A Study of the nurse manager's perception of aging and the institutional care provided at geriatric intermediate care facilities.

前言：本研究的目的是厘清护士长对老年人的认知与老年护理机构所提供的机构护理之间的关系。方法：采用定性描述设计，了解和描述老年人的观念和护理管理者的护理政策。采用半结构化访谈法，对参试对象对养老机构养老政策的看法进行提取和定性分析。结果：参与者为6名与老年中间护理机构相关的护士管理人员。他们对老年人的看法是多样的、丰富的、成熟的。这些因素与以下七个因素有关：“童年时附近有一位老人”、“照顾一位老人的经历”、“老年人在护理机构的印象深刻的事件”、“从同事那里了解老年人”、“通过工作坊了解老年人”、“感受自己的老龄化”和“设施周围地区的地方特色”。护士经理依靠她的老年人护理政策来照顾老年居民。这些政策是：“尽可能地支持老年人的需要”、“重视老年人在日常生活中的支持”和“使设施足够舒适，让老年人放松”。护士管理人员之所以能够发挥领导作用，是因为他们对照顾老年人有信心。这种信心包括以下要素：“他们对老年人的看法”、“管理人员的培训和学习机会”、“他们对老年人护理和福利的长期愿景”、“可利用的人际网络”和“对工作的奉献精神”。

Introduction : The purpose of this study is to clarify the relation between the nurse manager's perceptions of elderly people and the institutional care provided at geriatric intermediate care facilities.Method : Qualitative descriptive design was used to understand and describe the perceptions of the elderly and the care policies of nurse managers. A semistructured interview was conducted, and participant's perceptions of the elderly and the care policies at the care facilities were extracted and analyzed qualitatively.Results : The participants were six nurse managers who were associated with geriatric intermediate care facilities. Their perceptions of elderly people were various, rich and maturative. These are related to seven factors as follow : "existence of an old person nearby during their childhood", "experiences of caring for an old family member", "impressive events by the elderly at the care facilities", "learning about elderly person from their fellow workers", "learning about the elderly through workshops", "feeling own aging", and "local characteristics in the area around the facilities". Nurse managers took care of old residents relying on her care policies for the elderly. The policies are : "to support the needs of an elderly person as much as possible", "to value the support given to the elderly in their daily lives", and "to make facilities comfortable enough for old people to relax". Nurse managers were able to display the leadership because of having confidence hi the care of the elderly. This confidence consist of the following elements : "their perceptions of the elderly", "manager's opportunities for training and study", "their long-term vision for elderly care and welfare", "availability of a human network", and "devotion to their work".