Concept synthesis of dignity in care for elderly facility residents
Concept synthesis of dignity in care for elderly facility residents
复制标题
DOI：
10.1177/0969733018824763
复制
发表时间：
2019-11-01
期刊：
影响因子：
4.2
通讯作者：
Ota, Katsumasa
中科院分区：
文献类型：
--
作者：
Hasegawa, Nanako;Ota, Katsumasa
背景：保护设施老年居民的尊严和提供有尊严的护理可能很困难。虽然人们从几个方面进行了尝试，但尊严被认为是理论和实践中影响较小的一个领域。目的：本研究的目的是通过概念综合，从实践的角度表征养老机构中老年人护理尊严的概念。研究设计：本研究包括对老年设施居民的深入访谈和文献综述。对象和研究背景：通过有目的的抽样，在日本3个县的7个设施中招募了12名居民，并进行了27次访谈。每一次数字记录的采访都是逐字转录的。访谈数据以解释学现象学研究为基础进行分析。使用PubMed、CINAHL和Web of Science检索文献，并结合尊严、老年人和居住设施等术语进行搜索，然后根据预先定义的纳入标准进行选择。纳入研究中关于尊严的描述被分成代码，并与访谈结果进行比较。伦理考量：这项研究得到了名古屋大学医学研究生院机构审查委员会的批准。调查结果和讨论：访谈有1728个数据代码，从中产生了四个主题。文献综述共检索3716个书目，筛选出28篇文献。综合这些结果，得出了以下五个主题和概念矩阵：不受他人影响的个人尊严；狭义的有尊严的关怀；工作人员方面的要素；与家庭成员、朋友、社会和其他居民有关的尊严；与护理设施和护理系统有关的尊严。结论：根据建立的矩阵，我们必须考虑护理系统、设施、家庭和社会在提供有尊严的护理方面的作用，并在日常护理中为居民提供个人尊严和尊严。
Background: Protecting the dignity of elderly residents of facilities and providing dignified care can be difficult. Although attempts have been made from several aspects, dignity is considered an area in which less real impact has been made in both theory and practice. Objective: The objective of this study is to characterize the concept of dignity in care for elderly subjects in residential facilities from a practical perspective through concept synthesis. Research design: This study includes in-depth interviews with residents of elderly facilities and a literature review. Participants and research context: A total of 12 residents of seven facilities in three prefectures in Japan were recruited via purposive sampling, and 27 interviews were conducted. Each digitally recorded interview was transcribed verbatim. The interview data were analyzed based on hermeneutic phenomenological research. The literature was searched using PubMed, CINAHL, and Web of Science with combinations of terms such as dignity, elderly, and residential facilities and then selected according to the predefined inclusion criteria. The descriptions about dignity in the included studies were divided into codes and compared with the results of the interviews. Ethical considerations: This study was approved by the institutional review board of Nagoya University's Graduate School of Medicine. Findings and discussion: There were 1728 data codes for the interviews from which four themes were generated. In the literature review, 3716 titles were searched, and 28 articles were selected. Combining these results, five following themes and a conceptual matrix were obtained: individual dignity not affected by others; dignified care in a narrow sense; elements of the staff side; dignity in relation to family members, friends, society, and other residents; and dignity in relation to nursing care facilities and the nursing care system. Conclusion: According to the established matrix, we must consider the role of the care system, facility, family, and society in providing care with dignity and the individual dignity to residents and dignity in daily care.