"他们喜欢对他们颐指气使":康复服务人员对成年子女试图控制自己的看法和经历

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Chunhua Chen, Bryony Beresford
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引用次数: 0

摘要

日益虚弱或医疗危机威胁到老年人的自主权。如果这些变化或事件被视为允许或表明需要对其父母的生活进行更大的控制,则成年子女可能会产生进一步的威胁。重新安置是一种有时间限制的干预措施,旨在帮助老年人恢复信心和尽可能独立生活的能力,在这种情况下,成年子女会抵制或试图破坏重新安置。这与家庭作为重新适应服务的宝贵资源和合作伙伴以实现预期结果的理念背道而驰。在护理关系中经常出现的自主权和合法权威的概念为理解这一现象提供了一个有用的视角。本研究的目的是探讨疗养工作人员如何看待成年子女试图控制父母疗养的方式,以及他们是如何处理这种情况的。我们对定性数据集进行了二次分析,该数据集包括英格兰和威尔士五家康复服务机构的 11 个焦点小组的记录(n = 78),这些焦点小组的目的是调查影响老年人参与康复服务的因素。在工作人员的叙述中,他们描述了成年子女试图控制重新适应过程的不同方式。工作人员认为,当意识到这种情况发生时,老年人会将控制权让给子女,因为维护与子女的关系比最大限度地提高老年人的独立性更为重要。工作人员描述了他们在支持老年人自主的同时保护家庭关系的不同策略,揭示了康复工作人员所需的技能。研究结果支持以人为本的重新适应方法,这种方法能够理解和应对更广泛的家庭环境。研究结果还指出了工作人员培训和监督方面可能存在的局限或不足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

“They Like to Try and Boss Them around a Little”: Reablement Service Staff’s Views and Experiences of Adult Children’s Efforts to Assert Control

“They Like to Try and Boss Them around a Little”: Reablement Service Staff’s Views and Experiences of Adult Children’s Efforts to Assert Control

Increasing frailty or a medical crisis threatens older people’s autonomy. Further threats may arise from adult children if such changes or events are perceived as permitting or signalling a need to assume greater control over their parent’s life. In the context of reablement—a time-limited intervention seeking to help older people regain their confidence and ability to live as independently as possible—this is observed in cases where adult children resist, or seek to sabotage, reablement. This runs counter to the notion of family being a valuable resource and partner to reablement services in achieving the desired outcomes. Notions of autonomy and legitimate authority, which often co-occur in care relationships, provide a useful lens to understand this phenomenon. The aims of this study were to explore reablement staff’s accounts of the ways adult children seek to assume control over their parents’ reablement, and how they manage such situations. We undertook a secondary analysis of a qualitative dataset comprising transcripts of 11 focus groups with staff (n = 78) in five reablement services in England and Wales conducted for the purposes of a study investigating the factors affecting older people’s engagement with reablement. Staff’s accounts included descriptions of the different ways adult children can seek to exert control over the reablement process. Staff believed that, when aware this was happening, older people ceded control to their child(ren) because preserving the relationship with their child(ren) was a greater priority than maximising their independence. Staff’s descriptions of the different strategies they used to protect family relationships whilst supporting the older person’s autonomy shed light on the skills reablement staff require. Findings support person-centred approaches to reablement which understand and respond to the wider family context. They also point to possible limitations or gaps in workforce training and supervision.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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