Exploring personhood in dining experiences of residents with dementia in long-term care facilities
Exploring personhood in dining experiences of residents with dementia in long-term care facilities
复制标题
DOI：
10.1016/j.jaging.2010.08.007
复制
发表时间：
2011-01-01
影响因子：
2.3
通讯作者：
Chaudhury, Habib
中科院分区：
文献类型：
--
作者：
Hung, Lillian;Chaudhury, Habib
尽管在痴呆症护理中转向使用以人为本的方法，但“人格”概念在日常实践和活动中的相关性和适用性仍然不清楚，例如痴呆症居民的进餐体验。基于定性研究，本文提出了两个长期护理机构中 20 名痴呆症患者在进餐时出现的支持或损害人格的主题。数据收集方法包括与痴呆症居民进行对话访谈、参与观察、与工作人员进行焦点小组讨论以及检查现有文件。数据分析确定了八个主题：（1）超越/放松的节奏，（2）抑制/保留，（3）刺激，（4）不尊重/尊重，（5）无效/验证，（6）疏远/联系，（7）剥夺权力/赋权，以及（8）忽视/包容。这些发现对当前实践提出了疑问，并确定了需要改进的领域。尽管工作人员的方法似乎对居民的体验影响最大，但物理环境和组织环境也阻碍和促进工作人员提供最佳的护理和互动。 (C) 2010 Elsevier Inc. 保留所有权利。
Despite the shift toward using person-centered approaches in dementia care, the relevance and applicability of the concept "personhood" remains unclear in everyday practice and activities, such as mealtime experience for residents with dementia. Based on a qualitative study, this paper presents emergent themes at mealtimes that support or undermine personhood of twenty residents with dementia in two long-term care facilities. Methods of data collection included conversational interviews with residents with dementia, participant observations, focus groups with staff and examination of available documents. Data analysis identified eight themes: (1) outpacing/relaxed pace, (2) withholding/holding, (3) stimulation, (4) disrespect/respect, (5) invalidation/validation, (6) distancing/connecting, (7) disempowerment/empowerment, and (8) ignoring/inclusion. These findings raised questions about current practice and identified areas for improvement. Although staff approaches seemed to have the greatest impact on residents' experiences, the physical environment and organizational milieu were also responsible for hindering and facilitating staff to provide the best possible care and interaction. (C) 2010 Elsevier Inc. All rights reserved.