The emotional context facing nursing home residents' families: A call for role reinforcement strategies from nursing homes and the community
The emotional context facing nursing home residents' families: A call for role reinforcement strategies from nursing homes and the community
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DOI：
10.1016/j.jamda.2007.08.010
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发表时间：
2008-01-01
影响因子：
7.6
通讯作者：
Bem-Klug, Mercedes
中科院分区：
文献类型：
--
作者：
Bem-Klug, Mercedes
目的：确定有用的概念，相关的情感环境面临的护理之家居民的家庭成员。这些概念可以用于未来的研究，设计和测试干预措施，有利于家庭careful.Design：二级数据分析的定性ethnographic data.Setting：两个养老院在一个大的中西部城市，8个月的数据收集在each.Participants：44个家庭成员的养老院居民的健康被认为是“下降。测量：角色理论被用来设计和帮助解释调查结果。数据包括家庭成员和研究人员之间的对话成绩单，并进行了分析，使用编码方案开发的二次analysis.Results：评论有关的社会角色的家庭成员的情绪分为三类：救济有关的入场，压力，决策支持/压力。压力的子类别包括与“竞争性担忧”相关的角色紧张，以及以下心理压力：1）目睹亲人在养老院的衰落，2）对安置感到内疚。决策进行了讨论，作为一个挑战，家庭成员不想单独面对的居民，医疗保健专业人员，和其他家庭成员的支持是appreciated.Conclusions：家庭成员可能会受益于角色强化活动提供的养老院工作人员和社区成员。所有疗养院的工作人员（特别是社会工作者）和医生都被要求提供有关疗养院入院的教育和支持，在居民下降期间，特别是关于医疗决策。社区团体被要求通过提供具体任务（驾驶、探访等）方面的援助来支持家庭成员。和社会支持。
Objectives: Identify useful concepts related to the emotional context facing family members of nursing home residents. These concepts can be used in future studies to design and test interventions that benefit family caregivers.Design: Secondary data analyses of qualitative ethnographic data.Setting: Two nursing homes in a large Midwestern city; 8 months of data collection in each.Participants: 44 family members of nursing home residents whose health was considered, "declining."Measurements: Role theory was used to design and help interpret the findings. Data included transcripts of conversations between family members and researchers and were analyzed using a coding scheme developed for the secondary analysis.Results: Comments about emotions related to the social role of family member were grouped into three categories: relief related to admission, stress, and decision making support/stress. Subcategories of stress include the role strain associated with "competingconcerns" and the psychological pressures of 1) witnessing the decline of a loved one in a nursing home, and 2) guilt about placement. Decision-making was discussed as a challenge which family members did not want to face alone; support from the resident, health care professionals, and other family members was appreciated.Conclusions: Family members may benefit from role reinforcement activities provided by nursing home staff and community members. All nursing home staff members (in particular social workers) and physicians are called upon to provide educationa and support regarding nursing home admissions, during the decline of the resident, and especially regarding medical decision-making. Community groups are asked to support the family member by offering assistance with concrete tasks (driving, visiting, etc.) and social support.