Heliker D M
University of Texas Medical Branch at Galveston, USA.
J Holist Nurs. 1997 Mar;15(1):68-81. doi: 10.1177/089801019701500107.
The negative effects of institutionalization caused partially by homogeneity and uniformity of care prompts the exploration of personal and common meanings of nursing home residents. This study is viewed as an initial step in providing quality care as defined by the resident. Personal and common meanings embedded in the lived lives of five older women residing in a long-term care facility are interpreted using a seven-stage Heideggerian hermeneutical phenomenological approach. An unstructured modified life review format is used to interview each participant on three separate occasions. Three constitutive patterns emerge: dwelling in remembering, living relatedly, and being after loss. These patterns endure across the life span of each woman and continue to endure after admission to the facility. The revelation of common and personal meanings provide new possibilities for the transformation of nursing practice to ensure quality care from the perspective of what is considered meaningful to each resident.
机构化带来的负面影响部分源于护理的同质化和统一化，这促使人们去探索养老院居民的个人意义和共同意义。本研究被视为朝着提供居民所定义的优质护理迈出的第一步。采用七阶段的海德格尔诠释现象学方法，解读了居住在长期护理机构中的五位老年女性生活中所蕴含的个人意义和共同意义。采用非结构化的改良生活回顾形式，分三次对每位参与者进行访谈。出现了三种构成模式：在记忆中栖居、关联地生活以及失去后的存在。这些模式贯穿每位女性的一生，并且在她们入住该机构后仍持续存在。共同意义和个人意义的揭示为护理实践的转变提供了新的可能性，以从对每位居民而言有意义的角度确保优质护理。
