A concept analysis of home and its meaning in the lives of three older adults
A concept analysis of home and its meaning in the lives of three older adults
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DOI：
10.1111/j.1748-3743.2010.00207.x
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发表时间：
2011-03-01
影响因子：
2.2
通讯作者：
Schwartz-Barcott, Donna
中科院分区：
文献类型：
--
作者：
Gillsjo, Catharina;Schwartz-Barcott, Donna
的目标。识别和定义家的概念及其在三个老年妇女生活中的意义。背景。对许多老年人来说，家是日常生活的中心，作为提供保健服务的场所，它的重要性越来越大。然而，作为一个概念，“家”在理论和经验上都还不够发达。概念发展的混合模型用于将理论分析和实证观察结合起来，重点关注定义。对三名老年妇女进行了全面、跨学科的文献综述、半结构化访谈以及病例和跨病例分析。受访者谈到了童年、社区、住所、教堂和天堂之家。舒适和安全的感觉与住宅有关，和平和安静与教堂之家有关，安全和快乐与天堂之家有关。当一个女人试图在她的新住所里有意识地建立一种家的感觉时，家的体验被认为是理所当然的、无意识的、不被承认的，这一点变得明显起来。没有找到一个单一的、全面的、可测量的定义。然而，确定了三个主要组成部分（地点、关系和体验），并用于将家定义为一个让人依恋、感到舒适和安全并具有居住体验的地方。与临床实践相关。每天，关于家的意义以及家只是另一个提供医疗保健的地方的假设都受到质疑。需要提高在家中为老年人提供服务的保健提供者的认识和对话。未来的研究需要探讨居家护理对老年人家的意义的影响及其对康复的潜在影响。
Aim. To identify and define the concept of home and its meaning in the lives of three older women.Background. For many older adults home is the centre of daily life and increasingly important as a place where health care is delivered. Yet, as a concept, home remains theoretically and empirically underdeveloped.Methods. The Hybrid Model of Concept Development was used to interface theoretical analysis and empirical observation with a focus on definition. A comprehensive, interdisciplinary literature review, semi-structured interviews with three older women and case and cross-case analysis were completed.Results. Interviewees spoke of childhood, community, residential, church and heavenly homes. Feelings of comfort and security were associated with residential homes, peace and quiet with church homes, safety and pleasure with heavenly homes. The experience of home as being taken for granted, unselfconscious and unrecognized, became obvious when one woman tried to consciously establish a sense of being at home in her new residence.Conclusion. No single comprehensive and measurable definition was found. However, three major components were identified (place, relationship and experience) and used to define home as a place to which one is attached, feels comfortable and secure and has the experience of dwelling.Relevance to clinical practice. Every day assumptions about the meaning of home and home as just another place where health care is provided are called into question. Increased awareness and dialogue is needed among health-care providers working with older adults in their homes. Future research needs to explore the impact of home care on the older adult's meaning of home and its potential impact on recovery.