失智症患者非正式照护者的资讯寻求:一项质性研究

Sarah Hargreaves, L. Sbaffi, N. Ford
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引用次数: 3

摘要

本论文支持了之前的研究结果,并提出了新的见解:痴呆症患者非正式护理人员样本的信息需求和信息寻求过程(涉及他们自己的需求和他们所照顾的人的相关需求);这些信息需要得到满足和未得到满足的程度;以及促进和阻碍获取正确信息的因素。设计/方法/方法本研究采用了定性方法,对20名来自不同年龄、性别和护理角色的非正式护理人员进行了深入的专题分析和半结构化访谈。专题分析确定了重大的信息挑战,人们普遍认为信息查找工作繁重,需要采取积极主动的方法。进一步的挑战来自于缺乏对护理人员需求的关注,这与专业知识的界限和样本中不一致的信息提供有关。远程护理人员面临着一些具体问题。消极影响的第二个主题描述了下列方面产生的负担:难以从一系列复杂的支助服务中获取信息,服务关闭或改变,以及信息需求未得到满足。参与者采用各种策略使他们能够获得信息,例如,公开他们的照顾角色;建立正式或非正式的支持网络。解决信息需求的情感和认知维度是很重要的。实际意义本研究强调需要卫生和社会保健、实践和政策来承认和解决这一多样化人口的信息需求,并建立复原力。最重要的是,信息的寻找和分享必须在关怀的情感影响的背景下理解,认识到这两个双重需求是至关重要的。原创性/价值虽然先前的研究侧重于确定特定需求和知识获取的横截面,但对经验的更全面的理解尚未得到充分探索。这种方法需要考虑到更广泛的背景、经验的多样性和不同的护理角色,例如初级和二级护理人员、就地护理人员和远程护理人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Information seeking amongst informal caregivers of people with dementia: a qualitative study
PurposeThis paper both supports previous findings relating to, and presents new insights into: the information needs and the information seeking processes of a sample of informal caregivers of people with dementia (in relation to their own needs and the interrelated needs of the people they are caring for); the extent to which such information needs are and are not being met; and the factors facilitating and hindering access to the right information.Design/methodology/approachThe study adopted a qualitative approach in the form of a thematic analysis of in-depth, semi-structured interviews with a sample of 20 informal caregivers from a range of different age groups, genders and caring roles.FindingsThematic analysis identified significant informational challenges, with a common perception that information seeking was onerous, requiring a proactive approach. Further challenges arose from a perceived lack of focus on carer needs coming up against the boundaries of professional knowledge and inconsistent information provision across the sample. Distance carers faced specific issues. A second theme of negative impacts described burdens arising from: difficulties in accessing information from a complex array of support services closure or change in services and unfulfilled information needs. Participants employed strategies to enable access to information, for example, being open about their caring role; and building formal or informal support networks. It is important to address emotional as well as cognitive dimensions of information needs.Practical implicationsThis research highlights a need for health and social care, practice and policy to acknowledge and address information needs of this diverse population and build resilience. Above all, information seeking and sharing must be understood within the context of the emotional impact of caring, and recognition of these twin needs is crucial.Originality/valueWhilst previous research has focussed on identifying specific needs and knowledge acquisition at cross-sections, a more holistic understanding of experiences is underexplored. This approach is needed to take into account broader contexts, diversity of experiences and different caring roles, e.g. primary and secondary carers, and in situ and distance carers.
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