The context of care matters: Older people's existential loneliness from the perspective of healthcare professionals-A multiple case study.
The context of care matters: Older people's existential loneliness from the perspective of healthcare professionals-A multiple case study.
复制标题
护理的背景很重要：从医疗保健专业人员的角度来看老年人的存在孤独感 - 多个案例研究。
DOI：
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发表时间：
2019
影响因子：
2.2
通讯作者：
M. Rämgård
中科院分区：
文献类型：
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作者：
Malin Sundström;K. Blomqvist;A. Edberg;M. Rämgård
目的
从医疗保健专业人员的角度探讨不同医疗环境下老年人的存在孤独感。
背景
专业人员在大多数护理环境中会见并照顾老年人，需要做好准备以满足身体、心理、社会和生存需求。对于专业人士来说，解决存在的孤独感既具有挑战性又有意义，并且在紧缩时期通常不会被优先考虑。
设计
使用了多个案例研究设计。
方法
焦点小组访谈是在家庭、住宅、医院和姑息治疗机构中与医疗保健专业人员 (n = 52) 进行的。分析分两步进行：首先对每个背景进行案例内分析，然后进行跨案例分析。
研究结果
在护理环境中观察到差异和相似之处，包括存在孤独感的起源。与医院和姑息治疗相比，家庭护理和寄宿护理的重点是生活、现在和过去，而医院和姑息治疗中的存在孤独感主要与即将到来的死亡有关。老年人的家作为接受家庭护理或姑息治疗的地方，有助于保护老年人的身份。在医院和姑息治疗中，就像在机构护理中一样，这个地方提供了安全感，而在住宅护理中，这个地方可能会让老年人感觉像陌生人。在所有四种护理环境中，建立关系被认为是专业人员角色的重要组成部分，尽管这具有不同的含义、目的和条件。
结论
护理环境很重要并影响专业人士如何看待老年人的存在孤独感以及他们解决存在孤独感的机会。
对实践的影响
对专业人员的支持必须根据他们的需求、教育水平和护理环境量身定制。专业人员需要培训和适当的资格来解决与老龄化和护理的存在方面相关的存在孤独感。
AIM
To explore existential loneliness among older people in different healthcare contexts from the perspective of healthcare professionals.
BACKGROUND
Professionals meet and care for older people in most care contexts and need to be prepared to address physical, psychological, social and existential needs. Addressing existential loneliness can be both challenging and meaningful for professionals and is often not prioritised in times of austerity.
DESIGN
A multiple case study design was used.
METHODS
Focus group interviews were conducted with healthcare professionals (n = 52) in home, residential, hospital and palliative care settings. The analysis was performed in two steps: firstly, a within-case analysis of each context was conducted, followed by a cross-case analysis.
FINDINGS
Differences and similarities were observed among the care contexts, including for the origin of existential loneliness. In home care and residential care, the focus was on life, the present and the past, compared to hospital and palliative care, in which existential loneliness mainly related to the forthcoming death. The older person's home, as the place where home care or palliative care was received, helped preserve the older person's identity. In hospital and palliative care, as in institutional care, the place offered security, while in residential care, the place could make older people feel like strangers. Creating relationships was considered an important part of the professionals' role in all four care contexts, although this had different meanings, purposes and conditions.
CONCLUSIONS
The context of care matters and influences how professionals view existential loneliness among older people and the opportunities they have to address existential loneliness.
IMPLICATIONS FOR PRACTICE
Support for professionals must be tailored to their needs, their education levels and the context of care. Professionals need training and appropriate qualifications to address existential loneliness related to existential aspects of ageing and care.
DOI：
10.1093/gerona/56.3.m146
发表时间：
2001-03-01
影响因子：
5.1
作者：
Fried, LP;Tangen, CM;McBurnie, MA
通讯作者：
McBurnie, MA