Friedemann M L, Montgomery R J, Maiberger B, Smith A A
University of Detroit Mercy, College of Health Professions, MI 48219-0900, USA.
Res Nurs Health. 1997 Dec;20(6):527-37. doi: 10.1002/(sici)1098-240x(199712)20:6<527::aid-nur7>3.0.co;2-o.
Staff-family cooperation in caring for elders in nursing homes is recommended but poorly understood. Family involvement and staff-family interactions in nursing homes with differing family orientations were investigated. Friedemann's (1995) system-based family theory guided the study. Of all 208 licensed nursing homes in southern Michigan, 143 completed a survey about their family-oriented practices. Family orientation was ranked accordingly. Twenty-four nursing homes were randomly selected to conduct semistructured telephone interviews with 177 family members. Data were analyzed by thematic interpretation. Findings showed a wide range of involvement patterns that promoted family connectedness, maintenance of control, growth, and learning. Families desired various types of staff cooperation and were given such opportunities in homes with high family orientation.
养老院中员工与家属合作照顾老人受到推荐,但却未得到充分理解。本研究调查了不同家庭导向的养老院中家庭参与情况以及员工与家属的互动。弗里德曼(1995年)基于系统的家庭理论指导了这项研究。在密歇根州南部所有208家持牌养老院中,143家完成了一项关于其家庭导向做法的调查。据此对家庭导向进行了排名。随机选择了24家养老院,对177名家庭成员进行半结构化电话访谈。通过主题解读对数据进行分析。研究结果显示,存在广泛的参与模式,这些模式促进了家庭联系、控制权的维持、成长和学习。家属期望得到各类员工合作,在家庭导向程度高的养老院中他们也获得了此类机会。