Feb 19.
6
Care ethics: An ethics of empathy?关怀伦理:一种共情伦理?
Nurs Ethics. 2019 Aug;26(5):1282-1291. doi: 10.1177/0969733018761172. Epub 2018 Mar 15.
7
The Fundamentals of Person-Centered Care for Individuals With Dementia.《面向痴呆症个体的以人为本的护理基础》。
Gerontologist. 2018 Jan 18;58(suppl_1):S10-S19. doi: 10.1093/geront/gnx122.
8
Employing a Qualitative Description Approach in Health Care Research.在医疗保健研究中采用定性描述方法。
Glob Qual Nurs Res. 2017 Nov 24;4:2333393617742282. doi: 10.1177/2333393617742282. eCollection 2017 Jan-Dec.
9
Factors influencing older people's experiences of participation in autonomous decisions concerning their daily care in their own homes: a review of the literature.影响老年人在家中参与有关日常护理自主决策体验的因素:文献综述
Int J Older People Nurs. 2016 Dec;11(4):284-297. doi: 10.1111/opn.12116. Epub 2016 Mar 27.
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Unheard voices, unmapped terrain: care work in long-term residential care for older people in Canada and Sweden.未被倾听的声音,未被描绘的领域:加拿大和瑞典针对老年人的长期寄宿照料中的护理工作。
Int J Soc Welf. 2012 Apr;21(2):139-148. doi: 10.1111/j.1468-2397.2011.00806.x.