Transforming a Negotiation Framework to Resolve Conflicts among Older Adults and Family Caregivers.
Transforming a Negotiation Framework to Resolve Conflicts among Older Adults and Family Caregivers.
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改变谈判框架以解决老年人和家庭护理人员之间的冲突。
DOI：
10.3390/geriatrics8020036
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发表时间：
2023-03-08
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背景：患有阿尔茨海默病(PWD)的老年人的家庭照顾者通常需要倡导和解决与健康相关的冲突(例如，确定治疗必要性、账单错误和家庭健康延期)。在处理这些卫生系统冲突时，家庭照顾者会经历不必要的挫折、焦虑和压力。这项研究的目的是应用谈判框架来解决现实世界中家庭照顾者与老年人之间的冲突。方法：我们召集了一个由全国社区家庭照顾者、社会工作者、老年医生和谈判专家组成的跨学科团队(n=9；伊利诺伊州、佛罗里达州、纽约和加利福尼亚州)来检查谈判和冲突管理框架对三种老年人-照顾者冲突(即照顾者-老年人、照顾者-提供者和照顾者-照顾者)的适用性。护理员小组提供了描述他们在这三个环境中经历的冲突的情景和对话。然后进行定性分析，将答复分组到一个框架矩阵中。结果：在向照顾者呈现这三个冲突时，产生了96个回答(照顾者-老年人)、75个回答(照顾者-照顾者)和80个回答(照顾者-提供者)。专题分析表明，声明和答复符合利益-权利-权力(利益-权利-权力)谈判框架。讨论：在商业谈判中使用的利益-权利-权力(IRP)框架，为照顾者如何经历与老年人、提供者和其他照顾者的冲突提供了洞察。未来的研究需要检查IRP框架在培训阿尔茨海默氏症老年患者照顾者方面的应用。
Background: Family caregivers of older people with Alzheimer’s dementia (PWD) often need to advocate and resolve health-related conflicts (e.g., determining treatment necessity, billing errors, and home health extensions). As they deal with these health system conflicts, family caregivers experience unnecessary frustration, anxiety, and stress. The goal of this research was to apply a negotiation framework to resolve real-world family caregiver–older adult conflicts. Methods: We convened an interdisciplinary team of national community-based family caregivers, social workers, geriatricians, and negotiation experts (n = 9; Illinois, Florida, New York, and California) to examine the applicability of negotiation and conflict management frameworks to three older adult–caregiver conflicts (i.e., caregiver–older adult, caregiver–provider, and caregiver–caregiver). The panel of caregivers provided scenarios and dialogue describing conflicts they experienced in these three settings. A qualitative analysis was then performed grouping the responses into a framework matrix. Results: Upon presenting the three conflicts to the caregivers, 96 responses (caregiver–senior), 75 responses (caregiver–caregiver), and 80 responses (caregiver–provider) were generated. A thematic analysis showed that the statements and responses fit the interest–rights–power (IRP) negotiation framework. Discussion: The interests–rights–power (IRP) framework, used in business negotiations, provided insight into how caregivers experienced conflict with older adults, providers, and other caregivers. Future research is needed to examine applying the IRP framework in the training of caregivers of older people with Alzheimer’s dementia.