Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden
Striking a Balance: A Qualitative Study of Next of Kin Participation in the Care of Older Persons in Nursing Homes in Sweden
复制标题
取得平衡：瑞典疗养院近亲参与护理老年人的定性研究
作者：
Birgitta Wallerstedt;Lina Behm;Åsa Alftberg;A. Sandgren;E. Benzein;P. Nilsen;G. Ahlström
大多数护理在养老院是姑息性的，因为它是最古老和最脆弱的人谁住在养老院。本研究的目的是探讨近亲参与护理老人在养老院的经验。采用定性设计，基于半结构化访谈与40近亲，并采用定性内容分析法进行分析。出现了一个总体主题，一个由三类组成的平衡行为：（1）访问养老院;（2）建立和维护关系;（3）收集和传递信息。近亲必须平衡自己对老年人福祉的责任，即参与老年人的护理，以及由于健康状况危急而需要将责任留给工作人员。近亲希望参加护理会议和对话，而不仅仅是实际问题。调查结果表明，需要改善近亲作为平等伙伴参与护理的情况。增加对姑息治疗的了解和限制延长生命治疗的决策可能会导致更高质量的护理。
Most of the care in nursing homes is palliative in nature, as it is the oldest and the frailest people who live in nursing homes. The aim of this study was to explore next of kin’s experiences of participating in the care of older persons at nursing homes. A qualitative design was used, based on semi-structured interviews with 40 next of kin, and analyzed using qualitative content analysis. An overarching theme emerged, a balancing act consisting of three categories: (1) visiting the nursing home; (2) building and maintaining relationships; and (3) gathering and conveying information. The next of kin have to balance their own responsibility for the older person’s wellbeing by taking part in their care and their need to leave the responsibility to the staff due to critical health conditions. The next of kin wanted to participate in care meetings and conversations, not only in practical issues. The findings indicate the need to improve the next of kin’s participation in the care as an equal partner. Increased knowledge about palliative care and decision-making of limiting life-prolonging treatment may lead to a higher quality of care.