住宅养老机构菜单上的选择:一个被低估的工具,以保持居民的自主权
Mikaela Wheeler1, Karen L Abbey2, Sandra M Capra2
1Faculty of Medicine, School of Public Health, The University of Queensland, Herston, QLD, Australia.
概括
在养老院实施餐厅式餐饮改善了居民的自主权. 这一变化增强了饮食选择,并对居民的饮食体验产生了积极的影响,恢复了他们对控制的感觉.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 定性研究是指质量研究.
背景情况:
- 对于老年护理机构的居民来说,自主性至关重要.
- 现有的餐饮服务系统可能会限制居民的自主权和选择.
- 住宅老年护理环境对自主性提出了独特的挑战.
研究的目的:
- 探索居民在干预前和后的自主体验.
- 评估餐厅式餐饮服务对居民自主权的影响.
- 了解增加的饮食选择如何影响老年护理中的自主性.
主要方法:
- 使用半结构面试进行的定性研究.
- 干预前后进行的采访.
- 从解释主义方法采用的反思性主题分析.
主要成果:
- 干预前的主题揭示了自主性的挑战,包括"理想与现实"和"失去权力".
- 干预后的主题是"恢复自治"和"超越饮食选择的自治".
- 18名参与者完成了干预后的采访,表明他们对变化有所参与.
结论:
- 老年护理中的机构因素可能会减少居民的自主权.
- 食品服务系统的重新设计,包括餐厅式的餐饮,可以显著提高居民的选择和自主权.
- 通过改善餐饮服务,可以对居民的福祉产生积极的影响.
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