了解老年人在家庭环境中的护理体验：一项解释学研究
Journal of Advanced Nursing
(
IF
3.8
)
Pub Date : 2024-10-07
, DOI:
10.1111/jan.16521
Anna Larsson Gerdin, Ylva Rönngren, Ove Hellzén, Annika Kjällman Alm, Malin Holmström Rising
目的探索和更深入地了解老年人在家成为工作场所时的护理经历。背景全球越来越多的注册护士在老年人家中提供医疗保健服务。这带来了新的挑战，惠城开荒保洁13825404095因为老年人的家庭环境现在兼作医疗保健专业人员的工作场所。然而，关于老年人在家中作为工作场所时如何体验护理以及这如何影响他们的整体福祉和生活质量的研究有限。设计一项定性解释学研究。方法2023 年 10 月至 2024 年 1 月在瑞典对 10 名精心挑选的老年人（年龄 65+）进行了深入的面对面访谈。每个参与者都会在家中接受家庭护理护士的定期访问，以满足特定的护理需求，例如伤口护理、药物管理、血液采样和一般监督。采访被录音，逐字转录，并使用解释学解释进行分析。研究结果解释学分析有一个主题：“在家中体验护理遭遇就像彩票”，有两个基本主题：“适应私人领域的失控”和“在日常生活中争取独立”。结论尽管面临与老龄化和在家中接受护理相关的挑战，老年人仍试图控制自己的生活。他们努力保持自己的独立性和自主性，这反映了他们对自决的渴望。以相互依存的关系支持这些努力可以提高他们的福祉和生活质量。报告方法结果按照定性研究报告综合标准指南进行报告。患者或公众贡献数据是通过患者访谈收集的。对专业和患者护理的影响本研究强调了支持老年人在家中接受照顾的同时保持对生活的控制的重要性。在与家庭护理护士的护理接触中，可以通过尊重他们的自主权、让他们参与决策并提供量身定制的支持来改善他们的福祉和生活质量。
Understanding Older Persons' Experiences of Care Encounters in the Home Environment: A Hermeneutic Study
AimTo explore and gain a deeper understanding of older persons' experiences of care encounters when their home becomes a workplace.BackgroundWorldwide healthcare services are increasingly being provided in older persons' homes by registered nurses. This presents new challenges as the home environment of older persons now doubles as a workplace for healthcare professionals. However, there is limited research available on how older persons experience care encounters when their homes serve as workplaces and how this influences their overall well‐being and quality of life.DesignA qualitative hermeneutic study.MethodsIn‐depth face‐to‐face interviews were conducted in Sweden from October 2023 to January 2024 with 10 purposefully selected older persons (aged 65+). Each participant received regular visits from a home care nurse in their home to address specific care needs, such as wound care, medication administration, blood sampling and general supervision. The interviews were audiotaped, transcribed verbatim and analysed using a hermeneutic interpretation.FindingsThe hermeneutic analysis emerged with one main theme: ‘Experiencing care encounters at home as a lottery’, with two underlying themes: ‘Adapting to loss of control in the private sphere’ and ‘Striving for independence while navigating daily living’.ConclusionsOlder persons try to control their lives despite the challenges associated with ageing and receiving care at home. They strive to maintain their independence and autonomy, which reflects their desire for self‐determination. Supporting these efforts in an interdependent relationship can enhance their well‐being and quality of life.Reporting MethodFindings were reported following the Consolidated Criteria for Reporting Qualitative Research guidelines.Patient or Public ContributionData were collected by patient interviews.Implications for the Profession and Patient CareThis study emphasises the importance of supporting older persons in maintaining control over their lives while being cared for in their homes. In the care encounters with home care nurses, their well‐being and quality of life can be improved by respecting their autonomy, involving them in decision‐making and offering tailored support.
