Developing Caring Conversations in care homes: an appreciative inquiry
Developing Caring Conversations in care homes: an appreciative inquiry
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DOI：
10.1111/hsc.12436
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发表时间：
2017-07-01
影响因子：
2.4
通讯作者：
MacBride, Tamsin
中科院分区：
文献类型：
--
作者：
Dewar, Belinda;MacBride, Tamsin
以护理为中心的做法是在护理院提供优质护理的关键。有力的证据表明，人际交往在发展促进尊严和同情的关系方面具有中心作用。关怀对话框架是一个框架，用于基于在急性医疗保健环境中开发的人际互动提供富有同情心的护理。关键属性是：勇敢，情感联系，好奇，考虑其他观点，合作，妥协和庆祝。本文报道了一项研究，探讨其相关性的护理院设置和发展的教育干预，框架的基础上，以提高人类互动的发展。本研究采用欣赏性询问的方法，在护理之家的环境中发展关怀对话。欣赏式探究有一个独特的重点是什么是有效的，理解为什么这些方面的工作以及共同创造的战略，以帮助这些良好的做法发生更多的时间。这项研究的目的是庆祝和发展良好的人际交往，促进护理院工作人员、居民和家庭之间的尊严。这项研究于2013年至2014年在苏格兰的一家养老院进行，为期10个月。参与者包括工作人员（n = 37），居民（n = 20）和亲属（n = 18）。数据生成方法涉及居民，亲属和工作人员包括观察和访谈的经验的互动。数据分析的迭代过程涉及将核心主题映射到关怀对话框架，并显示人们如何与关怀对话框架进行沟通。在了解哪些做法行之有效的基础上，工作人员开发了一些小的变革测试，使这些良好做法能够在更多的时间内发生。欣赏式询问被证明是探索关怀对话，发展实践和开发教育干预的一种有价值的方法，可以在其他护理环境中共享。
Relationship-centred practice is key to delivering quality care in care homes. Evidence is strong about the centrality of human interaction in developing relationships that promote dignity and compassion. The Caring Conversations framework is a framework for delivering compassionate care based on human interactions that was developed in the acute healthcare setting. The key attributes are: be courageous, connect emotionally, be curious, consider other perspectives, collaborate, compromise and celebrate. This paper reports on a study to explore its relevance to the care home setting and the development of an educational intervention, based on the framework, to enhance development of human interaction. The study used the approach of appreciative inquiry to develop Caring Conversations in the care home setting. Appreciative inquiry has a unique focus on what is working well, understanding why these aspects work well and co-creating strategies to help these good practices happen more of the time. The aim of the study was to celebrate and develop excellent human interaction that promotes dignity between staff, residents and families in care homes. The study took place in 2013-2014 in one care home in Scotland, over 10months. Participants included staff (n=37), residents (n=20) and relatives (n=18). Data generation methods involving residents, relatives and staff included observation and interviews about experiences of interaction. An iterative process of data analysis involved mapping core themes to the Caring Conversations framework with findings showing how people communicated correlated well with the Caring Conversations framework. Building on knowledge of what works well, staff developed small tests of change' that enabled these good practices to happen more of the time. Appreciative inquiry proved a valuable approach to exploring Caring Conversations, developing practice and developing an educational intervention that could be shared across other care settings.