在长期护理中,工作人员与家庭的困境的并行过程:对合作的挑战
Diandra Serrano1, Tamara Sussman1, Sharon Kaasalanien2
1School of Social Work, McGill University, Montreal, QC, Canada.
SAGE open nursing
|December 17, 2024
概括
长期护理的员工和家人在高级痴呆症患者的共同决策过程中经历了创伤和悲伤,造成了距离. 创造反思和验证的空间对于促进合作和联系至关重要.
科学领域:
- 老年学是一门学科.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 医疗保健通讯 医疗保健通讯
背景情况:
- 员工,家庭和住户之间的合作伙伴关系对于在长期护理 (LTC) 中支持晚期痴呆症患者至关重要.
- 关系紧张,特别是关于护理决策的紧张关系,可能会阻碍在LTC环境中的有效协作.
研究的目的:
- 探索家庭和医疗保健工作人员在LTC家庭中居住的高级痴呆症患者的共享决策过程中的情感经历.
- 了解影响痴呆症护理合作伙伴关系的动态和挑战.
主要方法:
- 在加拿大两个LTC家庭中进行了一项定性解释性描述研究.
- 与12名工作人员和16名家庭成员进行了半结构化采访.
- 数据使用反射主题分析进行分析,采用了归纳和演方法.
主要成果:
- 确定了创伤和悲伤的并行过程,包括痛苦,孤立和值的感觉,导致员工和家人之间的距离.
- 缺乏时间和空间进行反思和验证,导致工作人员和家庭彼此视为对手的动态.
- 这种动态造成了一个推拉循环,阻碍了共同决策期间的关键连接.
结论:
- 在LTC家庭中,反思的机会至关重要,以解决情绪障碍并改善员工和家庭之间的合作.
- 调查结果提出了一个初步框架,以帮助员工在难以交谈和情绪中进行导航.
- 在高级痴呆症护理环境中,促进反射护理可以增强联系,而不是阻碍它们.
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