Supporting Family Involvement in Long-Term Residential Care: Promising Practices for Relational Care
Supporting Family Involvement in Long-Term Residential Care: Promising Practices for Relational Care
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DOI：
10.1177/1049732317730568
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发表时间：
2018-01-01
影响因子：
3.2
通讯作者：
Lowndes, Ruth
中科院分区：
文献类型：
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作者：
Barken, Rachel;Lowndes, Ruth
家人和朋友为长期住院护理 (LTRC) 中的年长亲属提供重要支持。然而，他们在这些环境中占据着模糊的地位，他们与 LTRC 员工的关系可能会产生冲突和挑战。本文基于在北美和欧洲进行的人种学项目，确定了促进家庭有意义地参与疗养院生活的做法。我们考虑了在亲属入住长期护理中心后、在护理院期间以及在生命的最后阶段对家庭参与进行奖励的例子。此外，我们还确定了支持家人/朋友护理人员以及居民和工作人员福祉所需的工作条件。其中包括更加重视关系护理工作、有效沟通的时间、团队合作以及适当、包容的物理空间。研究结果凸显了关系护理的重要性，并对改善 LTRC 的生活和工作条件具有影响。
Family members and friends provide significant support for older relatives in long-term residential care (LTRC). Yet, they occupy ambiguous positions in these settings, and their relationships with LTRC staff can involve conflicts and challenges. Based on an ethnographic project carried out in North America and Europe, this article identifies practices that promote meaningful family participation in care home life. We consider instances of rewarding family involvement upon admission to LTRC, throughout the time a relative is living in a care home, and during the final stages of life. Furthermore, we identify working conditions needed to support the well-being of family/friend carers as well as residents and staff. These include greater appreciation of relational care work, time for effective communication, teamwork, and appropriate, inclusive physical spaces. Findings make visible the importance of relational care and have implications for improving living and working conditions in LTRC.