Randi Olsson Haave, Marianne Sundlisæter Skinner, Aud Obstfelder, Line Melby
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引用次数: 0
摘要
目的：探讨长期护理接受者对高质量护理的看法，以及如何在服务中应用以人为本的方法。设计：描述性、探索性质的设计。方法：在挪威三个城市的10家养老院和家庭护理单位，通过对19名护理对象的个人访谈和197小时的参与观察收集数据。采用定性内容分析法对数据进行分析。结果：分析揭示了一个主题——作为一个个体被看到和照顾——描述了接受者对高质量护理的核心看法。这一主题包括两个次级主题。第一个个体适应护理-表明接受者重视他们的卫生保健工作者是否理解他们和他们的个人护理需求和偏好。第二个主题——人际交往——抓住了接受者对他们的医护人员的存在和创造他们被视为人类的时刻的能力的赞赏。结论：从被照护者的角度来看，高质量的照护服务取决于他们作为个体如何被对待，以及他们所接受的照护如何适应他们的个体需求和偏好。这些接受者对卫生保健工作者提供的个性化护理的看法与以人为本的护理目标是一致的。这些结果突出了提供高质量护理的非标准方法的价值和必要性。对专业和/或病人护理的影响：尽管长期护理服务有广泛的护理任务和时间压力，但它们应该使医护人员能够与护理对象在一起。报告方法：本研究采用了定性研究报告综合标准（COREQ）指南（Tong, Sainsbury, and Craig 2007）。患者或公众贡献：长期护理接受者和他们接受护理的单位为本研究做出了贡献。在本研究中，受助者对护理的认知和单位的安排促进了参与者的观察。
'See Me as a Person': A Qualitative Study of Long-Term Care Recipients Perceptions of High-Quality Care.
Aim: To explore long-term care recipients' perceptions of high-quality care and how person-centred approaches are applied in the services.
Design: A descriptive explorative qualitative design.
Methods: Data were collected through individual interviews with 19 care recipients and 197 h of participant observation at 10 nursing homes and home care units in three Norwegian municipalities. The data were analysed using qualitative content analysis.
Results: The analysis revealed a main theme-to be seen and cared for as an individual-describing the core of the recipients' perceptions of high-quality care. This main theme encompassed two sub-themes. The first-individually adapted care-showed that the recipients valued whether their healthcare workers understood them and their individual care needs and preferences. The second theme-interpersonal encounters-captured the recipients' appreciation of their healthcare workers' presence and ability to create moments where they were seen and treated as human beings.
Conclusion: From the perspective of care recipients, high-quality care services depend on how they are treated as individuals and how the care they receive is adapted to their individual needs and preferences. These recipients' perceptions of individualised care delivered by healthcare workers are consistent with the goal of person-centred care. These results highlight the value of and need for non-standard approaches to providing high-quality care.
Implications for the profession and/or patient care: Despite the long-term care services' extensive caregiving tasks and time pressure, they should enable healthcare workers to be present in the moment with care recipients.
Reporting method: Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines are used for this study (Tong, Sainsbury, and Craig 2007).
Patient or public contribution: Long-term care recipients and the units where they received care contributed to this study. The recipients' perceptions of the care and the units' arrangements facilitating participant observation played significant roles in this research.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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