生活故事工作能在预先护理计划中支持关系自主吗?来自EARLI项目的故事

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Ava Karusoo-Musumeci, Ling Yeoh, Caroline Edwards, Rebecca Walton, Melanie Crabtree, Michelle M. Hilgeman, Craig Sinclair
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引用次数: 0

摘要

预先护理计划已经从狭隘地关注预先指示的完成,发展到更加强调正在进行的对话和价值澄清。这种演变与社会背景下自主性的关系观点一致。然而,有限的研究探讨了关系自治在实践中如何运作。生活故事工作是一种新颖的方法,可能有助于在提前护理计划中实施关系自治。本文介绍了来自增强的提前护理计划和生活回顾纵向干预(EARLI)项目的三个小插曲,EARLI是一种基于艺术的干预,使用生活故事工作来支持社区老年人的提前护理计划。结果:这些小插曲说明了生活故事工作如何促进关于价值观和偏好的讨论,增强关系自主性,并影响参与者在不同阶段对预先护理计划的参与。结论:将生活故事工作纳入提前护理计划提供了促进关系自主的实用方法。这种方法提供了深入了解个人叙述如何在预先护理计划过程中塑造决策和沟通。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Could life story work support relational autonomy in advance care planning? Stories from the EARLI project

Objectives

Advance care planning has evolved from a narrow focus on advance directives completion towards a greater emphasis on ongoing conversations and value clarification. This evolution aligns with a relational perspective on autonomy in a social context. However, limited research explores how relational autonomy might be operationalised in practice. Life story work is a novel approach that may serve to operationalise relational autonomy in advance care planning.

Methods

This paper presents three vignettes from the Enhanced Advance Care Planning and Life Review Longitudinal Intervention (EARLI) project, an arts-based intervention that uses life story work to support advance care planning among older adults living in the community.

Results

The vignettes illustrated how life story work facilitated discussions about values and preferences, enhanced relational autonomy and influenced participants' engagement with advance care planning across different stages.

Conclusions

Integrating life story work into advance care planning provides a practical approach to fostering relational autonomy. This method offers insight into the ways personal narratives can shape decision-making and communication within the advance care planning process.

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来源期刊
Australasian Journal on Ageing
Australasian Journal on Ageing 医学-老年医学
CiteScore
3.10
自引率
6.20%
发文量
114
审稿时长
>12 weeks
期刊介绍: Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.
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